Hi, this is Dr. Silvester and I'm going to talk to you today about one of the supplements that we use for our patients that have neuropathy. Neuropathy can be caused by a lot of different things. The most common, in our office, is diabetes, but there are other things that can cause neuropathy like thyroid dysfunction, cancer treatments, chemotherapy can cause neuropathy. Then there's a large group of patients that have no discernible cause of neuropathy. There's probably a hundred different things that can cause neuropathy. Basically, supplementation can be helpful in those things.
There are a lot of prescription drugs for neuropathy, and we use them quite frequently, but they're only good for pain relief. The really don't seem to have any effect on helping the nerve get better. The more frequent theory, or current theory, of why nerves suffer is because of a thing called mitochondria dropout. That's a little scientific, but mitochondria are little energy packs inside of the cell, and they make the energy that the cell uses to heal itself and to maintain an electronic gradient, which a nerve has.
To do in order to conduct impulses. When you get these little mitochondria that live inside your cell, when they start to die because of oxidated stress or damage to them, then the nerve starts to suffer. The first one I'm going to talk about is called Benfotiamine. Benfotiamine is a derivative or form of vitamin B1, but it's much more bioavailable and more effective. Benfotiamine can be used as a supplement, and in most studies that have been done, about 70 of patients, when they start taking Benfotiamine, they have significant improvement in their symptoms.
We use Benfotiamine almost routinely on our patients whey they come in with neuropathy. We suggest they start taking that supplement. There's different places you can get that. We sell it here at our office, we also tell our patients places on the Internet where they can get it. Studies have been done using a dosage of anywhere up to 600 mg. We start out at about 320 mg per day and we've noticed that's usually enough. That usually does pretty well for helping our patients get rid of a lot of their symptoms. How it works it.
Etiology and Manifestation Codes Medical Coding Basics
Okay, I'm confused about the difference between etiology and manifestation codes. What is the difference and do you know any example have any examples And we just happen to have that. This is basic for coders. You know, you don't probably really think etiology and manifestation when you're coding. But what's the first you need to know is the guidelines. Etiology is telling you what the patient has wrong with them. Manifestation tells you how the etiology is presenting. So an example of that, 250. That's the diabetes with mellitus. That's the etiology. That's what the patient has. And keep in mind, diabetes codes always.
Have 5 digits, the 250. So they do trick you on the test sometimes and leave oen of those digits off. Okay so let's say our patient is 250.1. That's a type 1 diabetic and it's under control. So if this patient starts having some problems, their kidney starts acting up which is common with diabetes. The patient comes in to the office today because they're felling lightheaded and their feet has been swollen for a week. Nothing seems to alleviate that swelling. The patient's a type 1 diabetic at 35 years, their blood pressure's 15098.
They've got cluster edema in the ankles bilaterally and have high protein level in their urine. So this person's sick. They've got something going on. Their diabetes is the etiology and they have manifestations. So HTN, that's the abbreviation for hypertension. You've got protein in the urine Etiology and Manifestation Codesand you've got edema. These are all signs of renal neuropathy and that's common with people who's had diabetes for a long time. So our patient codes for this visit is going to be 250.41 and this code tells you to use.
Overview of Cymbalta, the Brandname Form of Duloxetine
Cymbalta, the brandname form of duloxetine, is a prescription medicine used to treat depression, generalized anxiety disorder, diabetic peripheral neuropathic pain, fibromyalgia, and chronic musculoskeletal pain. Cymbalta is in a group of medications called serotonin norepinephrine reuptake inhibitors. These work by increasing the amount of serotonin and norepinephrine in the brain to promote mental balance and by stopping the movement of pain signals to the brain. This medication comes in capsule form and is taken once or twice daily, with or without food. Common side effects include nausea, dry mouth, and sleepiness. Do not.
Neurological Illness Is the care adequate
Hi! This is Alanna Wong founder of alannawonglife. Today I want to share with you a few simple strategies that you can use if you are caring for someone with a neurological illness. There are reports of neurological illnesses affecting up to one billion people worldwide. That is about one out of every six people. That means you probably know someone or are related to someone who is suffering from a neurological illness. The three simple strategies that I want to share with you will help improve the quality of life for someone suffering.
With a neurological illness. Number 1 Increase your awareness about the condition. This will help avoid a lot of assumptions. Number 2 Recognize the stigma and discrimination the sufferer is faced with. This will help with acceptance. And number 3 Provide better care and treatment. This will help improve the quality of life for the person suffering with a neurological condition. I have suffered with one of the rarest neurological conditions in the world. If you would like to learn more about my 13 year battle with Kleine Levin Syndrome, click on the link below! Bye!.
How To Pronounce Neuropathy
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Neuropathic Pain Meaning
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