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Health reform moves to close U.S. Medicare drug gap

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Health reform moves to close U.S. Medicare drug gap

Democratic leaders moved on Friday to build support among the elderly for a massive overhaul of the U.S. healthcare system, saying the measure would immediately start closing a gap in Medicare prescription drug coverage.

The coverage gap, the so-called doughnut hole, occurs after a certain amount of money is spent. This year that level is $2,700 of which $896 is out of pocket expenses by the beneficiary. Coverage begins again once drug costs reach $6,154.

Speaker Nancy Pelosi said the healthcare reform bill being considered by the House of Representatives would reduce the that doughnut hole and lower the cost of medicine for as many as 4 million elderly next year.

“As of January 1, 2010, our legislation will give a 50 percent discount for brand-name drugs to recipients in the doughnut hole, and it will reduce the size of the doughnut hole by $500,” Pelosi said.

An earlier version of the bill would have started closing the doughnut hole beginning in January 2011.

House Democratic leaders are working to merge three healthcare reform bills approved by committees into a single bill that can pass the House and give President Barack Obama a major victory on a top domestic priority.

The emerging bill would also gradually eliminate the gap in prescription drug coverage in 10 years. The earlier version of the bill would have eliminated the gap in 15 years.

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Combo pill an option for diabetes-related nerve pain

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Combo pill an option for diabetes-related nerve pain

A single pill containing the pain relievers tramadol and acetaminophen is as effective as the drug gabapentin for treating diabetes-related nerve pain, according to study findings presented Tuesday at the 20th World Diabetes Congress in Montreal.

Gabapentin is an anti-seizure drug frequently prescribed for epilepsy. The drug is also used to treat persistent neurological pain.

In general, gabapentin is regarded as a first-line therapy for “diabetic neuropathy” — a painful condition that causes a range of symptoms from a tingling sensation or numbness in the toes and fingers to paralysis, lead researcher Dr. Bong Yun Cha, from the Catholic University of Korea, Seoul, told Reuters Health.

In the current study, Cha and colleagues compared gabapentin with the tramadol/acetaminophen (TA) combination pill in adults with painful diabetic neuropathy in the lower extremities. Sixty-six study subjects received TA and 73 received gabapentin.

The study was sponsored by JANSSEN KOREA, which markets the combination pill as Ultracet in the US.

Cha and colleagues report that the two groups experienced similar improvements in pain and related parameters over the 6-week study period.

Moreover, the rate of treatment-associated side events in the TA group was not significantly different from that in the gabapentin group: 50.6 percent vs. 36.9 percent.

The current findings, said Cha, support TA as a suitable alternative to gabapentin as a first-line therapy for painful diabetic neuropathy.

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Breast Cancer – Breast Check Demonstration #2

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Breast Cancer – Breast Check Demonstration #2

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Breast self-examination for the impressive attendance at the breast lump themselves need to be done every month, namely on three or four days after menstruation. If found no change in the breast, immediately met doctorate.

Among the changes is the skin becomes rough, being node (bump louder), penterbalikan nipple or skin, the skin twitch and a red, black or cecair out blood from the nipple or the lymph nodes under the armpit to swell.
How to own examination

Standing in front of the mirror

* By raising both hands above his head, dizziness slowly from the right side to left side.
* Tight your waist, press down gently to the bottom of the chest muscles to tense and reject your breasts before. Look carefully all such changes saiz, shape and contour of each breast. Look at there is a twitch, the curve or a nipple exposed to.
* Slowly, picit both nipples and note if there is melt out. Check there is discharge such as clear or contain visible blood.

Lying

* To check the right breast, put a pillow under your right shoulder and right hand placed on the back of the head. Tap your fingers flat and move slowly in the form of small dots, starting from the base of the breast portion. After one rotation, moving 1 inch (2.5cm) to the nipple. Doing turns to examine each portion of breast including the nipple. Siwak F Repeat the same on the left breast by placing a pillow under your left shoulder and left hand placed behind his head. Cuba feels the same there are any lumps in the bottom and along the collarbone.

IMPORTANT

Get advice from your doctor if there is:

* Any lumps.
* Any change in the clot that arises.
* Any change in skin texture, curve, swelling or skin twitching.
* Putting highlighted inside.
* There was pain in the breast.

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