Clinical Updates for Claims and Medical Management Professionals
New or controversial treatments push the boundaries of health plans, yet improve the quality of care. This issue of The Cutting Edge examines four of these treatments. Dr. Hani Grewal writes about Solitary Pancreas Transplantations. Dr. Martin Glasser outlines the eight-step treatment for dealing with returning veterans suffering from post-traumatic stress disorder. Dr. Janice Cockrell explains how to treat Developmental Delays. Dr. Mary Engrav updates us on the latest thinking about Lyme disease just in time for spring when people go tromping around in the woods again.
In this issue:
Solitary Pancreas Transplantation
Pancreas transplantation has progressed during the past two decades to become a highly successful procedure, demonstrating prevention and reversal of some diabetic complications of end-stage renal disease with sustainable long-term outcomes.
Lyme Disease: What’s the Benefit of Antibiotic Therapy for Long-Standing Symptoms?
Lyme disease is caused by infection with a spirochete, Borrelia burgdorfei, and to the body’s immune reaction to the infection. It was first recognized in the United States in the early 1970s when an unusual outbreak of childhood arthritis occurred in Lyme, Conn. Doctors subsequently discovered a borrelial organism from Ixodes ticks in these patients and established it as the causative agent.
Eight Steps to Treating Combat PTSD
Treating warriors returning home with post-traumatic stress syndrome (PTSD) is complex. Prior to beginning treatment, warriors must understand why they use primitive defenses − numbness, disassociation and dehumanization − to stave off overwhelming or destructive emotions that they fear they cannot control.
Developmental Delay: How to Diagnose, Plan Exclusions
Developmental delay is a term applied to a wide range of disorders, which include mental retardation, motor delays, language delays, coordination disorders and autism spectrum disorders. Before modern imaging and genetic studies, the term described any child not achieving developmental milestones and in whom a medical diagnosis had not been identified.
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