Archive for April 2010

Financial Worries Cause People To Delay Treatment For Heart Attacks

Financial Worries Cause People To Delay Treatment For Heart Attacks

Thursday April 15, 2010

A study published this week in the Journal of the American Medical Association suggests that heart attack patients who have no health insurance, or who have health insurance but also have financial concerns, significantly delay going to the hospital for treatment. Since time is of the essence when you are having a heart attack, this delay greatly increases the risk of sustaining permanent cardiac damage, or worse.

The investigators studied records from 3721 patients admitted to 25 American hospitals for heart attacks between 2005 and 2008. Of these patients, 738 were uninsured, and 689 had insurance but also had financial worries. The researchers found that patients without health insurance or who had financial worries were significantly more likely, compared to insured patients who reported no financial worries, to delay their arrival at the hospital by six hours or more.

The key to surviving a heart attack without sustaining permanent heart damage is immediate medical care. If the blocked coronary artery which is causing the heart attack can be re-opened (by angioplasty or by clot-busting drugs) within a few hours, most of the permanent cardiac damage can be avoided. The earlier you get treatment, the better. However, if therapy is delayed for six hours or more, significant and permanent cardiac damage becomes much more likely.

Too many patients who are suffering an acute heart attack already delay getting themselves to a hospital, due to wishful thinking or denial – hoping their acute symptoms are from "something I ate," or just hoping the symptoms will go away. It is now apparent that people who have financial concerns are even more likely to critically delay receiving vital treatment.

If you think you might be having a heart attack, please do not let wishful thinking – or financial concerns – prevent you from taking the action you need to take to save your heart, and prevent permanent disability or death. If you experience any symptoms suggestive of heart attack, especially if you know you have risk factors for heart disease, you should get medical help as soon as possible. Generally, this is best done by calling 911.

And especially if you have those risk factors, it is important that you know how to tell if you might be having a heart attack.


Smolderen KG, Spertus JA, Nallamothu BK, et al. Health Care Insurance, Financial Concerns in Accessing Care, and Delays to Hospital Presentation in Acute Myocardial Infarction. JAMA. 2010;303(14):1392-1400.

Virtual Health Retreat with Dr. Shelby-Lane, the agelessdoctor


Lisa Nelson, RD, Hosts This Year’s Top Virtual Health Retreats Designed to Achieve Your Health and Wellness Goals

Healthy Heart Seekers: Here’s Your Chance to Find All the Missing Pieces You Need to Drastically Improve Your Health to Live the Life You Seek.

(EMAILWIRE.COM, April 23, 2010 ) Detroit, MI – Starting off the week-long Healthy Heart Virtual Retreat is Dr. Cynthia Shelby-Lane, MD, the “Ageless Doctor,” Monday, May 17, 2010, at 8 pm EST. Dr. Cynthia Shelby-Lane, Anti-Aging Expert will share her expertise on “How to Create Your Own Anti-Aging and Wellness Plan: 7 Steps to Staying Young and Living Longer in the 21st Century.”

• Why aging is not the result of any one single factor
• How to maximize health and lifespan with functional medicine and systemic approach
• How to feel more youthful, more energized and healthier for longer than you ever thought possible

Tuesday, May 18, 2010, 6 pm EST, Celebrity Nutrition & Fitness Expert, JJ Virgin, PhD, CNS, CHFI. "Your body is not a bank account. It’s a chemistry lab." — JJ Virgin

On Tuesday’s program, JJ will share her nutrition weight and wellness strategy:

Six Weeks to Sleeveless and Sexy: 5 Simple Steps You Can Put Into Action NOW to have the body, energy and confidence for this summer and beyond!

• How to use burst training for better fat burning
• How to prevent high fasting insulin levels from "locking" fat cells
• How to balance your hormones to maximize weight loss
• How to burn more calories by developing your metabolic "Spanxs"

Lose up to 5 pounds in 2 days and be the STAR at your next event!

JJ Virgin reveals her top secrets for getting slim and sexy fast – the same ones she uses with her celebrity clients. Includes:

• a daily meal plan,
• delicious recipes,
• and complete shopping list.

Celebrity Nutrition and Wellness Specialist, JJ Virgin is the premiere voice of scientific reason in the world of nutrition and wellness. She is the author of the new book, "Six Weeks to Sleeveless and Sexy" (Simon & Schuster). Virgin is also a spokesperson for Emergen-C and Subway and spent two seasons as a health expert on "The Dr. Phil Show." She is the co-star of the new TLC reality series, Freaky Eaters.

JJ has provided nutrition and wellness lesson plans for a wide variety of famous faces including CEO’s, athletes and celebrities including Gene Simmons, Ben Stiller, Tracie Thomas and the new big screen "Superman" Brandon Routh.

Lisa Nelson RD, founder and owner of and Health Expert for The Health Central Network, is dedicated to helping you achieve improved heart health through practical diet and lifestyle changes. Lisa coaches clients to lower cholesterol, lower blood pressure, and weight loss, so they can live life and enjoy their family for years to come. Her passion for health comes from her own family history of heart disease, so she doesn’t dispense trendy treatments; Lisa practices what she teaches in her own daily life. Because her own health is the foundation of her expertise, you can trust that Lisa will make it truly possible for you to see dramatic changes in your health, without crazy fads or impossibly difficult techniques.

To register, just follow the steps on this link:

To obtain more information about the anti-aging process contact:

Dr. Cynthia Shelby-Lane, MD
The Ageless Doctor

This press release was submitted by Right Now Marketing Group, LLC.

Press release service and press release distribution by EmailWire.Com – .

Contact Information:
Dr. Shelby-Lane
Dr. Cynthia Shelby-Lane
Tel: 800-584-4926

Why disruptive innovation seems to have bypassed the health care industry…

As reported in Harvard Business Review … According to Clay Christensen, author of The Innovator’s Dilemma: When New Technologies Cause Great Firms to Fail … Disruptive innovation seems to have bypassed the health care industry…

…Clay Christensen’s theory predicts that entrenched companies, products and services are often “disrupted” from below by competitors who are able to meet the needs of most current customers with products that do less (but just enough) and are much, much cheaper…

… Writing in the new issue of Harvard Business Review, Christensen and colleagues Richard Bohmer and John Kenagy paint the portrait of an industry with such inbred systemic interests that it has slowed (but not erased, thank goodness) the inevitable march of disruptive innovation…


… Here is their prescription for unleashing disruption on the health care fortress.

Create—then embrace—a system where the clinician’s skill level is matched to the difficulty of the medical problem … “Rather than fight the nurse practitioners who are invading their turf, primary care physicians should move upmarket themselves, using advances in diagnostic and therapeutic technologies to perform many of the services they now refer to costly hospitals and specialists.

Invest less money in high-end, complex technologies and more in technologies that simplify complex problems … “great growth opportunities exist in the simpler tiers of the market … Rather than focus on complex solutions for complex problems, research and development need to focus on simplification”.

Create new organizations to do the disrupting. “The health care industry today is trying to preserve outmoded institutions … the history of disruptive innovations tells us that those institutions will be replaced, soon enough” …

Overcome the inertia of regulation. Instead of working to preserve the existing system, regulators need to frame their jobs differently.
Read on at:…

Tags: christensen, disruptive, hbr, helix, innovation, open, technology, triple

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Michigan’s Dr. Cynthia Shelby-Lane, MD, Prescribes Laughter the Best Anti-Aging Therapy Medicine


Laughter increases your respiratory rate. You breathe faster. Your lungs expand. Your blood pressure goes up, and then it falls. It’s the same as exercising.

Michigan’s Dr. Cynthia Shelby-Lane, MD, Prescribes Laughter the Best Anti-Aging Therapy Medicine

Laughter increases your respiratory rate. You breathe faster. Your lungs expand. Your blood pressure goes up, and then it falls. It’s the same as exercising.
PR Log (Press Release)Mar 31, 2010 – Detroit, MI – An emergency physician in Detroit, Dr. Shelby-Lane says laughter is the best medicine.  “When you have a good, belly-jolting laugh, you’re using every large muscle in your body,” flexed the female “Patch Adams.”

Research has shown that laughter even has the ability to heal and make you healthy. There’s nothing more pleasurable than a good, hearty laugh. “The best part about laughing is that it makes you feel better,” she said.

"It’s like the same process when you’re jogging. Your heart rate goes up. You increase the blood flow to the brain which increases oxygen," Dr. Shelby-Lane tells her audiences. "Laughter increases your respiratory rate. You breathe faster. Your lungs expand. Your blood pressure goes up, and then it falls. It’s the same as exercising."

An upbeat physician who believes in healing and using humor to heal, Dr. Shelby-Lane is a firm believer that laughter is the best medicine because it is a gift.

"Stress kills. God gave us an outlet from stress through laughter. You can pray, but today you’re going to have to laugh. It doesn’t require any special equipment and the health benefits are there," adds Shelby-Lane, also a comedian, who studied at Chicago’s Second City comedy school.

As the radio-TV host of "Second Opinion" in Detroit, the doctor-jock says, “That when your life and the job gets too stressful, you’ve got to laugh.”

"It helps us to survive. It helps people cope. When you laugh, it focuses everything outward. It’s like a shot of morphine. It releases endorphins, a natural substance released in your body like pain killers. It’s happy juice in the body. It gives this euphoric type of feeling that makes you high," she says.

"Life is full of humor. The whole world is a stage. You have to find the setup. Get ready  for the punch line."

Dr. Cynthia Shelby-Lane, MD
Emergency Physician and Anti-Aging Expert
Elan Wellness LLC
43138 Dequindre
Sterling Hgts., MI  49314
Phone: 800-584-4926
Fax:  313-861-6642

This press release was submitted by Right Now Marketing Group.

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Research has shown that laughter even has the ability to heal and make you healthy. There’s nothing more pleasurable than a good, hearty laugh. “The best part about laughing is that it makes you feel better,” she said.


Dr. Cynthia A. Shelby-Lane, MD


Health Care Reform Explained

Health Care Reform Explained Your Questions Answered By: Susan Jaffe | Source: AARP Bulletin Today | April 1, 2010 * 


 WHERE WE STAND From AARP CEO A. Barry Rand: “We are thankful for the leadership, courage and hard work Members of Congress and the President demonstrated in ensuring they followed through on their commitment to older Americans.” Read more WANT TO TAKE ACTION? Join the movement! SEE ALSO • Get the Facts on Health Reform BREAKING NEWS • Follow us on Twitter • Fan us on Facebook Need help understanding the new health care reforms? You’re not alone. The legislation is more than 2,000 pages—longer than Tolstoy’s epic novel War and Peace—and it’s crammed with new benefits, rules, penalties and projects, spread out over years. To help you find out just what it all means to you, AARP will be answering your questions about health care reform online. E-mail your questions to

Then check back here for the answers and information you need to know. Q. I’m over 50 and have been turned away by health insurers who either won’t sell me coverage or charge so much I can’t afford to buy it, all because of my health problems. How long do I have to wait before I can get covered? A. If you have preexisting medical conditions and have been unable to get health insurance for at least six months, you should be eligible to buy coverage through a temporary federally funded program called a “high-risk pool.”

 Under the new law, this option—expected to be available by July—will cover about 2 million men and women in your situation. Older members cannot be charged more than four times what younger members pay for this coverage, and out-of-pocket expenses are limited to $5,950 for an individual or $11,900 for a family this year. This isn’t a new idea: Many states already offer high-risk pools for their residents, but some are closed to new enrollees because of high costs.

That will change and every state will be participating, thanks to an influx of $5 billion in federal aid. How much premiums will cost to join the high-risk pool, in which hospitals and doctors will participate, and exactly what will be covered are among the key details yet to be worked out. So it’s no surprise that at this point, there isn’t a telephone number the public can call for more information. This program ends in 2014, when insurance companies will be required to sell policies to anyone, regardless of their preexisting medical conditions. Q. I’m having trouble now finding a primary care doctor. Will it be harder for me to get one when millions more people get health insurance because of this new law? A.

While 32 million people will eventually be added to the rolls of the insured, that won’t happen overnight or in one fell swoop. It will take time, and about half will be insured through state health insurance exchanges, which won’t open until 2014. But you are right—it can be hard to find a primary care doctor who will accept a new patient, especially as the nation’s population grows older and demand increases. During the health reform debate, Republican critics such as Florida Sen. George LeMieux warned that a physician shortage could undermine the entire reform effort: “It’s not health care reform if the doctor is not in,” he said. The new law addresses the shortage of primary care doctors in three basic ways.

• First, primary care doctors who treat Medicare patients will receive an extra 10 percent bonus from 2011 to 2016, and earn another small bonus if they file health care quality reports with Medicare. In addition, the law adjusts Medicare payments to reflect the variations in medical costs by geographical area, which the American Medical Association says will benefit doctors in 42 states.

The measure also raises payments for family physicians who treat patients in Medicaid, the government’s health care program for low-income people. And it reduces paperwork for doctors who treat Medicare and Medicaid patients—another sweetener to entice physicians into the programs. • The second way the law tackles the shortage is by providing incentives for doctors to go into the primary care field.

For example, it expands loan forgiveness programs to defray the cost of medical school and provides money for primary care training programs at teaching hospitals. It also provides grants to medical schools to recruit and train students who will practice medicine in rural communities.

There are similar incentives for training nurses and other medical providers, which should help ease the demand for primary care doctors. • Finally, the law encourages changes in how patients are treated by creating “accountable care organizations”—physician and other medical groups—which will be paid according to how well the patient fares, rather than the number of services provided, explained Jean Silver-Isenstadt, M.D., executive director of the National Physicians Alliance. “This means that issues that can be handled over the phone, will be, and patients won’t be required to come in for an office visit just to ensure the physician gets paid,” she said.


“This will free up valuable time for doctors to see more patients.” No one knows for sure whether bonuses and other changes will build up the supply of primary care doctors fast enough to keep pace with demand. Susan Jaffe has written about health care reform for Health Affairs and covered aging issues for the Cleveland Plain Dealer.