Aboite Counseling
Wednesday, July 23rd

“Dr. Phil Show”: How’s That Working Out For You?

January 31, 2008

Filed under: Counselors,Marriage & Family,marriage counseling,marriage therapy,Mental Health Prof's,psychiatrist,psychiatry,psychologist,psychology " kurtglmft @ 8:37 am
Tags: Brittany Spears, California Board of Psychology, Dr. Phil, HIPA, HIPPA, Phillip McGraw

According to WTHR, Dr. Phillip McGraw "regrets" discussing his "visit" with pop singer Brittany Spears. Here is the background:

Spears, 26, was hospitalized in Los Angeles after a child custody dispute with ex-husband Kevin Federline resulted in an hours-long standoff with police January 3. Federline has sole physical and legal custody of their two sons, Sean Preston, 2, and Jayden James, 1.

McGraw said he visited the pop singer as a family friend, and rejected critics who accused him of practicing psychology without a license.

This is what Dr. Phil has to say:

"I regret making the statement. It didn’t help. It didn’t work," the syndicated TV psychologist said Wednesday on ABC’s "Good Morning America."

"I did not go there to diagnose her. I did not go there to treat her," said McGraw, who showed up at Cedars-Sinai Medical Center on January 5 as Spears was about to be discharged.

McGraw said he retired his Texas license after 25 years of private practice because of the demands of his "Dr. Phil" daytime talk show.

The Spears family has accused McGraw of betraying their trust by making an "inappropriate" public statement about the singer’s hospitalization.

McGraw had told celebrity news TV shows that Spears was in "dire" need of medical and psychological help.

In an appearance on NBC’s "Today" show Wednesday, McGraw said his public comments after visiting Spears were intended to prevent rumors and misinformation.

"I wanted to stop speculation about what may have gone on in there," he said.

OK, whatever. We all know he went there to get ratings for his pseudo-psychological show. Anytime a person in the therapy, or psychological, field puts their needs in front of a person or family, in a professional situation, they act unethically. Speaking of which, a formal complaint was filed in California over the incident. The California Board of Psychology treats complaints as confidential, so we don't know what will happen with this yet. Interestingly, the complaint also alleges Dr. Phil violated Ms. Spears confidentiality rights under HIPPA. While the California complaint is a felony, the HIPA violation could result in federal charges.

Alice on 07.23.14 @ 09:45 PM CST [link] [No Comments]

Child Porn @ Work Not Illegal

February 2, 2008

Filed under: Indiana,Legal/Law,Local (NE IN) News,Local (NW IN) News,Sexual Abuse " kurtglmft @ 12:45 pm
Tags: Catherine Wilson, Child Pornography, Eric Tamashasky, John B. Penney, pop-under, pop-up, pornography, Prosecutor, St. Joseph county, YWCA

According to the St. Joe County Prosecutors Office, if your surfing the net for porn at work and child porn pop-ups, or pop-unders, appear, you are not guilty of a crime. Good to know. Can we please just make a law against stupid people and get it over with? I mean I get the point, the guy wasn't intentionally looking for child porn, but he was being stupid by looking for ANY porn at work. I just don’t get it. I mean if you want to look at porn at home, more power to you, but why bring it into the workplace? From the South Bend Tribune (link unavailable at source):

A former YWCA employee has been cleared of charges of possession of child pornography after prosecutors determined the images appeared on his computer without his consent.

Catherine Wilson, a spokeswoman for the St. Joseph County Prosecutor, said investigators determined that John B. Penney, 55, was not looking for child pornography when the images appeared on his computer.

Wilson said the images of child pornography found on Penney’s work computer "almost certainly were the result of 'pop-up' or 'pop-under' windows generated during other online searches" for adult pornography.

Penny was a legal advocate for the YWCA who lost his job after the images allegedly surfaced on his work computer.

Deputy Prosecutor Eric Tamashasky said on Thursday that Internet users should be cautious when surfing the Internet to avoid coming across illegal material, such as child pornography. He said users of adult pornography run a higher risk of accidental exposure to illegal material.
Alice on 07.23.14 @ 09:22 PM CST [link] [No Comments]

Insurance Co. Refuses to Pay for Anorexia or Bulimia

Filed under: anorexia,bulimia,Depression,Disorders,Healthcare,insurance,Legal/Law,Uncategorized " kurtglmft @ 1:16 pm
Tags: anorexia, Blue Cross Blue Shield, bulimia, Facebook, Horizon, insurance, MySpace

This is about the dumbest thing I have heard. From Law.com (link eliminated by source):

Litigation over an insurer's refusal to pay health benefits for anorexia or bulimia may turn on what is revealed from the alleged sufferers' e-mails and postings on the social networking sites MySpace and Facebook.

The plaintiffs are suing in federal court in Newark, N.J., on behalf of their minor children, who have been denied benefits by Horizon Blue Cross Blue Shield of New Jersey.

Horizon claims that the children’s online writings, as well as journal and diary entries, could shed light on the causes of the disorders, which determines the insurer's responsibility for payment. New Jersey law requires coverage of mental illness only if it is biologically based.

Horizon claims the eating problems are not biologically based and that the writings could point to emotional causes. It contends that access to the writings is especially important because the court has barred taking the minors’ depositions.

And insurance companies wonder why everyone hates them. Look, this is just another way for an insurance company to get out of paying for something to line their already fat pockets. So let me get this straight, Horizon Blue Cross Blue Shield is not going to pay for disorders that are not biologically based? What about the kid who breaks his arm at a football game. What about smokers who develop lung cancer. Don't even try if your depressed because your going through a divorce. It was one thing when insurers wanted detailed medical histories, but now it appears they want to delve into every detail of a person’s life to justify not paying a claim. At the same time, they charge higher and higher premiums. Nice. At some point the public (employers are already realizing this) are going to revolt and demand the service these companies promise at the time they sell the policies. Already, employees, when given the choice, overwhelmingly take cash over insurance benefits because of things like this. I guess everyone will have to make this choice before the insurance companies wise up and realize there are other options to their dictatorial policies and unjustifiable high rates.

Alice on 07.23.14 @ 09:14 PM CST [link] [No Comments]

Lilly to Reach Deal with Feds?

Filed under: Disorders,Legal/Law,Local (Central IN) News,Pharmacology,psychiatrist,psychiatry,Rx Meds: Zyprexia,Uncategorized " kurtglmft @ 1:40 pm
Tags: Eil Lilly, Justice Department, Lilly, New York Times, Tarra Ryker, Zyprexa

Maybe, but no one is talking, according to the Fort Wayne Journal Gazette, citing the New York Times. Here is the background:

Zyprexa was Lilly's top selling drug last year. It rang up $4.8 billion and accounted for 25 percent of the company's total sales, but it also has brought the company many legal headaches.

Beginning in late 2006, a series of articles in the Times said Lilly downplayed the drug's risks and marketed it for uses unapproved by the Food and Drug Administration.

Attorneys general from 30 states have subpoenaed documents detailing Lilly's sales, marketing and promotional practices for Zyprexa as part of a civil investigation under state consumer protection laws.

The drug also has faced thousands of product liability claims from patients, many alleging the company did not adequately warn patients taking the medication of a heightened diabetes risk.

And here is what is being said:

Lilly spokeswoman Tarra Ryker declined to elaborate on the possibility of a settlement when reached by phone.

“We are cooperating with the government in these investigations, and the discussions around those are confidential,” she said. “We’ve said pretty much all we’re going to be able to say on this.”

She also declined to comment on the payment amount.

"We don't know where the information came from," she said.

The Times reported that federal prosecutors in Philadelphia are leading the settlement talks for the government, in consultation with Justice Department headquarters in Washington.

The amount being bantered around is 1 Billion dollars.
Alice on 07.23.14 @ 09:06 PM CST [link] [No Comments]

I.U. has openings for autistic children

This is sort of a public service announcement, via WTHR:

If you are a parent of an autistic child, the IU School of Education is encouraging you to enroll in a free research study.The "More Than Words" 14-week program is for children five and under and aims to assist in language development. To learn more about the study contact Andrea McDuffie.

The More Than Words program was developed by the Hanen Center in Toronto, Canada.

Alice on 07.23.14 @ 01:19 AM CST [link] [No Comments]

Big Insurance: “and throw a little sand in there too…”

Filed under: Healthcare,insurance,Legal/Law,Pharmacology,Rx Meds " kurtglmft @ 2:31 pm
Tags: Aetna, Anesthesiologists, Endoscopy, Gastroenterology, New Jersey, propofol, United Healthcare, Wellpoint

I don’t know if everyone will get the reference in the title, but I thought it was fitting. In another example of Big Insurance trying to prop up their already fat bottom line, comes this from the Wall Street Journal's Health Blog. By the way, this is what happens when MBA’s make medical decisions instead of MDs.

Aetna is about to cut back on its coverage of a popular, but expensive, form of anesthesia for patients undergoing colonoscopes, the AP reports. Docs aren't pleased.

Doctors say the fast-acting drug Propofol makes colonoscopes more comfortable (or at least less uncomfortable). But it's use often requires that an anesthesiologist be present, and boosts the cost of the procedure by $200 to $1,000. Insurers argue that "moderate sedation," which combines painkillers and a sedative, works equally well for most patients and doesn't require the presence of an additional specialist.

WellPoint cut back on its coverage of Propofol a few years back. As of April 1, Aetna will pay for an anesthesiologist to be present during a colonoscopy only in cases where the patient would be at high risk without one. United Healthcare covers Propofol during colonoscopy, according to the AP.

Some gastroenterologists and anesthesiologists are working with lawyers to fight the change. "To the extent litigation is an option, we’re looking at all options," said John Fanburg, counsel for the New Jersey State Society of Anesthesiologists and the New Jersey Gastroenterology and Endoscopy Society.

I have an idea, lets have the "insurers" who made this decision undergo the procedure the way they want everyone else to. Wonder if that would change their mind. smile

Alice on 07.23.14 @ 12:46 AM CST [link] [No Comments]

More Trouble for Zyprexa

February 5, 2008

Filed under: Pharmacology,psychiatrist,psychiatry,Psychosis,Rx Meds: Zyprexia,schizophrenia " kurtglmft @ 9:20 pm
Tags: drowsiness, Eli Lilly, FDA, injection, Lilly, sleep, sleepiness, Zyprexa, Zyprexa Adhera

In what is becoming more and more common, Eli Lilly's Schizophrenia drug Zyprexa has run into a little more trouble. From the Reuters, via the Indianapolis Star:

counselingExcessive sedation is a "serious safety concern" with an experimental, long-acting form of Eli Lilly and Co.'s blockbuster Zyprexa schizophrenia medicine, U.S. drug reviewers said in an analysis released Monday.

Food and Drug Administration staff said the injectable formulation, called Zyprexa Adhera, was shown to be effective for acute and long-term treatment of schizophrenia, Reuters and Bloomberg both reported.

But risks include excessive sleepiness.

The analysis was released ahead of a meeting by a panel of outside advisers who will evaluate the drug Wednesday. "Excessive sedation events are a serious safety concern because of the severity of excessive sedation, the unpredictable characteristics, and relatively high incidence - 0.07% of injections and 1.3% of patients,"FDA staff said.

Lilly officials, in a separate summary, said they thought the benefits of the long-acting formulation outweighed the risks.

"Although there are important additional safety considerations associated with the injection, they are manageable with appropriate labeling and risk-minimization activities," the company said, Reuters reported.

Alice on 07.23.14 @ 12:36 AM CST [link] [No Comments]

Monday, July 21st

Big Pharma Hates McCain: and that’s a bad thing why???

Filed under: Healthcare,insurance,John McCain,Pharmacology,Politics: Healthcare,Politics: 08 Elections,Pres Primaries,Rx Meds " kurtglmft @ 9:29 am
Tags: Healthcare, insurance, Law Firms, Lawyers, McCain, medication, Pharmaceuticals, President, retired

There are two ways of determining where a politician stands on healthcare; read their platform statements, and/or follow the money. If you choose the first, read carefully. The language is as carefully crafted as your insurance policy, probably because it was written by the same people. For example, something like "I want to reduce healthcare costs by implementing money saving technology" (which is common to several candidates) translates to: I want to save insurance companies money by forcing providers of all sizes to spend money on updating computers and software. So, sometimes following the second path is better. Look at where a candidate is getting their money. If it is from insurance and pharmaceutical companies, chances are they hope to make money if the candidate wins. How do these companies make money? In the case of insurance, either from charging the consumer more, or getting the provider to take less. In the case of pharmaceuticals, continued law allowing them to sell overpriced medication in the United States and placing restrictions on generics.

So, how does all this get us to McCain? Well, the Wall Street Journal's Health Blog has a good post on his relationship with the pharmaceutical industry. According to the Blog,

McCain opposes Big Pharma on two hotly contested issues: the re-importation of drugs from countries, where they cost less and giving Medicare the clout to negotiate drug prices directly. McCain has long stumped for re-importation to save money. And he voted against the expansion of Medicare to include a drug benefit because it didn’t allow direct price negotiations by the government and because the program covers too many people.

His health-care plan also calls for drug companies to reveal prices of their drugs and to develop a straightforward path for the creation of generic biologics, two other ideas that wouldn’t do much for the bottom line of the industry leaders.

So there is the rhetoric. Now how does that match up with the dollars? Surprisingly well. Again, according to the WSJ Health Blog:

The Center for Responsive Politics reports that McCain has received $39,797 in donations from pharmaceutical manufacturers. That puts him behind Obama ($154,710), Clinton ($140,544), Mitt Romney ($103,825), Rudy Giuliani ($91,550) and even Chris Dodd ($68,200)

If we turn contributions around and see who is giving to McCain, we find:

…The most generous group is the retired, with more than $5 million in donations. And who wants cheap drugs more than the retired? No. 2: Lawyers and law firms, which have given $2.5 million, according to the CRP. (No. 6 on the list are health professionals with $713,952 in contributions.)

So the numbers appear to match the rhetoric, when it comes to pharmaceuticals. However, the Blogmeister took a look at McCain’s healthcare plan. It is very nonspecific and difficult to tell what he wants to do overall. It would be interesting to apply the same analysis as above to his overall healthcare plan. Still, it seems McCain has popular support for at least half the healthcare problem. I’d really like to know, in non legal language, what he wants to do about the other half... insurance companies.

Alice on 07.21.14 @ 07:16 PM CST [link] [No Comments]

Helping Individuals and Families... Get a clearer Picture!!!

Aboite Counseling and Therapy Group * 7311-B West Jefferson Blvd. * Fort Wayne * Indiana * 46804 * (260) 432-2311