IMed-Legal Corner
Ikliniki yangasemva yeMed-Legal Corner. Umthetho wezonyango licandelo lomthetho elichaphazela amalungelo kunye noxanduva lweengcali zonyango kunye namalungelo omguli. Akufanele kudideke kunye nemithetho yezonyango, eyisebe leyeza, kunokuba isebe lomthetho. Awona masebe aphambili omthetho wezonyango ngumthetho we-torts (ingakumbi ubugwenxa bezonyango) kunye nomthetho wolwaphulo-mthetho ngokunxulumene nokusebenza kwezonyango kunye nonyango. Ukuziphatha kunye nokusebenza kwezonyango yintsimi ekhulayo.
Emva kokusebenza kwi-chiropractic iminyaka eyi-30 +, ngakumbi kukulimala komntu kunye nomsebenzi. Kwikona ye-Med-legal, uDkt Jimenez uyazi i-ins kunye ne-outs yento engena kumabango okulimala komntu kunye nomsebenzi. Ukufumana unyango lwe-chiropractic kugqirha wokulimala komntu emva kokulimala kunokusindisa ubomi. Njenge-chiropractor yokulimala kwakhe uye waya kuqeqesho lwasemva kokuthweswa isidanga kuvavanyo lokulimala kwengozi kunye nonyango olunokuqinisekisa ukuxilongwa okusebenzayo ngakumbi kunye nokhathalelo.
Ibhonasi eyongeziweyo kukuba i-chiropractor inokwenza i-depositions kwaye inike ubungqina enkundleni. Ugqirha wokulimala komntu usebenza ngokusondeleyo kunye namagqwetha amaninzi. Ii-chiropractors ezilungileyo zigcina uluhlu lwamagqwetha ababaziyo banokuzisa iziphumo ezisemgangathweni kwizigulane zabo kwingozi yemoto kunye namatyala okulimala komntu. Ugqirha onxibelelana namagqwetha angaphezulu kwesinye unikezela ngoluhlu olubanzi lweengcali zebango lomonzakalo onamava ukukhetha kuzo, ngubani onokukuhlalisa ngcono ukusombulula ityala lakho emva kwengozi. Ngeempendulo kuyo nayiphi na imibuzo onokuba nayo nceda ufowunele uDkt Jimenez kwi-915-850-0900
by UGqr Alex Jimenez | Chiropractic, IMed-Legal Corner, Whiplash
Xa kuphandwe i-sequela elandelwayo kumaxhoba engozi yemoto, ababoneleli bahlala bejonga kwaye kwangaxeshanye bengajongeli phantsi isifo seethishu kunye nesiphumo sokungaphumeleli kwe-biomechanical yomonakalo womgogodla obizwa ngokuba yi- strain sprain. Ukongeza, iinkundla ziye ' I-rhetoric yokuvumela esi sifo ukuba sithathwe njengesiqhelo. Kukho umzimba okhulayo woluncwadi lwezenzululwazi oqinisekisa uxinzelelo lwesifo njengesi sifo esisigxina, esingumgangatho ofundiswayo kwizifundo zonyango kunye ne-chiropractic yezifundo zanamhlanje.
Ukongeza, ubunzima be-spela njenge-sequela kwi-whiplash, inika i-25% yomntu wonke okhubazeke esekwe kwi-American Medical Association's Isikhokelo soVavanyo lokuThwala ngokusisigxina kuhlelo lwesihlanu nolwesithandathu.
Ukulimala kweWiflash Associated Disorder Sequela
Juamard, Welch noWinkelstein (2011) babika:
Ukukhawulezisa ukuphela kokugqibela kuye kwasetyenziselwa ukufundisisa impendulo yezicubu ezithambileyo zomqolo wesibeleko, kubandakanya ne-facet capsular ligament. Ukulinganisa ukubonakaliswa kwe-whiplash, ubunzima kwi-ligament ye-capsular ligament yafunyanwa iphindwe kabini okanye kahlanu ubukhulu kunaleyo igcinwe ngexesha lokuhamba komzimba wesibeleko. Kwisifundo esifanayo kodwa esahlukileyo, amalungu omzimba wesibeleko awayekhe aboniswa kukulimala kwe-whiplash phantsi koxinzelelo olukumgangatho ophantsi kwaye afunyanwa enama-elongations phantse amaxesha ama-3 amakhulu kunakwimithambo ebonakalayo yemithwalo efanayo yokuqina. Ezi ligaments ze-capsular zafunyanwa ukuba zibonise ukungakhathali okukhulu emva kokulimala okwenzekileyo. Ukusukela ukwanda kokuyekelela kunxulunyaniswa nokuncitshiswa kwamalungu okuzinzisa icandelo lokuhamba ngexesha lesindululo se-sagittal, oku kufumanisa kuphakamisa ukuba ukubonakaliswa kwe-whiplash kungaguqula ubume bezicubu zomntu ngamnye, ezinjenge-capsular ligament, kunye / okanye iinkqubo ze-mechanotransduction ezinokugcina kunye nokulungisa ulwakhiwo lwe-ligamentous. Ngokuhambelana, ukubonakaliswa kokulimala okunjalo kunokuqala iindlela ezahlukeneyo zokubonisa ezikhuselekileyo ezithintela ukubuyiselwa ngokupheleleyo kweempawu zomatshini wethambo elihlangeneyo. (Iphe. 15)
Ukubeka ngokulula, ukuba sigxile kwisivakalisi sokugqibela apha ngasentla, oku kuthintela ukubuyiselwa okupheleleyo kweempawu zomatshini wethambo lendibaniselwano, is ekubhekiswa kuyo kwimigudu yomqolo eyenza izicwili zelungu elidibeneyo. Ngokwamagama; oko kuthetha ukuba xa wenzakele, indibaniselwano yonakele ngokusisigxina kwaye iyabonakaliswa kwi-ray-ray ngolwandiso kunye nembono yokujika ekungafunekiyo ukuba ibonise ukususwa ngokupheleleyo. Nantso ke eyona nto iphambili kulo mba. Uninzi lwee-radiologists aluqeqeshelwanga kuncwadi lwamva nje ngokusilela kwethishu ye-biomechanical kwaye ke ingxelo engeyiyo isifo.
Kwinyanga ephelileyo bendizimase intetho kaMichael Modic MD, iNeuroradiology, utitshala owaziwayo kwilizwe kwi-neuroradiology egxile kwi-spondylolisthesis (intshukumo engaqhelekanga) kwaye ndibuze umbuzo olula wokuba kutheni ungafuni ingxelo yengcali ye-radiologist ngaphezulu kokuma okungaqhelekanga ngenxa yokusilela kwe-biomechanical Njengomphumo we-ligament pathology his kwaye impendulo yakhe kuba uqeqesho lwabo lujolise ngakumbi kwizifo zezifo. Nangona ndivuma ukuba oko kubalulekile, kunjalo nangokungaphumeleli kwe-biomechanical ekhokelela ekonakaleni okungapheliyo, okungubhubhane kuluntu lwethu. Jonga nje imeko yabantu abadala yokuqinisekisa kwaye uninzi lwayo lwaqala ngokulula fender bender kwiminyaka eyadlulayo apho uxinzelelo lwe-sprain lwalungafunyaniswa okanye luthathwa njengolwexeshana kwaye lunganyangwa.
I-Ligament Pathology Diagnosis kunye nePrognosis
Isizathu esingasentla sizathu sokuba i-American Medical Association ixabise i-ligament pathology kwi-25% yokukhubazeka komzimba wonke. Kukho nomzimba ogqandayo oogqirha abaqeqeshwe kwaye baqinisekisiwe kwi-Spinal Biomechanical Engineering eqonda indlela yokwenza ukuxilongwa nokuxilongwa, kunye nezicwangciso zonyango malunga neengxaki zezilwanyana kunye nokuqonda ngokupheleleyo iimpembelelo zemihla ngemihla. La oogqirha okwangoku bafundisa, ngokusekelwe kwiincwadi zenzululwazi zamanje zengingqi yabo ye-radiology ukuze bakwazi ukuxilonga nokubhala ngokupheleleyo ubungakanani bengozi.
Kufuneka siqaphele ukuba kukho ubungqina obubonakalayo kuluncwadi lwezenzululwazi oluqinisekisa ukuba umonakalo owenzakeleyo usisigxina kwaye uyaliphikisa ibango le-rhetorical ye-'transient. 'Ekugqibeleni, kufuneka ukuba ibe yinyani yomzimba womntu eqinisekiswe sisayensi ebeka imigangatho yokhathalelo lwempilo kwaye hayi intetho eyohlisayo nakweliphi na inqanaba.
Ubungakanani beenkcukacha zethu zikhawulelwe kwi-chiropractic kunye nokulimala kwemigudu nemiqathango. Ukuze uxoxe ngokukhetha kwimiba, nceda ukhululeke ukucela uDkt Jimenez okanye uqhagamshelane nathi 915-850-0900 . 
Iingxelo:
Cocchiarella L., Anderson G., (2001) Izikhokelo zokuVavanywa koMonakalo ongunaphakade, i-5th Edition, i-Chicago IL, i-AMA Press
Juamard N., Welch W., Winkelstein B. (uJulayi 2011) I-Spinal Facet I-Biomechanics kunye no-Mechanotransduction kwiimeko eziqhelekileyo, eziNobungozi kunye neziNgcolisayo, uLwazi lwe-Biomechanical Engineering, i-133, i-1-31
Imixholo eyongezelelweyo: IiLigaments ezidityanisiweyo emva kweWiflash
I-Whiplash yingozi emva kokuba umntu ebandakanyekile kwingozi yemoto. Ngethuba lomngcipheko wengozi, amandla amaninzi yempembelelo kaninzi ibangela ukuba intloko nentamo yexhoba ihlasele ngokukhawuleza, emva kokuhamba, ize ibangele izakhiwo ezinzima ezijikeleze umlenze wesibeletho. Ukunyamekela kwe-Chiropractic yindlela ekhuselekileyo nesebenzayo yonyango ekhethiweyo ekuncedeni ukunciphisa iimpawu ze-whiplash.
by UGqr Alex Jimenez | Chiropractic, impilo, IMed-Legal Corner
I-Attorney General Ohio I-Mike DeWine ixela abenzi abahlanu be-opioid painkillers ngenxaxheba yabo kwi-epidemic ye-opioid yombuso.
The sithuthi, oko kuthethwa nguDeWine ngowesibili ngumbuso wase-US, emva kweMississippi, uthi abenzi beziyobisi baphula imithetho emininzi yelizwe, kubandakanywa noMthetho we-Ohio Corrupt Practices Act, kwaye benza ukukhwabanisa kweMedicaid.
IPurdue Pharma, uJohnson & Johnson kunye neyunithi yayo yeJanssen Pharmaceuticals, Teva Pharmaceuticals kunye neCephalon unit, Endo Health Solutions kwaye Allergan zonke zibizwa ngolu hlobo.
"Kwi-2014 yedwa, iinkampani zonyango zichithe i-$ 168 yezigidi ngokuthengisa i-opioids yokuthengisa i-opioids ukuba iphumelele ngaphezu koogqirha kunye nemigqabhagqabha ebomileyo kunye neentlobo ezinobungqungquthela eziye zaphazamisa ingozi" yamayeza, "kusho uDeWine kwingqungquthela yenkomfa ngoLwesithathu. Kunyaka ophelileyo, uthe, abantu abayi-2.3 base-Ohio, okanye malunga nesahlulo sesihlanu sabantu, baqeshwe i-opioids.
Kwisitatimende, isithethi sePurdue Pharma, esenza i-OxyContin, yathi inkampani inokwabelana ngolu hlobo lweengxaki ze-opioid kwaye izimisele "ukusebenza ngokusebenzisana ukufumana izicombululo."
"I-OxyContin ibala ngaphantsi kwe-2% yemarike ye-opioid analgesic echazwe kuzwelonke, kodwa siyinkokeli yoshishino ekuphuhliseni iteknoloji yokuthintela ukusetyenziswa kakubi, ukukhuthaza ukusetyenziswa kweenkqubo zokubeka iliso kumayeza kunye nokuxhasa ukufikelela kwiNaloxone � zonke izinto ezibalulekileyo ukulwa nengxaki ye-opioid, ”utshilo.
U-Allergan wenqabile ukubeka izimvo, njengoko kwenza umkhulumeli weTeva, owathi, "Asingagqiba ukuhlaziywa kwesi khalazo."
Icandelo laseJ & J laseJanssen lithe inkampani iyakholelwa ukuba izityholo kwityala "zazisemthethweni kwaye ziyinyani."
"I-Janssen isenze ngokufanelekileyo, ngokufanelekileyo nangokufanelekileyo kwimigulane malunga neentlungu zethu zeentlungu ze-opioid, eziye zavunywa yi-FDA kwaye zithwala izixwayiso ze-FDA malunga neengozi eziyaziwayo zonyango kwiileyibhile nganye," watsho uJessica Castles Smith. I-spokesman yeJanssen.
Amagosa ase-Endo awazange afumaneke ngokukhawuleza ukuphawula.
Isenzo sase-Ohio silandela iinqwelo ezivela kwiibalo kunye nezixeko ezifuna ukuphendula i-shishini elivelisa, iimarike kwaye lihambisa i-opioid painkillers. U-DeWine uthe i-Ohio suit, ishicilelwe ngoLwesithathu ngoLwesithathu e-Ross County, "iya kubanyanzelisa le nkampani ukuba ihlambulule le miphumo ngokusebenzisa izilungiso ezininzi," kuquka nomyalelo wokuyeka "ukukhohlisa nokuqhubeka kakubi ekuthengiseni," umonakalo ohlawulwe kwilizwe ngemali esichithwe kwiingxaki, kunye nokuhlawula abathengi.
Ukuthengiswa kwe-opioids emiselweyo � kuquka i-oxycodone, i-hydrocodone kunye ne-methadone � phantse iphindwe kane e-US phakathi kwe-1999 kunye ne-2015, ngokutsho kwamaZiko oLawulo lweSifo kunye noThintelo, igalelo lokufa okungaphezulu kwe-quadrupling yokufa kwi-opioids echazwe ngugqirha ngelo xesha linye. Phantse i-2 yezigidi zaseMelika zixhatshazwa okanye zixhomekeke kwi-opioid painkillers kwi-2014, ngokweCDC.
NgoMatshi, Amagqwetha abamele amabini amabini aseWest Virginia abeka amacala e-federal malunga nabahambisa iziyobisi, kubandakanya AmerisourceBergen, McKesson kwaye IKardinal Health, ugxeke iinkampani zokuphula umthetho waseWest Virginia kwaye zisongela impilo kawonkewonke ukuze zisasaze inani elikhulu le-opioids kwimeko.
Isixeko sase-Everett, eWashington, saxela iPurdue Pharma ekuqaleni kwalo nyaka, ukumangalela umenzi weziyobisi ngokunyaniseka nokufuna ukuhlawulwa kweendleko zokuphatha umlutha we-opioid.
Kwaye amabandla amathathu eNew York amangalela iinkampani ezixuba iimveliso ezibandakanya iPopu, UJohnson kunye noJohnson, Teva kunye ne-Endo ngoFebhuwari, kwakhona ifuna ukulimala.
I-Ohio ne-West Virginia ziphakathi kwezizwe ezinzima kakhulu ezibethelwa yi-opioid epidemic. Inkxalabo ibizwe ngokuba nguKomishinala Wokutya kunye noLawulo lweDrug uDkt Scott Gottlieb njengento ephambili.
“Siyayiqonda into esiyenzayo: iinkampani ezinkulu ezintlanu zamachiza,” uDeWine uxelele iintatheli ngoLwesithathu. “Andifuni kuphinda ndijonge emva kwiminyaka elishumi ukusukela ngoku ndithi bekufanele ukuba sibe nesibindi sokuyibhala. � Yinto ekufuneka siyenzile.”
umthombo:
CNBC.com
by UGqr Alex Jimenez | Kokulimala Kwenzakalo, IMed-Legal Corner, Umenzakalo owehle kwisiqu
Ngonyaka wesibini ochanekileyo, ukufa kwe-pedestrian yase-US kubeka iirekhodi ezintsha ezesabekayo. Inani labahamba ngeenyawo kwiindlela zase-US zenyuka i-11 yeeprojekthi eziphakathi kwe-2015 kunye ne-2016, ukunyuka komnyaka kunyaka-phambili kwirekhodi, ngokwemibiko entsha yeGosa le-Highway Safety Association (GHSA).
Ngexesha leenyanga ezintandathu zokuqala ze-2016, idatha yokuqala ibonisa ukufa kwe-2,660 emhlabeni wonke, xa kuthelekiswa ne-2,486 ngexesha elifanayo ngexesha le-2015. Inkcazo yexesha elide isekelwe kula manani. Ingxelo iphinda iphrojekthi i-22 ekhulwini ekufeni kwabantu abahamba ngeenyawo ukusuka kwi-2014. Bobabini uqikelelo luphakamileyo kakhulu kunokwanda kweepesenti ze-9 ekufeni kwabantu abahamba ngezinyawo phakathi kwe-2014 ne-2015.
"Lo unyaka wesibili ngokulandelelana esikubonile ukwanda okungakaze kwenzeke kwizinto zokufa kwabantu abahamba ngezinyawo, ezizibuhlungu kunye nezoyikisayo," kuchaza umbhali uRichard Retting, onguSam Schwartz WezoThutho.
"Kubalulekile ukuba uluntu olukhuselekileyo lendlela yokuphepha luqonde ezi manani eziphazamisayo kwaye lusebenze ngokugqithiseleyo ukuphumeza amanyathelo okuphumelelayo," wongeza kwi-GHSA.
Iingozi Zokuhamba Ngezithuthi kunye Nezingozi Zezithuthi
I-akhawunti yokuhamba ngee-Pedestrians malunga neepesenti ze-15 zokufa kweendlela zase-US. Kwiinyanga ezintandathu zokuqala ze-2016, inani labantu abahamba ngeenyawo zavuka kwii-34, zawela kwii-15 nakwiSithili sase-Columbia, kwaye zahlala zifana kwelinye ilizwe. Le ngxelo ibhekise izizathu ezinokuba zikhona. Zibandakanya amaMerika aqhuba ngaphezulu ngenxa yexabiso lentlawulo yegesi; abaninzi abantu bakhetha ukuhamba ngempilo, ezokuthutha, izizathu zezoqoqosho okanye ezendalo; kunye nokusetyenziswa kweendawo ze-smartphones, ukuphazamiseka kwabahambahambayo kunye nabaqhubi ngokufanayo.
"Wonke umntu uhamba, kwaye sifuna ukukhuthaza oko, kodwa ngexesha elifanayo sifuna ukuqinisekisa ukuba sonke sifika kwiindawo zethu ngokukhuselekileyo," kusho uMlawuli oyiNtloko weGHSA uJonathan Adkins.
"Ngelishwa, le nkcukacha yakutshanje ibonisa ukuba i-US ayihlanganisanga uphawu kumgca ohamba ngeendlela ezikhuselekileyo ezindleleni zethu. Yonke yale mibomi imele umntu othandekayo engazange abuyele ekhaya ngokuhlwa, okungekho mkeleka, "watsho.
Olunye iqela loogqirha longezelela ukuba ukuthintela - ukugcina amehlo kunye neendlebe kwiindawo ezikufutshane-kukubalulekileyo.
UDkt. Alan Hilibrand uthi: "Ukufa kwabantu abahamba ngeenyawo-namhlanje - eyona nto ibhalwa ngokukhawuleza - yifowuni ephuthumayo ekufuneka siyisebenze kanzima ngokugxininisa ekuhlaleni nasekuhambeni kwethu," kusho uDkt. Alan Hilibrand. Ungumkhulumeli we-American Academy of Orthopedic Surgeons.
"Abahamba ngeenyawo kufuneka bakhumbule iindawo ezikuzo," ngelixa behamba, uHilibrand uthe. "Ukuhamba ngethuba lokukhangela ifowuni okanye idivaysi yecomputer kungabangela ukuba uphuphule, amathambo aphukile, kunye nezinye izinto ezinzulu, ezinobungozi."
IINKONZO: AbaPhathi beeNdlela zoKhuseleko kweNdlela, ukukhutshwa kweendaba, ngoMatshi 30, 2017; Ngo-Matshi 30, i-2017, i-American Academy ye-Orthopedic Surgeons
Ubungakanani beenkcukacha zethu zikhawulelwe kwi-chiropractic kunye nokulimala kwemigudu nemiqathango. Ukuze uxoxe ngokukhetha kwimiba, nceda ukhululeke ukucela uDkt Jimenez okanye uqhagamshelane nathi 915-850-0900 . 
Imixholo eyongezelelweyo: Ukuqonda ukuBala Ubunzima Bokulimala
Ukulimala kwebhondi yiengxaki eziqhelekileyo kwihlabathi lethu lanamhlanje. Ngokumalunga nabantu abayizigidi ze-2 bafumana ukulimala kwentloko e-United States kuphela ngonyaka. Nangona ubuninzi beengqondo okanye ukulimala kwentloko ababheki njengobungozi bokuphila, banokufikelela kwiibhiliyoni zeedola kwimali engenayo yonyaka. Ukulimala kweBrains kudla ngokuhlulwa ngokwempendulo yesigulane. Kuphela i-1 ngaphandle kwe-4 ibike ukulimala kwengqondo kubonwa njengesiqhelo okanye esinzima.
by UGqr Alex Jimenez | Amaxhoba olwaphulo-mthetho, IMed-Legal Corner, IiNkonzo Zokukhusela
NgoFebruwari, icala lokunyanzeliswa kwamanye amazwe e-El Paso lenze ingqwalasela yabameli bezobundlobongela basekhaya kulo lonke ilizwe. Njenge El Paso Times ingxelo, ibhinqa elingabhalwanga phantsi livalelwe ngamagosa ongenelelo kanye emva kokuba liye enkundleni ukuze lifumane isithintelo sokuthintela iqabane elinobundlobongela nelixhaphazayo. Abameli bodushe lwasekhaya babesoyika, benexhala lokuba oko kungathintela abantu abangabhalwanga ekuxeleni ukuxhatshazwa kwabomthetho. "Ithumela umyalezo onamandla kumaxhoba kunye nabasindileyo ukuba akukho ndawo ikhuselekileyo," uRuth Glenn, umlawuli ophetheyo weNational Coalition Against Domestic Violence, uxelele uBustle ngoFebruwari.
Ngoku, emva kwenyanga, umphumo wokulwa ubundlobongela basekhaya uyavakala. Ngexesha elithile emva kwesiganeko se-El Paso, u-Enrique Elizondo, umsebenzi we-hotline yobundlobongela basekhaya, wafumana umnxeba ovela kumfazi ongabhalwanga (andizange ndifake naziphi na iinkcukacha zokuchonga ukukhusela ubumfihlo bakhe), ejongene nomyeni oxhaphazayo. Ngokutsho kuka-Elizondo, wayekwinqanaba loloyiko lokuba ukuxhatshazwa kunokuba yingozi. Kodwa, emva kokuthengisa zonke izinto zakhe ukuze eze eUnited States, wazibona sele ephelelwe lithemba. Ngokuka-Elizondo, iqabane lakhe lenze izoyikiso ngokuthe ngqo malunga nokuqhagamshelana nokuFumaneka kunye nokunyanzeliswa kweCustoms (ICE) kunye nokumgxotha ukuba uthathe inyathelo. Ityala lika-El Paso lamenza ukuba oyike ukuba angakwazi. U-Elizondo uxelela uBustle ukuba uzamile ukumnceda ukuba aqhagamshelane noncedo lwezomthetho, kodwa lo mfazi wambuza, Ngaba eli gqwetha liza kundigxotha? Ekugqibeleni, u-Elizondo uthi wakwazi ukufumana uncedo lwezomthetho.
by UGqr Alex Jimenez | IMed-Legal Corner
Umnini wekliniki yezempilo yase-Houston unetyala lobuqhophololo kwi-inshurensi emva kokuhlawula iinkonzo zonyango � ezihlala zinikezelwa kubasebenzi abonzakeleyo � nangona bengenabasebenzi bonyango abanelayisensi ekliniki. Endaweni yoko, abaphandi bafumanisa ukuba le kliniki isebenzisa abafundi bezonyango abavela kwamanye amazwe ukubonelela ngononophelo.
URosemary Phelan, umnini wekliniki yezempilo yaseRose's Houston, ungene enetyala kwiNkundla yaseHarris County kwaye wagwetywa iminyaka esixhenxe erhoxisiweyo yesigwebo kwaye wayalelwa ukuba ahlawule i-88,000 yeedola.
Uphando oludibeneyo lweSebe laseTexas leCandelo le-Inshurensi yabaSebenzi� Imbuyekezo kunye neNkampani ye-Inshurensi ye-Texas Mutual ye-Inshurensi ibonise ukuba ikliniki yasePhelan ayinabo ababoneleli bezonyango abanelayisensi kubasebenzi kodwa iqhubekile nokwamkela izigulane. Uya kuthi ke afake amabango embuyekezo kubasebenzi abanobuqhophololo ukuze abaqokelele kwii-inshurensi.
Ngokutsho kophandi, ikliniki inegqirha eligunyazisiweyo kwabasebenzi ngexesha elinye. Xa lo gqirha washiya e-2012, uPhelan waqalisa ukuqasha abafundi bezonyango bangaphandle ukuba benze njengogqirha baze baphathe izigulane.
Umkomishinala weMbuyekezo uRyan Brannan uthe eli tyala libi kakhulu. �Umntu ofaka amabango obuxoki kubi ngokwaneleyo, utshilo. Kodwa obu buqhophololo bubeka impilo yabantu emngciphekweni. Ayinangqondo.�
UPhelan ungenise i-$166,843 yamabango embuyekezo yabasebenzi bobuqhophololo, emele abasebenzi abangaphezu kwama-50 abonzakeleyo, esithi baye banyangwa ngugqirha wangaphambili wekliniki.
U-Phelan unikwe ityala ngenkohlakalo yesibini yechuwalense kunye nenkohlakalo yokuhlawula ngaphandle kwelayisenisi. Uphando lwafumanisa ukuba iklinikhi yakhe yayihambisa izigulane kwizigulane ezisebenzisa iziqinisekiso zoogqirha kunye nabancedisi bezonyango abangazange basebenze kwikliniki ngaphandle kolwazi lwabo.
Ungaxela iimeko ezikrokrelekayo zobuqhophololo kwi-inshurensi kwi-TDI-DWC ngokufowunela uMlayini woNcedo lwaBathengi ku-1-800-252-3439 okanye ngokundwendwela�www.tdi.texas.gov/fraud/report.html. 
Ngolunye ulwazi, nceda ukhululeke ukucela uDkt Jimenez okanye uqhagamshelane nathi 915-850-0900 .
Imixholo eyongezelelweyo: Intlungu yeNeck kunye noKhuseleko lokuZenzeka
Ngexesha lomngcipheko weemoto, umzimba uphuhliswe ngamandla amakhulu ukusuka kwimpembelelo eyenza intloko nentamo iphose ngokukhawuleza emva nangaphandle ngokumalunga nomzimba wonke, ohlala ehleli kwisihlalo semoto. Ngenxa yesi sihlandlo, kuyaqheleka entanyeni ukuba ihlupheke nge-whiplash, ukulimala okubuhlungu okubangelwa intlungu yentamo kunye nezinye iimpawu.
by UGqr Alex Jimenez | ukuphila qete, Iindaba zezeMpilo El Paso, Amagqwetha, IMed-Legal Corner
Ukuqeshwa koogqirha abakude kunokuza kungekudala kwiofisi yomongikazi wesikolo.
Ukuqala ngo-Septemba 1, umthetho omtsha uya kuvumela oogqirha ukuba bahlawulwe ngokubona abantwana ngendlela ephucukileyo yengxoxo yevidiyo, okoko umfundi esesikolweni kwaye ebhalise kwinkqubo yaseburhulumenteni yeMedicaid yabasweleyo nabakhubazekileyo. Abaxhasi bomthetho bathi kungakhokelela kwizikolo ezininzi kwilizwe liphela ukuseka iiofisi zabongikazi ezixhotyiselwe ukujongana notyelelo loogqirha abakude- kunye nokonga abazali ixesha nemali.
Bathi abantu abadala akufuneki bathathe ixesha emsebenzini kwaye abantwana akufuneki baphose isikolo ukuze bafumane ukhathalelo lwempilo oluqhelekileyo, njengaxa umntwana enesifo sendlebe okanye irhashalala, kuba itekhnoloji yale mihla ivumela ugqirha okude ukuba aphakame- umgangatho, ulwazi olukhawulezileyo malunga nezigulana. I-stethoscope ye-elektroniki ivumela ugqirha ukuba ave ukubetha kwentliziyo yomntwana, umzekelo, kunye ne-otoscope yedijithali enika ukujonga kwindlebe yomntwana-konke kuphantsi kweliso lomongikazi wesikolo.
Emva koko, ukuba ugqirha wenza uxilongo, abazali banokuyithathela ikhemesti yomntwana wabo ekhemesti xa begoduka bevela emsebenzini, utshilo u-Rep Rep. Jodie Laubenberg, IRiphabliki yaseParker kunye nombhali webhili.
“Ufuna ukuthetha ngokufikelela? Ufuna ukuthetha malunga nokufikeleleka? Oku kukufikelela kwabo, ”utshilo uLaubenberg. "Singamnyanga umntwana, simenze alungele ukuhamba, kwaye singamshiya apha."
“Akukho mfuneko yokuba uyeke emsebenzini,” utshilo. “Akanyanzelekanga ukuba ashiye isikolo. Ayiphazamisi kangako. ”
I-Texas akuyona imeko yokuqala yokuhlawula oogqirha kwi-telemedicine yezikolo ezisezikolweni kwizigulane zeMedicaid. I-Georgia ne-New Mexico zinemithetho efanayo kwiincwadi, ngokwe-American Telemedicine Association.
U-Laubenberg uthe ubhale umthetho oyilwayo ukuxhasa iinkqubo ezinje ngezo zibekwa kwinkqubo yezonyango yaBantwana eMntla Texas. Kulapho, abantwana abavela kwizikolo ezingama-27 ezikolweni kwi-Dallas-Fort Worth kwingingqi banokufikelela kwikhompyutha kubaboneleli bezempilo abathathu-omnye ugqirha kunye nabongikazi-ngelixa abahlengikazi besikolo bahlala ekutyeleleni. Isithethi saBantwana sithe le nkqubo iza kukhula ingene kwizikolo ezingama-30.
Kule nkqubo, abongikazi besikolo-abasebenzi bezononophelo lwempilo abangenayo i-degree-nursing-banokuvavanya abantwana, kwaye, ukuba banenkinga ebonakalayo yempilo, bathumele ulwazi lwabo kubantwana ukuba balungiselele ixesha lokuqeshwa. Le nkqubo okwangoku ixhaswa yimbiza yeminyaka emihlanu yesininzi semali yomdibaniso.
Abantwana bathi umthetho omtsha uyakuvumela inkqubo yawo ukuba ihlale ikwimeko efanelekileyo yezemali xa lo mthombo wenkxaso-mali uphela, kwaye uvumele iinkqubo ezifanayo ukuba zibambe kwilizwe lonke.
"Impilo yaBantwana kwinkqubo yethu ayizukuba [ngumboneleli okhathalelayo] kuwo wonke umntwana ohamba emnyango, ke ukuze sikwazi ukugcina inkqubo, bekufanele sikwazi ukubhatalela le nkonzo," utshilo uJulie Hall Barrow , umlawuli ophezulu wezinto ezintsha zokukhathalela impilo kunye ne-telemedicine kwinkqubo yesibhedlele.
Ezinye iinkqubo zinokulandela. Isikolo sezonyango saseTexas Tech sisebenzisene nesithili sesikolo eHart ukuqhuba iklinikhi esekwe kwisikolo se-telemedicine ngaphezulu kweshumi leminyaka. Oko, abaxhasi bathi, kwandise ukufikelela kukhathalelo lwempilo kuluntu lwasemaphandleni emantla eLubbock.
"Iipesenti ezingama-XNUMX zento onokuyibona kwiklinikhi yabantwana ngokubanzi, singayiphatha nge-telemedicine," utshilo uRichard Lampe, usihlalo weSebe leZonyango kwiZiko lezeMpilo laseTexas Tech. Uthe oku kubandakanya ukwenzakala kwezemidlalo, umqala womqala-naphakathi kwabafundi abaphakathi kunye nabakumabanga aphakamileyo ngokukodwa, izifo zengqondo ezinje ngexhala kunye noxinzelelo.
Kodwa kusekho imibuzo phantsi komthetho omtsha malunga nokuba izikolo ziya kuthatha isigqibo sokuba ngabaphi abafundi abafanelekileyo ukuba batyelele oogqirha. Urhulumente uya kuhlawula kuphela oogqirha ngokubona abantwana ukuba babhalisile kwinkqubo yeMedicaid.
"Ndicinga ukuba umbuzo uya, kwenzeka ntoni ukuba umntwana uyagula kwaye bengenayo iMedicaid?" utshilo uQuianta Moore, umphandi kwiZiko le-Baker Institute ye-Public Policy, obhale malunga ne-telemedicine yesikolo.
Oko kungaphakamisa imibuzo malunga nokulingana kunye nokufikelela, utshilo uMoren, kuba ukwenza "ungenelelo kwezempilo esikolweni kusebenza kakhulu."
Abagxeki bathi ukwandisa ukutyelela oogqirha obude ukuya ezikolweni kunokukhokelela ekubeni oogqirha abangaphezu kwezilwanyana abangenakulungela abantwana.
"Uyakuphela ngamanye amaxesha ugqirha ongaxelelwanga ngokwaneleyo malunga nembali yesigulana okanye izinto ezaliwa ngumzimba," utshilo uLee Spiller, umlawuli womgaqo-nkqubo kwisebe laseTexas. IKhomishoni Yabemi Yamalungelo Abantu, umlindi wempilo yengqondo ongenzi nzuzo. "Ungalindela njani ukuba umntwana abuqonde ubungozi, ukungahambi kwabo komzimba, nembali yezonyango?"
U-Spiller uthe kwakhona ukhathazekile ngabazali abasayine iifom zokuvota ngeembotyi ekuqaleni konyaka wesikolo babengeke baqonde ngokupheleleyo oko babesayinela abantwana babo.
E-Dallas, e-Uplift Peak Preparatory, umncedisi we-ofisi yezempilo uRuby Jones uthe abanye abazali bakhethe ukungazityikityi iifom zemvume, kodwa ukuba abantwana babo bayagula beza kumtyelela, angazama ukuthetha nabo "ngesixhobo esimangalisayo" se-telemedicine .
Utshilo uJones: “Ayikho enye into enomvuzo xa… ubona isifundiswa sihamba phantsi eholweni sithi, 'Enkosi, Nks. Ndiziva ndibhetele. '”
Kuyo yonke iAgasti, iTexas Tribune izakubonisa iindlela ezingama-31 zokutshintsha kobomi bukaTeans ngenxa yemithetho emitsha eqala ukusebenza ngo-Septemba. ikhalenda yebali ngakumbi.
Authors: Alana Rocha, Justin Dehn kwaye Edgar Walters- ITexas Tribune
ITexas Tribune ngumbutho wamajelo ongenzi ngeniso, ongenzi nzuzo owazisa iiTekans- kwaye uzibandakanya nabo-malunga nomgaqo-nkqubo woluntu, iipolitiki, urhulumente kunye nemicimbi yelizwe liphela.
by UGqr Alex Jimenez | IMed-Legal Corner, Umenzakalo owehle kwisiqu, Ukulimala okuMsebenzi
I-Texas inelinye lawona mazwe afikeleleke kakhulu kubasebenzi ngenkxaso yembuyekezo, ngokutsho kohlolisiso lowama-2016, olwafumanisa ukuba iLone Star State inamaqondo asezantsi ashumi kuwo onke amazwe.
Uphando olwenziwa yiSebe le-Oregon leeNkonzo zabaThengi kunye nezoNkxaso-mali lizo zonke ii-50 kunye neWashington, DC, ngokusekelwe kwiirhafu ze-premium ezaqala ukusebenza ngoJanuwari 1, 2016. I-Texas, kunye neeprayimari kwi-$ 1.45 nge-$ 100 ye-payroll, ibekwe kwiNombolo ye-10, amabala amane aphezulu kunokwakufundwa kwangaphambili kwi-2014.
“Kumnandi kakhulu ukubona ubungqina benkqubela phambili esiyenzileyo ekufikeleleni,” utshilo uMkomishinala Wokusebenza kwabasebenzi waseTexas uRyan Brannan. Amanqanaba okonzakala aphantsi, iziphumo ezingcono zokubuyela emsebenzini zabasebenzi abonzakeleyo, kunye nokuncitshiswa kweendleko zonyango kwibango ngalinye yinto enkulu, kodwa iziphumo zesifundo se-Oregon zikwangqina ukuba sisebenza ngokukuko, ukusebenza ngokuthe gca nangokucacileyo.
IiRhafu zeMbuyekezo zabasebenzi baseTexas
Iirhafu zembuyekezo yabasebenzi baseTexas zi malunga neepesenti ezingama-21 ezantsi kunephakathi kuwo onke amazwe, ngokophando. ICalifornia inezona ntlawulo zibiza kakhulu kwisizwe, kwi-3.24 yeedola nge-100 yeerandi. Amaxabiso eTexas nawo ayathandeka xa kuthelekiswa namanye amazwe aphezulu, anjengeFlorida, Illinois, naseNew York. I-North Dakota ibinexabiso elincinci, ngama-89 eesenti ngeedola ezili-100 zokuhlawula.
Inkqubo yembuyekezo yabasebenzi baseTexas ibeyimodeli yezinye iindlela ngeendlela ezininzi, utshilo u-Brannan. Kwaye siza kuqhubeka siphucula. Sisebenza kwimizamo eliqela yokugcina iindleko zethu ziphantsi. Sinciphisa iindleko zokugcina idatha ngokwenziwa kweekhompyuter, ukunciphisa iindleko zamachiza amiselweyo ngefomula evaliweyo, kunye nokuphelisa inkunkuma kunye nobuqhetseba ngeyunithi entsha yobuqhetseba ngaphakathi endlwini. Sikwaphumeze iinzame kwilizwe liphela zokuhlengahlengisa inkqubo yokusombulula imbambano
Ngolunye ulwazi, nceda ukhululeke ukucela uDkt Jimenez okanye uqhagamshelane nathi 915-850-0900 .
Imixholo eyongezelelweyo: Ukukhusela ukukhubazeka komsebenzi kunye neChiropractic
Emva kokubandakanyeka ngengozi embi emsebenzini, ukulimala kunye neemeko ezinzima ezibangelwa kwesi siganeko kunokubakhokelela kwiintlobo ezininzi zeempawu ezibuhlungu kunye neengxaki, ukuba zishiywa zingaphendulwanga, kunye neentsuku eziphosakeleyo emsebenzini kwaye zilahlekelwe ngumvuzo. Uphando oluphando olutsha lubonise ukuba abasebenzi abafumana unyango lwe-chiropractic rhoqo bafumana ukulimala okungaphantsi komsebenzi.
