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Who Says Autism's a Disease?
Is the rising level of autistism in Western society, including in Israel, evidence of a growing problem, or improved diagnosis? Whatever the case, as parents discover that a child is on the autism "spectrum," they often realize that they are too. Support communities, particular on the Internet, help many to lead more productive lives.
"For me, true freedom is to take the Jeep and drive out of here. But alone. It's too busy for me here." Ami Oach means every word, but also knows that a statement like that might sound a little odd coming from a person who lives in the heart of the desert, surrounded only by his wife, three children and the remains of an ancient Nabatean city. How can someone feel that things are "too busy" in the middle of nowhere?
Oach and his wife, Ayala, came to the farm at Shivta, south of Be'er Sheva, in 1994, and since then have built the site with their own hands, waging a constant battle against the physical conditions, budget shortfalls and the authorities. From the ruins of a structure left behind by a British mission that excavated the area in the 1940s, the two built a house, including three guest rooms, for their family. The structure encircles a shaded plaza in the center of which is a huge wooden table. The stone wall at the entrance displays a permanent exhibition of Bedouin agricultural implements, and all around is the desert and silence.
It took time for Oach, 37, to understand that he needs the quiet as much as he needs air to breathe. In fact, he started to understand it only in the past two years, since his first-born son, Tor, now 4, was diagnosed with autism. It then became clear to Oach that he himself was not just an odd duck, as he had always thought, but rather one who is somewhere along the "autistic spectrum," as it is defined today.
Quite a few people have undergone a similar process in the recent past. Reports in the past few decades speak of a rise in the frequency of autism, a comprehensive name for syndromes that are expressed, in part, through difficulties in interaction and communication, a need to focus on narrow spheres of interest, and repetitiveness. Until the 1980s the incidence of autism in the West was estimated at one per 1,000 in children. It is now thought to affect one in 166 in the United States and one in 200 in Britain. The incidence in Israel is estimated to be similar.
According to one explanation, it is not the number of those affected that is on the rise but rather the rate of diagnosis. But if the heightened awareness and the greater diagnostic capability have led to a rise in the number being classified as autistic, they have also brought about a considerable improvement in their condition.
Until about 20 years ago, many people with severe autism were thought to be mentally ill or retarded, or suffering from a range of illnesses. Many of the "high-functioning autistics," as those with a mild form of the disorder are known, were not diagnosed at all, and as a consequence were compelled, from kindergarten onward, to live on the margins of society.
Dr. Nahum Katz, of Clalit Health Services' Geha Mental Health Center, often identifies high-functioning autistics who have previously been been diagnosed with behavior disorders or with depression, anxiety, obsessive-compulsive disorder or schizophrenia.
Today it is clear that such diagnoses are far off the mark for autistics. Many high-functioning autistics are interested in, and capable of, being in contact with others, but do not know how to go about this. Because they find it difficult to understand and accept the norms of social behavior, they are liable to behave in a way that distances the surrounding society from them. At the same time, it is known that some autistics are able to teach themselves rules of social behavior (which most people grasp intuitively), enter into relationships and marry, and thus have not been diagnosed. Because autism is a hereditary syndrome, the children of autistics are also often on the spectrum, but it is only when the children are diagnosed that the penny drops for the parents, too.
A case in point is Dr. Sola Shelly, a researcher in one of the exact sciences from the center of the country and the mother of an adult autistic. Shelly is one of the founders of ACI, the Autistic Community of Israel, which was established about a year ago. ACI, like similar organizations in the West, defines autism very differently than the medical and academic establishments do - as a trait and not a disability - and its members' aspiration is for autistics to be treated as a minority group, not as people who are ill.
Accordingly, ACI does not require a formal diagnosis as a condition of membership. Anyone possessing autistic traits, whose definition is agreed on by the members of the community, as essential elements of his personality can join. Shelly, for example, has been formally diagnosed; Oach hasn't yet decided whether to begin the formal diagnostic process.
Look people in the eyes
As Oach, in slippers, walks along the sidewalks of the Nabatean city and explains the use of the various structures, he forgets himself. "I'm capable of walking around here all day, so if you get tired, tell me," he requests. "I don't understand body language; I understand verbal things. My wife explained to me that if someone yawns or scratches his nose, he might be tired of my speeches. But I have despaired of trying to learn that. I don't have that trait and that's that. Go know if someone is yawning because he's bored or because he's tired. And what if he scratches his ear? It's too hard for me to grasp it. On the other hand, I learned that you should look people in the eyes when talking to them and smile at the end of a sentence. That does not come naturally to me."
His own body language, Ayala says, is very frank. If Ami is bored by his interlocutor, that feeling is likely to be reflected immediately on his face. "When it happens with guests, I try to pull him out of the situation diplomatically."
The unconventional life he has created for himself is the latest chapter of an unconventional life. Oach (formerly Ohayon) was born in Petah Tikva, the eldest of three children. His father owned a small shoe factory, his mother was a housewife, and both now live in Canada.
There was always something different about him. The system did not understand him. He skipped from kindergarten to first grade, but at the end of the year he was held back. After repeating first grade Ami skipped again, this time into a class for gifted children, where, he says, he was the worst pupil ever.
"Socially, I was off on the margins," he relates, "but I was big, so no one bothered me." He didn't integrate into other frameworks either, and at the age of 15, after spending a year in Kibbutz Sde Boker in the Negev, he decided to live in the desert. For a time he lived alone, with a camel he had bought, and earned a living from tourists who rode the animal. Later a Bedouin family put him in charge of its camels.
In the army he served in a unit that hunted for smugglers. "I liked that," he says. "Lying for hours alone, looking at the landscape, at the leaves and the stones, learning the rifle again. It was wonderful. The problem was the soldiers. The whole social thing isn't clear to me. If there were 10 people here and they were all against me, I wouldn't realize it. Often, if I have to understand a social system, I draw a flow chart. If it's visual, and if I think logically about the motives of each person, I can get it."
The desire to remain to the desert led him to a preparatory course in Mitzpeh Ramon, where he met Ayala. How did he manage to forge a relationship with a woman? By being straightforward and persistent, he says. "I don't play games at all, but I am very stubborn. I say straight out what I want, and I just stay." They were married in 1994, agreed that they wanted to establish something original in the desert, and received permission to establish at Shivta a site of ancient agriculture and to renovate the nearby ruin. They slept in sleeping bags, cooked over bonfires and step by step built the ranch.
"It's appropriate for me to implement projects," says Oach. "I get up in the morning, look at my tasks, and that is the axis of my life. I have a path, a concrete route to follow. I maintain the ranch. My wife is in charge of the guest accommodations."
They began to suspect that something was amiss with Tor when he was 2 years old. Oach didn't understand what the problem was. He didn't talk and he pounded his head against the wall - "just like me at his age!" he says, laughing. Gradually, though, Oach started to realize that his son was autistic, and that he was not the only one. "I was able to make a good life for myself, and it's clear that I have high capabilities," he says. "But looking back, I remember people like me whom I met over the years but who did not survive. One went crazy, a few committed suicide, some were killed in suspicious accidents. I don't think that was by chance. You need to be very strong to cope with this difference, and not everyone has that."
Not the only alien
There are three principal syndromes on the autistic spectrum: classic autism, which is characterized by difficulties with social interaction and with verbal and nonverbal communication, and by repetitive behavior; Asperger's syndrome (AS), which is also manifested in difficulties of social interaction and of nonverbal communication, but which does not prevent language development and standard or sometimes exceptional intellectual ability (people with AS can focus and professionalize in different spheres of interest to the point of true expertise); and PDD-NOS, pervasive development disorder not otherwise specified.
Michal Maoz, 34, and her husband Itzik, Israelis who live in the United States, have two autistic children. Six years ago, their elder son, 14, was diagnosed with AS. "The psychiatrist referred us to material on the subject," Michal says by telephone. "I sat down and read it, and in fact found a correlation between the descriptions and what we had seen over the years in our son. But the big surprise was that I also found a correlation with my personal story."
Her son, she relates, did not make friends and did not understand social rules of behavior. "For example, when a boy visited us, he was capable of leaving him in one room and going to another to play. He did not make eye contact for long, didn't understand facial expressions or body language, couldn't conduct a conversation and had a low frustration threshold, which led to attacks of severe rage. He understood things completely literally and he had obsessions. I was familiar with all that from myself, but thought that he was simply like me! I was shocked when I realized that we are both autistic, but also relieved. At last I had found an answer to all the differences that always characterized me. At last I discovered that I was not a bad girl or the only alien in the world."
Maoz grew up in Tel Aviv with an older sister. Her father was killed in the Yom Kippur War; her mother remarried and had another son. She remembers always being different, difficult and weird, extremely shy in school but wild and brazen at home. "I had no social skills. I didn't know how to get along with children my own age, so I preferred to be alone. Later, when I wanted to make friends, I couldn't, and every new failed attempt made me despair anew."
As a girl who talked to herself and didn't pay attention in class, but who nevertheless received high grades, Michal was bullied for years and came home from elementary school with bruises almost every day. "I was very naive. There were girls who pretended to be my friends but at the same time made sure I was ostracized or beaten up. Every time they made up with me and promised to watch over me, I believed them anew." It was only in high school that she forged ties with a few "exceptional misfits" like herself, found ways to get along in society and served in the army, where she met her husband.
After marrying they moved to Rhode Island. Itzik worked in high-tech, while Michal, who in recent years has been engaged in painting, writing and assisting children on the spectrum and their families, recently opened her own jewelry business, also in the spirit of autism (www.aurtistic-spectrum.com). For example, one necklace-and-earrings-set is called "Eyes," referring to the eye contact that many autistics find so difficult to maintain.
For Itzik, life with three autistics seems perfectly natural. "When you get up in the morning," he says, "you don't think to yourself, 'I am coping with autistics.' When I met Michal, too, I didn't know she was autistic. Over the years you find ways to cope. For example, I know now it's hard for her to initiate phone calls with people she doesn't know, and if it's necessary to make an appointment with the doctor or talk to the teacher, I will do it."
On the spectrum
The idea of a married and parenting autistic clashes with the conventional image of autistics. They are generally perceived as insensitive and unemotional, incapable of speech or communication - the picture tends to be of someone sitting alone, rocking back and forth and muttering fragments of sentences to himself. There is also the image of the autistic genius, the savant, such as Dustin Hoffman played in the film "Rain Man," detached from his surroundings yet able to remember the contents of entire telephone books.
In reality, the autistic spectrum is very broad and diverse, and the current estimate is that about half of all autistics are capable of high functioning. Many of them are "Aspies" (from AS), who may possess high intelligence and be capable of extraordinary achievements. Senior researchers in the field, psychologist Dr. Ofer Golan of Bar-Ilan University says, believe that Albert Einstein, Isaac Newton and Ludwig Wittgenstein are famous examples of the syndrome.
According to the theory of one of the world's leading autism researchers, Prof. Simon Baron Cohen (cousin of comedian Sacha Baron Cohen), the autistic brain is "male" and has difficulty empathizing with or identifying emotions in others, but functions well in "closed" systems based on clear rules. "People on the autistic spectrum possess 'precise' thought," says Dr. Golan, who diagnoses and treats people on the autistic spectrum and who worked with Baron Cohen at Cambridge University. "You can find many of them in the sciences, computing and engineering, but also in other areas in which they can express their skills optimally. Many of them don't know that they are on the spectrum."
But even the emotional disability is not serious in all autistics. "It is true that many low-functioning autistics do not communicate," notes Dr. Michal Rapaport, director of the children's and youth clinic at Lev Hasharon Mental Health Center in Netanya, "but high-functioning autistics want a spousal relationship. It's possible that they will find it difficult to understand messages indicating that the other party is not interested, but if the other party is interested, they can definitely love and give. High-functioning autistics are fascinating people with broad and deep knowledge in different fields. Many times they find ways to get around the difficulties. One young man told me that he imitated the most popular boy in the class and repeated all kinds of opening lines until he found a good way for himself."
Still, problems can arise for them in relationships, and in many cases they end in separation. In the United States and England, Golan says, the field of advice for people on the spectrum is gaining momentum, and several manuals have appeared about "how to live with someone on the spectrum."
The knowledge that the person opposite you is autistic undoubtedly makes it difficult to perceive him as normal, and the fact is that when one meets an autistic one can generally sense something different in the look, the way of walking, the manner of speech. In a first meeting with ACI people it was easy to see how Sola Shelly and Ronen Gil, a 37-year-old who works in computers, slid quickly into a conversation packed with dates and technological details about the history of the computer and the Web. On the other hand, they did not flap their hands or recite information like robots, and anyone who didn't know different could easily think that they were "neurotypical" - normal in their linguistic and social capabilities. The trip to a meeting, and the meeting itself, like any contact with the outside surroundings, is not easy for them. Interaction with strangers who are not autistics demands a great effort on their part and obliges them to be present in a high-stimulus setting, maintain eye contact and decode subtext and body language.
Ironically, even adult autistics who have gone through life successfully without being diagnosed, are often captive to the stereotype of the autistic individual, and this delays their self-discovery.
"I always knew the phrase 'autistic bubble,' but I never understood its meaning and certainly I did not connect it to myself," says Gil, who lives in Nahariya. "Today I know that that 'bubble' is my world. I always knew that there is my world and the outside world and that they are two separate things, but I thought that this is just how things are. One day, about two years ago, I happened to come across the blog of an autistic woman, and she spoke my language, the language I had thought was mine alone."
Asked to describe the characteristics of that language, he laughs, as do Sola Shelly and Chen Gershuni, 37, from Rehovot. They find it hard to explain. "From an early age I read a lot of English," Gershoni says. "I was convinced that Hebrew speakers were difficult to communicate with and that this was the cause of my problem. I believed it would be easier for me with English speakers."
Gershuni, too, began his diagnostic process by chance on the Internet. Given his very high functioning, it's possible that he is not AS but a "cousin," someone who possesses traits typical of autism but to a lesser, subclinical level.
Tough ideas to swallow
A year after its founding, about a dozen people are attending meetings organized by ACI in private homes or parks. The organization has a Website (http://aci.selfip.org - Hebrew only) and two communities on the Tapuz portal. A few dozen people belong to the community for people on the spectrum, while the "Gesharim" (bridges) forum, for dialogue between people on the spectrum and others, has about 200 registered members. In both communities there are people who take issue with some of the organization's ideas.
ACI draws its inspiration from ANI (Autism Network International - http://ani.autistics.org) and from the autistic subculture that began to emerge worldwide a few years ago. Much of this development is derived from autistics who wrote about their lives and described how they taught themselves artificially things that others know intuitively. Gil, for example, says that at an early age he noticed that "hand-flapping" is a behavior that people in the vicinity do no appreciate, and therefore made it a habit to restrict his hand-flapping to the bathroom. "Another example," he says, "is the answer to the question 'How are you?' or 'What's up?' Often I start to actually answer the question. After all, I never ask a question about things I'm not interested in. But then I reconstruct the question and understand, based on past experience, that it is an empty question to which no answer is expected."
ANI was founded in 1992 by three people on the spectrum: Donna Williams, an Australian who wrote about her life in a book called "Nobody Nowhere"; Jim Sinclair, from the U.S., who is one of the leaders of the international autistic culture movement; and Kathy Grant, an activist in the Colorado community. Two years later an online discussion forum was created, and in 1996 ANI held its first gathering, Autretreat, which has been held annually on the East Coast ever since.
A European counterpart, Autscape (www.autscape.org), was created about two years ago and other local organizations have sprung up over the years. All of them celebrate Autistic Pride Day every June 18.
The autistics who are active in these organizations view autism as an integral element of their life experience, their personality and their worldview, whether they are high- or low-functioning.
One of the most central - and contentious - points in the approach of the community is that autism is not a disorder, disability or illness, but a different and legitimate way of life. Accordingly, it is wrong to invest in programs to eradicate or heal autism; those on the autistic spectrum should, rather, be helped to advance in society as they are, and taught, in accordance with their capabilities, all the skills they need.
This approach is a reaction to genetic research that seeks to achieve early identification of autism and to parents who invest immense economic and psychological resources in treating their children and eagerly await every movement of the child toward "normal behavior."
"The problem starts with the diagnosis," says Ronen Gil. "There is unnecessary investment in early diagnosis, and many times each diagnostician provides a different definition. The problem continues with the treatments, which are very intensive and from our viewpoint also cruel, because they try to extinguish the essence of the autistic."
According to ACI, the society should take a far more accepting and flexible attitude. "We are in favor of treatment," Shelly says, "but the goal of the treatment should be to cultivate each child's special abilities, not an attempt to remove the autism from the child. Children are put on extreme diets or placed in intensive treatment regimes, which are sometimes simply training. And if this doesn't help, the diet is made stricter or more hours of treatment are added. In our view, communication is a means, not a goal. The goal is to make it possible for autistics to express their desires, and it makes no difference how. Who said that correct communication is body language plus eye contact plus words? You can communicate with sign language, too, or with a photo album, and eye contact can be dispensed with."
An article written by Shelly in conjunction with Sue Golubock, a member of ACI and an occupational therapist, ahead of the 2007 Autreat, ANI's annual conference, held this week in Philadelphia, proposes a number of alternative principles for dealing with autistic children: "Prohibit behaviors that infringe the rights of others, and allow 'strange' but unharmful behaviors"; "Be parents, not therapists, play to enjoy and not to treat, refer to professionals for therapy in specific areas"; "When you decide for your children, be aware of your motives. Ask yourselves what the values are according to which you choose educational goals for your children, and beware of positing normality as a goal in itself. As your child grows older, share the decision-making with him more"; Don't turn to professionals so they will choose the goals for your children. Choose them according to their goals."
The ideas set forth by ACI can be hard to swallow, particularly for parents of low-functioning autistics. A tempestuous debate on the subject took place on the autism forum of Tapuz. "The whole thing sounds simply hallucinatory to me," says Iris, who works in computers and is the mother of a 5-year-old autistic boy. "The ACI people are working, independent, functioning individuals. How can they tell me that I, who am trying to get my boy to understand the most basic things - such as the Hebrew language, such as not to undress in the street - am doing something wrong? No one has the right to tell me that I have to let my child be dependent on me for the rest of my life, dependent, not independent, incontinent, not seeing to his personal; hygiene, running onto the street, eating with his hands - and that is the least of it. Already now he is the subject of mockery. I will certainly do everything I can to eliminate every autistic indication from his behavior."
Other parents, in contrast, feel that ACI opens up a window to their children. "Through adult autistics I can get to know my son better," says Doron Yizhar, a statistician who lives in the north of the country and is the father of Omer, an 11-year-old autistic boy (as well as another son, aged 5). "It allows me to understand what he is going through, how he experiences the world. If he wants to watch all his baby videos one after the other, I let him. If he wants to make hand gestures, fine. And if he wants to go around barefoot in the winter, I will not force him to do something else. As long as it does not endanger him or bother the surroundings, then as far as I am concerned, let him be what he is."
What to tell the boss
The Internet is a particularly convenient medium for autistics, as it enables communication in a structured and safe environment, without the need to read facial expressions or create eye contact. The Web has a wide range of sites for those situated at various points on the autistic spectrum, including a site in which they publish their photos and tell about themselves and another showcasing autistic culture, including painting, sculpture, poetry, a television station and an attempt to create a special language (www.members.lycos.co.uk/aspergia - Hebrew only). The file-sharing site Youtube has a video by an autistic woman that interpets the autistic logic in a series of gestures that appear meaningless, such as hand-flapping and humming.
In the concrete world, though, autistics encounter many problems, not least of which is finding a job. According to Shmuela Widberg, the chair of EFI-Asperger Israel, an organization of parents of children with AS (http://asperger.org.il - Hebrew only), many adults with AS have difficulty finding work. "Even if they have an academic degree, and are highly qualified, they may not last on the job because of problems of interpersonal communication, the difficulty they have adjusting to a hierarchy and teamwork and the problems they have understanding social codes. They don't always understand, for example, that you don't say everything to the boss."
In 2003, the Social Welfare Ministry opened a job-training center in Tel Aviv for people with AS, which is run by Beit Eckstein, (an organization that aspires to improve the quality of life of people with special needs). To date, about 50 AS adults have participated in half-year or year-long programs as part of the project. The program focuses on upgrading life skills in general, as well as social and communication skills, by means of workshops and protected trials on the job. One group is geared for academics, and at its end the center assists the graduates in finding jobs commensurate with their abilities and skills.W
In an effort to learn how people on the autistic spectrum cope with life challenges as adults, the psychology department of Bar-Ilan University is conducting a study that includes (paid) interviews with independent adults aged 21-30 who are on the spectrum and are integrated in employment and/or academic frameworks. Anyone interested in participating should contact Dr. Ofer Golan (email@example.com). Discretion is assured.
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Five people are to be charged over an alleged film industry-based tax relief scheme and are due to appear in court in June.
11:57, UK, Tuesday 30 April 2013
Five people are to be charged in connection with a film industry-based tax relief fraud that allegedly cost the public revenue around £125m, the Crown Prosecution Service says.
The CPS confirmed the charges follow an investigation by HM Revenue and Customs (HMRC).
CPS deputy head of fraud Andrew Penhale said: "It is alleged that, between 1 January 2002 and 11 July 2011, a tax relief that allows investors in the British film industry to offset losses against other tax liabilities was abused and dishonestly marketed in order to cheat the public revenue.
"The evidence suggests that the value of allowable losses was falsified, that there was a conspiracy to defraud investors and that documents were falsified for accounting purposes."
"Keith Hayley, Robert Bevan, Charles Savill, Cyril Megret and Norman Leighton will each face three charges: conspiracy to cheat the public revenue, conspiracy to defraud and conspiracy to falsify documents.
The CPS said the charges are contrary to section 1(1) of the Criminal Law Act 1977, section 17 of the Theft Act 1968 and Common Law.
Mr Penhale added: "This decision to prosecute was taken in accordance with the Code for Crown Prosecutors.
"We have determined that there is a realistic prospect of conviction and that a prosecution is in the public interest.
The CPS said all five defendants are due to appear before Birmingham Magistrates' Court on June 18.
"Hayley, Bevan, Savill, Megret and Leighton are now the subject of criminal proceedings and have the right to a fair trial," Mr Penhale said.
He added: "It is extremely important that nothing should be reported which could in any way prejudice these proceedings."

subset: commoncrawl


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|Fantasy Football University
|Fantasy Football's 10 Commandments
August 16 08:43 PM
According to ESPN's NFC West reporter Mike Sando, 49ers running back Kendall Hunter "has enjoyed a tremendous camp."
Fantasy Spin:
The 49ers' backfield is crowded, with incumbent starter Frank Gore, free agent signee Brandon Jacobs and rookie LaMichael James on board along with Hunter. Gore may not be on the field enough to even justify his current price tag as an early-round selection, as Hunter will be the third-down back and Jacobs will handle goal-line duties.
Players in this story:K Hunter (SFO)
F Gore (IND)
B Jacobs (NYG)
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text: I have a Giant mountain bike that I use to get to and from work. Today I got on my bike, on the highest gear like I always have it, and it seems like it is much lower. I need to pedal so fast to get any resistance. The chain looks like it's on as always, and it shifts, but the lower gears are so ridiculous now I can't even move my legs that fast. How could this have happened? How do I fix it?


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It has as many calories as a brownie? As much protein as a pork chop? It is good for your skin and fights depression? I think it's time to reign in the excitement, people, and look at some facts. Long story short, semen in general is not a harmful substance and holds good nutritional value. The downfall is, whatever goodness exists in semen exists in very small, limited doses so reaping the benefits is not always easy or reasonable. Let's lay down the facts right now so the next time you hear your boyfriend urge you to swallow for the "sake of breast cancer" you have the proper information to form a rebuttal.
What composes semen?
The average ejaculation is about a teaspoon in size (this can vary based on the man's age, health, last time of ejaculation and other factors) and consists of about 1% sperm. The other 99% is water, protein, hormones, vitamins, sugars and fat.
Would I be better off just eating a brownie?
Despite what everyone seems to say, one ejaculation of semen contains only 2-5 calories. One 2″ square, regular brownie contains 253 calories so NO, eating a brownie is not better for you.
It's as hearty as a pork chop!
Again, I'm not sure why people seem to think this but it is not accurate information. On average, there's about 150 mg of protein in one ejaculation. A pork chop, a hamburger patty, and a steak all have well over 20 grams of protein (20 grams is equal to 20,000 mg). That means you would have to ingest 130 ejaculations in one setting to even get close to the amount of protein you would consume in one steak. So… NO. Semen is not as hearty as a pork chop.
Does what you eat matter?
It's been pretty well established through small experiments that you can alter the way semen (and vaginal fluid) tastes by what you eat. In fact, all the body's secretions such as sweat, saliva, and urine are affected by what you eat. If you want to taste pleasant, you should stay away from spicy food, strong flavors (like garlic and asparagus), alcohol, cigarettes, sugars, processed fats and food with preservatives. So basically everything we love to eat!
Instead, you should drink fruit juice and water constantly, eat fresh veggies (celery especially) and fruits and even bask in the vegan life with some wheatgrass. It takes about 24 hours for the body to secrete what it has absorbed so give it a couple of days before trying it out. Here's a good spunky (get it? :)) smoothie that should make you taste fresh and sweet:
1 cup pineapple, fresh or canned
1 banana, frozen
1 cup apple juice
1/2 tsp ginger
1/2 tsp cinnamon
1/4 tsp nutmeg
1/2 tsp vanilla extract
2 TBS honey
Does it fight cancer?
In October 2003, an article showed up on CNN and quickly spread around the world like wildfire. It claimed a study at North Carolina State University found fellatio could significantly decrease a woman's risk of breast cancer. But within a week, Brandon Williamson, the student who wrote the mock report, responded to legal threats by apologizing to his university, to CNN and to "all men who did not take advantage of this article in time to get head". Anyone who read the report might have picked up on some of the clues pointing toward a hoax. Williamson mentions a medical journal that does not even exist and states testimonials from women such as "I try to fellate every night with my husband." Really? "Fellate?"
Back in the real world of science, studies have shown that the more a woman is exposed to her partner's semen, the less likely her body is to attack it. Semen is treated as a foreign invader once inside the woman's body (this is why some women can have allergic reactions to their partner's semen). One study found if a pregnant woman performed fellatio regularly, she was less likely to suffer from high blood pressure than those who did not. This is mainly because sperm contains a growth factor that persuades the mother's immune system to accept the sperm (so her body does not fight the "invader", resulting in a steady blood pressure).
As for the link to cancer, it's just possible that semen could have some effect on cancer of the cervix or ovaries. There's research showing oral delivery of TGFbeta (transforming growth factor beta), one of the key molecules in semen, can increase the number and activity of "natural killer" cells that are important in recognizing and killing aberrant cells that give rise to tumors. An alternative source of TGFbeta is cow's milk, which for many women is far easier to swallow. Plus there are pharmaceutical companies working on freeze-dried semen products, in tablet form. So, semen doesn't seem to offer anything you can't find somewhere else.
A teaspoon a day keeps the gloom away?
In 2002, Gordon Gallup conducted a study of 293 female students at the State University of New York to determine if semen had an effect on a female's mood. He assessed their happiness using the Beck Depression Inventory, a standard questionnaire for assessing mood. People who score over 17 are considered moderately depressed. The team found that women whose partners never used condoms scored 8 on average, those who sometimes used them scored 10.5, those who usually used them scored 15 and those who always used them scored 11.3. Women who weren't having sex at all scored 13.5.
The researchers looked at alternative explanations such as whether women who seldom use condoms took oral contraceptives, how often they had sex, the strength of relationships, and the possibility that having a certain type of personality influenced the decision to use condoms. But none of these factors can explain their findings, they say. The results aren't a complete surprise because semen does contain several mood-altering hormones, including testosterone, estrogen, follicle-stimulating hormone, luteinising hormone, prolactin and several different prostaglandins. Some of these have been detected in a women's blood within hours of exposure to semen. However, a broader population needs to be studied before conclusively stating that "semen cures depression."
But no one is saying you have to wait for those studies! So go have some condom-free sex (as long as you're certain you and your partner are STD clear) and get happy!
I'll never have acne again!
Umm… hold the thought. There have not been any conclusive studies on the benefit of semen on your skin. Some people claim they experimented with it and it did nothing; others swear by the positive effects, stating it helps reduce wrinkles. This is only semi-true. Semen dries as a thin film that has a tightening affect. However, if left on the skin, semen generally changes from liquid to a glue-like solid back to liquid again within a 5-40 minute time frame. But even if it did not change back into a liquid state, as I'm sure most people know, the minute you are exposed to water your wrinkle-friendly regimen is going to come right off. So yes… your wrinkles might appear minimized as long as you're not sweating or caught in the rain.
The fact remains semen is still not a sure way to get nice looking skin. However, some beauty companies have decided to take advantage of this idea and turn it into a marketing madhouse. The Townhouse Spa in New York is using spermine in many of their products, a powerful anti-oxidant originally discovered in human sperm that is said to diminish wrinkles and smooth the skin.
Before you get slap happy and rub semen all over your face, please know that the substance is being synthesized in laboratories, therefore it is not the all natural, low-potent goodness we are familiar with at home. The skin does not readily absorb semen either, so the treatment involves penetration with ultrasound and infrared light at the spa for a hefty price: $300.


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10.001D.Partial-Birth Abortion.doc
10.003.Patient Autonomy and Accuracy of Information in Informed Consent for Abortion.doc
Acquired Immunodeficiency Syndrome
15.001.HIV Contact Tracing.doc
15.002.HIV Education Programs.doc
15.003D.HIV Release or Disclosure of Test Results.doc
15.004D.HIV Counseling Physicians Who Test Positive.doc
15.005.HIV Infected Travelers.doc
15.006D.HIV Public Health Requirements.doc
15.007D.HIV Reporting.doc
15.008D.HIV Disability Coverage for Physicians Infected with HIV.doc
15.009D.Physician Responsibility for Treatment of AIDS Patients.doc
15.010D.HIV Testing on Pregnant Women.doc
15.011.HIV and STI Screening.doc
15.012D.HIV Home Testing Kits.doc
15.013.HIV Positive Reporting on Name Basis.doc
Aging & Long Term Care
20.001.Preadmission Screening and Annual Resident Review.doc
20.002.Medical Directors in Nursing Facilities.doc
20.003D.Alzheimers Disease.doc
20.004.Nursing Home Attending Physician.doc
20.005.Long Term Care Insurance.doc
20.006.Alzheimers Disease and other Dementia.doc
20.007.Behavior Evaluation in Long Term Care Facilities.doc
20.008.Minimum Disaster Preparedness Standards for Assisted Living.doc
Alcohol Issues
25.001D.Alcohol Related Vehicle Deaths and Injuries.doc
25.002.Drunk Driving Stricter Penalties.doc
25.003D.Driving While Intoxicated Penalties.doc
25.004.Alcoholic Beverages.doc
25.005.Drinking Age and Open Container Legislation.doc
25.006.Driving While Intoxicate Driving and Under the Influence.doc
25.007.Fetal Alcohol Syndrome.doc
25.009.Drunk Driving Zero Tolerance Laws.doc
25.010.Blood Alcohol Levels and Drug Screens.doc
25.011.Underage Drinking and Substance Abuse.doc
25.012.Effects of Alcohol on the Brains of Underage Drinkers.doc
25.013.Nationwide Legal Drinking Age of 21 Years.doc
25.014.Alcohol and Substance Abuse Education of Medical Students and Residents.doc
25.015.Teenage Drinking and Driving.doc
Allied Health Professions
30.001.CRNA Direct Reimbursement.doc
30.002D.Allied Health Manpower Shortage.doc
30.003.Laser Surgery.doc
30.004.Allied Health.doc
30.007.Prescribing by Pharmacists.doc
30.008D.Contact Lenses.doc
30.009D.Lay Midwifery.doc
30.010.Diagnosis Treatment of Eye Diseases by Nonmedical Practitioners.doc
30.011D.Nursing Licensure.doc
30.012.Nursing and Nurses with Advanced Training.doc
30.013.Physician Standing Orders.doc
30.015.Nurses in Advanced Practice.doc
30.016.Physician Assistants and Allied Health Personnel.doc
30.017D.Physician Assistants.doc
30.018.Physical Therapists.doc
30.019.Rehabilitation Nurses Performing Patient Education.doc
30.020D.Radiology Technologists.doc
30.021.Laser Therapy.doc
30.022D.Optometrist Qualifications.doc
30.023.Optometry Scope of Practice.doc
30.024.Electrologists Regulation and Licensing.doc
30.025.Allied Health Care Professionals.doc
30.026.Use of Professional Titles by Nonphysicians.doc
30.027.Physical Therapy Services.doc
30.028D.Radiologic Technologist Course.doc
30.029.Physician Extenders in Rural Health Clinics.doc
30.030.Physician Prescribing Practices.doc
30.031D.Nurse Staffing Regulations.doc
30.032.Nursing Standards on Resuscitation.doc
30.033D.Direct-Entry Midwives Scope of Practice.doc
30.034.Diagnostic Needle Electromyography.doc
30.035.Federal Prohibition of the Independent Practice of Medicine by Nurse Practitioners.docx
30.036.New Licensing Category for Assistant Physicians.docx
30.037.Opposition to Accelerated Training for IMGs and Ex-Military as Physician Assistants.docx
Alternative Medicine
35.001D.Immunoaugmentative Therapy.doc
35.003D.Alternative and Complementary Practices.doc
American Medical Association
40.001D.AMA Availability of Policy and Information.doc
40.002.AMA Membership.doc
40.003D.AMA Membership Representative.doc
40.004D.Study of Federation Report Revised.doc
40.005.AMA Private Sector Advocacy.doc
40.006.American Medical Association.doc
45.001D.Blood Banks Negligence.doc
45.002D.Blood Transfusions and Informing the Public Regarding Safety.doc
45.003D.Infectious Diseases and Blood Banking.doc
45.004.Blood Donations by Minors.doc
45.005D.Bloodborne Pathogen Standard of OSHA.doc
45.006.Blood Assurance Programs.doc
45.007.Blood Donation Safety.doc
45.008.Blood Donations and Transfusions.doc
45.009D.Transfusion Medicine.doc
45.010.National Blood Policy.doc
45.011.County Contracts to Recover Tissue in Texas.doc
45.012D.Donated Blood Nucleic Acid Testing.doc
45.013D.Tissue Regulation by FDA.doc
45.014.Blood Safety.doc
45.015D.Texas Umbilical Cord Blood Bank.doc
45.016.Blood Donor Recruitment and Homeland Security.doc
45.017.Umbilical Cord Blood.doc
50.001.Texas Cancer Pain Initiative.doc
50.002.Statewide Cancer Registry.doc
50.003.Cancer Unproven Methods.doc
50.004.Skin Cancer Prevention.doc
50.005.Cigar Smoking and Cancer.doc
50.006.Colon Cancer Screening.doc
50.007.Cancer Diagnosis and Treatment.doc
50.008.HPV Vaccination.doc
50.009.Cancer Screening.doc
50.010.Lung Cancer Screening.docx
Children & Youth
55.001.Child Safety in Pickups.doc
55.002.Comprehensive School Health Education in All School Districts.doc
55.003.School Career Programs in Rural Areas.doc
55.004.Adolescent Sexual Activity.doc
55.005.Human Sexuality and Family Life as Mandated Health Education Curriculum.doc
55.006.School Based Health Care Centers.doc
55.007.Adolescent Health.doc
55.008.Early Childhood Intervention Program.doc
55.009D.Adolescent Health TDH Office of.doc
55.010D.Comprehensive School Health Education.doc
55.011D.Bicycle Safety.doc
55.012D.Bicycle Safety Education and Bicycle Helmets.doc
55.013D.Comprehensive School Health Education Goals.doc
55.014.Counseling Health Career.doc
55.015.Day Care and After School Care.doc
55.016.Sexuality Education.doc
55.017D.Corporal Punishment.doc
55.018.Mass School Audiometric Screening.doc
55.019.School Health Education.doc
55.020.Supplemental Nutrition Program for Women and Infants and Children.doc
55.021.Bicycle Helmets.doc
55.022D.Child Abuse Reporting Suspected Cases.doc
55.023.Scoliosis Screening.doc
55.024.Single Information System for DSHS Tests and Lab Results of Texas Children.doc
55.025.Child and Health Safety.doc
55.026D.Childrens Health Insurance Program.doc
55.027.Public School Education.doc
55.028D.Texas Healthy Kids Corporation.doc
55.029.Childrens Health Insurance Program Policy Principles.doc
55.030D.Neurology Training.doc
55.031D.Physical Activity in Children.doc
55.032.Baby Moses Law.doc
55.033.Childrens Mental and Behavioral Health.doc
55.034.Texas Automobile Child Restraint Laws.doc
55.035.Right to Confidential Care.doc
55.036D.Child Nutrition and Reducing the Incidence of Obesity in Texasdoc.doc
55.037D.Childhood Obesity.doc
55.038.Acanthosis Nigricans Screening.doc
55.039D.Living Skills Education.doc
55.040.Child Abuse Reporting Laws.doc
55.041.Health Textbooks.doc
55.042.International Border Crossing by Minors.doc
55.043D.Promotion of Childrens Fitness.doc
55.044.Student Life Style.doc
55.045.Screening Pediatric and Adolescent Injury Victims for Drugs and Alcohol.doc
55.046.Recommendations for Ensuring the Health of the Adolescent Athlete.doc
55.047.Removal of High Alcohol Content from Medications Targeted for Use by Children and Youth.doc
55.048.Alcohol and Drug Abuse Education.doc
55.049.Alcohol and Youth.doc
55.050D.State of Concern Regarding Destructive Themes Contained in Entertainment Media Communications and Advertising.doc
55.051.Corporal Punishment in Schools.doc
55.052.Child Psychiatrists in State Agency Policymaking Positions.doc
55.053.Childhood Anaphylactic Reactions.doc
55.054.Electronic Health Care Information for Children.doc
55.055.Increase Enrollment of Children in Health Insurance Plans.doc
55.056.Physician Examinations for Young Athletes.doc
55.057.Health Care of Undocumented Children.doc
Civil & Human Rights
60.001.Employee Sick Leave.doc
60.002.Televised Executions.doc
60.003.Responsibility for Health.doc
60.004.Freedom of Choice.doc
60.005.Equal Rights.doc
60.006D.Patient Confidentiality and Government Investigations.doc
60.007D.Patient Confidentiality.doc
Coding & Nomenclature
65.001D.Evaluation and Management Services.doc
65.002D.CPT Coding as Sole System.doc
65.003D.CPT Coding of Medical and Surgical Interventions.doc
65.004.CPT Coding.doc
65.005D.Uniform Claims Form.doc
65.006.Documentation Guidelines for Followup Codes.doc
65.007.Evaluation and Management Guidelines.doc
65.008.Downcoding of Claims.doc
65.009.HCFA Evaluation and Management Services Documentation Guidelines.doc
65.010D.Current Procedural Terminology.doc
65.011.Second Surgeon and Unbundling of Services by Medical Insurers.doc
65.013.Permanent Delay of ICD-10 Implementation.docx
65.014.Opposition to Implementation of ICD-10-CM.docx
Continuing Medical Education
70.001D.CME FDA Proposal to Fund by Drug Companies.doc
70.002.CME Standards.doc
70.003D.CME Learning Assessment Form.doc
70.004.CME Commercial Support.doc
70.005.CME in Texas.doc
70.006D.CME Through Hospital Education.doc
70.007.CME Statement.doc
70.008.CME Mandated Subject Content.doc
70.009.CME Conflict of Interest.doc
County Medical Societies
75.001.County Society Meetings.doc
75.002.County Medical Society Assistance.doc
75.003.County Medical Societies and Medical Alliances.doc
80.001.Managed Care Plan Economic Credentialing.doc
80.002D.Centralized Credentialing.doc
80.003.Credentialing Form Universal.doc
Death & Dying
85.001D.Directive to Physicians Forms.doc
85.002.Advance Directives Act Amendments.doc
85.003.Education of Advance Directives.doc
85.004.Out of Hospital Directive.doc
85.005D.Death Certificates.doc
85.006.Life Prolonging Measures.doc
85.007.Treatment of Terminally Ill.doc
85.008.Physician Assisted Suicide.doc
85.009.Do Not Resuscitate Orders.doc
85.010.Terminally Ill.doc
85.011.Palliative Care.doc
85.012.Advance Directives.doc
85.013.Absence of Advance Directives.doc
85.014.Physician Responsibility with End-of-Life Care.doc
85.015.Advance Care Planning.doc
85.016.Medical Orders for Scope of Treatment as Texas Law.doc
90.001.Disabled Funding of Services.doc
90.002.Americans With Disabilities.doc
Drugs & Pharmacy
95.001.Prescription Triplicate Forms.doc
95.002.Drug Samples.doc
95.003D.Drugs Price Escalation of High Quality Drugs.doc
95.004.Drugs Labeling of Generic Substitutions.doc
95.005D.Food and Drug Administration.doc
95.006D.FDA Evaluation and Approval of Drugs and Technology.doc
95.008.National All Schedules Prescription Electronic Reporting System.doc
95.009D.Prescription Drug Indigent Programs.doc
95.011.Drug Prescriptions Patient Package Inserts.doc
95.012.Drugs Antisubstitution Laws and Generic Prescriptions.doc
95.013D.Pharmaceutical Mail Order Companies.doc
95.014.Drug Screening of Physicians.doc
95.015D.Therapeutic Pharmaceutical vs Drug.doc
95.016.Computer Pharmacy Records Used for Marketing Purposes.doc
95.017D.Generic Medications Price Increase.doc
95.018.Physician Pharmacy Interactions.doc
95.019.Needle Exchange Program.doc
95.020.Breach of Privacy with Patient Prescription Drug Profiles.doc
95.021.National Drug Policy.doc
95.022.Prescription Form.doc
95.024.Psychologist Prescribing.doc
95.025.Hydrocodone Classification.doc
95.026.Patient Access and Pharmacist Conscientious Objection.doc
95.027.DEA Numbers.doc
95.028.Multiple Schedule II Drug Prescriptions.doc
95.030D.Prescription Electronic Reporting System.doc
95.031.Controlled Substance Registrations.doc
95.032.Minimum Pharmacy Disaster Standards.doc
95.033.Drug Shortages and Physician Communications.doc
95.034.Legislation to Allow Physicians to Dispense Pharmaceuticals.doc
95.035.Distribution of Donated Medications.doc
95.036.Tax-Deferred Health Benefits Mandate on Over-the-Counter Medication.doc
95.037.Controlled Substances Registration Program.doc
95.038.Ensuring Availability of Essential Medications and Addressing Constant Backorder Issues.doc
95.039.United States Pharmacopeia and The National Formulary One-Hour-Rule.docx
95.045.Addressing Prescription Drug Abuse and Overdose.docx
Emergency Medical Services
100.001.Patient Transfers of Women in Labor.doc
100.002D.Trauma Regional Centers.doc
100.003.Patient Transfers.doc
100.004D.Emergency Medical Technicians.doc
100.005D.Emergency Medical First Responder Organizations.doc
100.006.Emergency Room Services to Survivors of Sexual Assault.doc
100.007D.CPR Training.doc
100.008.Statewide Emergency Telephone System.doc
100.009.Transporting Injured Athletes.doc
100.010.Ambulance Certification.doc
100.011.Trauma Care Funding.doc
100.012D.Emergency Medical Technicians Educational Requisites for Certification.doc
100.013.Trauma Funding.doc
100.014D.Independent Board for Practice of Emergency Medical Technology at DSHS.doc
100.015D.Emergency Health Care Advisory Committee.doc
100.016.DSHS EMS Local Projects Grant Program.doc
100.017.Emergency Preparedness re Chemical and BioTerrorism.doc
100.018.Emergency Medical Resources.doc
100.019D.Regionalized Acute Care Services.doc
100.020.Emergency Psychiatric Transfers.doc
100.021.Free-standing Emergency Departments.doc
100.022.Emergency Psychiatric Services.doc
100.023.Holding Admitted Patients in Crowded Emergency Departments.doc
100.024.Regulation of Free-Standing Emergency Departments.doc
100.025.Access to Emergency Care in Texas.doc
100.026.Emergency Department On-Call Physicians.doc
100.027.Texas Prehospital Care and Emergency Medical Services Physicians.doc
100.028.AED Availability and Access.doc
100.029.Requirement for Epinephrine Auto-Injectors in Texas Schools.docx
105.001.Consent for Medical and Surgical Treatment.doc
105.002.Patient and Physician Relationship.doc
105.003D.Self Referral.doc
105.004.Execution by Chemical Injection.doc
105.005.Physician Impairment as Medical Illness.doc
105.006.Confidentiality of Patient Records.doc
105.007D.Peer Assistance Program.doc
105.008.Driver Licensing Medically Impaired.doc
105.009.Informed Consent.doc
105.010.Physician Health and Wellness.doc
105.011D.Enhancement of Physician Health and Rehabilitation Program.doc
105.012D.Physician Health and Rehabilitation Program.doc
105.013D.Covenants Not To Compete.doc
105.014.Texas Medical Disclosure Panel.doc
105.015.Medical Record Privacy Act.doc
105.016D.Conflict of Interest.doc
105.017.Privacy of Medical Records.doc
105.018.Fraud and Abuse Initiative.doc
105.019.Principles for Protection of Medical Record Privacy.doc
Health Care Costs
110.001.Health Access Individual Retirement Accounts.doc
110.002.Cost Effectiveness.doc
110.003.Private Individualized Medical Care.doc
110.004.Cost Containment and Product Liability.doc
110.005.Global Budgets Limiting Health Services Expenditures.doc
110.006.Health Plan.doc
110.007.Cost Containment.doc
110.008.Health Care Costs Tax Deductible.doc
110.009.Health Care Coverage.doc
Health Care Delivery
115.001.Indigent Care.doc
115.002.High Risk and Medically Fragile Patients.doc
115.003.Indemnity for Charity Care.doc
115.004.Indemnification of Physicians.doc
115.005.Charity Care.doc
115.006D.Health Care Delivery System Affordable and Available.doc
115.007.Health Planning.doc
115.008.Hospitalists and Intensivists.doc
115.009.Physician Owned and Directed Health Care Delivery Systems.doc
115.011.Disease Management.doc
115.012.Retail Health Clinics.doc
115.013.Second Surgeons.doc
115.014.Out-of-Network Referral Requirements.doc
115.015.Accountable Care Organizations.doc
115.016.A Modest Proposal to Save our Health Care System.doc
115.017.Protections of Non-employment Physicians Extended to 501 (a)s.doc
115.018.Overwhelming Compliance Mandates and Payment Uncertainty.docx
115.019.Abolish Compulsory Electronic Health Records.docx
Health System Reform
120.001.Health Care Reform.doc
120.002.Health System Reform Cost Control.doc
120.003.Health System Reform Managed Care.doc
120.004D.Health System Reform TMA Special Committee.doc
120.005D.Health System Reform Peer Review Organization.doc
120.006D.Health System Reform Establishment of National Health Board.doc
120.007D.Health System Reform and Fee For Service Options.doc
120.008D.Health System Reform Public Health Funding.doc
120.009D.Health System Reform.doc
120.010.Principles for Evaluating Health System Reform.doc
Home Health Services
125.001D.Medical Management of Home Care Patients.doc
125.002.Home Health Care.doc
125.003.Home Health and Hospice.doc
125.004.Palliative Care and Hospice Care and Training.doc
125.005.Venipuncture as a Qualifying Home Health Benefit.doc
125.006.Home Health Care as Part of Health Care Continuum.doc
130.001.Hospital Contracts.doc
130.002.Hospital Medical Staff Privileges and Professional Liability.doc
130.003D.Solicitation of Patients in Hospitals.doc
130.004.Organized Medical Staff.doc
130.005.Arbitration Protocols in Smaller Institutions.doc
130.006.Hospital Medical Staff Bylaws.doc
130.007D.Hospitalization Regulations.doc
130.008.Medical Staff Privileges.doc
130.009.Hospital Admissions.doc
130.010.Hospital Medical Staff Constitution and Bylaws.doc
130.011.Medical Staffs.doc
130.012.Subacute Care.doc
130.013.Interhospital Transfer for Nonmedical Reasons.doc
130.014.Length of Stay Discharge Criteria.doc
130.015.Physician Participation in Medical Staff Affairs.doc
130.016.Compensation for Emergency Department Care.doc
130.017.Sham Peer Review.doc
130.018D.Texas Ten Step Facility Program.doc
130.019.Emergency Medical Treatment and Active Labor Act.doc
130.020.Ensuring Physician Autonomy.doc
130.021.Hospital-Based Emergency Department Referral Patterns.doc
130.022.Avoiding Bias in Medical Executive Committees.doc
130.023.Hospital Medical Staff Disclosure of Conflicts of Interest.doc
130.024.Physician Coverage of Hospital Emergency Departments.doc
135.001D.Immunizations Measles Mumps and Rubella.doc
135.002.Vaccines Providing Free of Charge.doc
135.003D.Immunizations Pneumococcal Patients 65 and Over.doc
135.004.Immunizations Universal Entitlement.doc
135.005.National Vaccine Plan.doc
135.006.Immunization Schedule.doc
135.007.Immunization Guidelines.doc
135.008.Immunizations Administering.doc
135.009.Immunizations Pneumococcal Pneumonia in Adults.doc
135.010.Immunization Education Efforts for Texas.doc
135.011.Immunization Registry for Texas.doc
135.012.Immunization Rates in Texas.doc
135.013.Universal Influenza Vaccination.doc
135.014.Meningococcal and Pertussis Vaccines.doc
135.015.Flu Vaccine Distribution.doc
135.016.Influenza Vaccine Recommendations for Health Care Workers.doc
135.018.Pertussis and Cocooning.doc
135.019.Promotion of Antimicrobial Stewardship.doc
135.020.Fairness in Timely Delivery of Vaccines.doc
135.021.Immunization Records.doc
135.022.Adolescent Parent Immunizations.doc
135.023.Adult Immunizations.doc
135.024.Human Papillomavirus Vaccine for Suspected Victims of Child Sexual Abuse.doc
135.025.Improving the ImmTrac Registry by Reverting Back to an Opt-Out System.docx
Infant Health
140.001D.Infant Formula Commercial Advertisement.doc
140.002.Prenatal and Perinatal Care.doc
140.003.Birth Defects Registry.doc
140.004D.Infant Formula.doc
140.005D.Breastfeeding Training.doc
140.006.Non-Medical Fetal Ultrasonography.doc
140.007.Perinatal Health Care System.doc
140.008.Breastfeeding and Human Milk.doc
140.009.Perinatal Autopsies Following Stillbirth.doc
140.010.Newborn Genetic Screening.doc
140.011D.Newborn Screening for Cystic Fibrosis.doc
140.012.Prevention of Iatrogenic Prematurity.doc
145.001D.Health Insurance Availability.doc
145.002.Health Insurance Employer Mandates.doc
145.003.Mandated Coverage.doc
145.004.Medical Insurance Savings Accounts.doc
145.005.Single Payer Systems.doc
145.006.Funding of High Risk Insurance Pool.doc
145.007.Competitive Insurance Models.doc
145.008D.Insurance Company Decisions in Disagreement with Treating Physician.doc
145.009.Individual Responsibility for Health Care.doc
145.010.Standard Information for Insurance ID Cards.doc
145.011.Plan Responsibility for Patient Education.doc
145.012.Health Insurance Individual Ownership.doc
145.013.Private Healthcare System Impact of Uninsured.doc
145.014.Texas Department of Insurance.doc
145.015.Mandatory Referral and Precertification of Chronic Renal Failure Treatment.doc
145.016.Small Employer Health Care Benefit Discrepancies.doc
145.017.Proper Notification of Rate Changes by Insurance Companies.doc
145.018.Mental Health Carve-Outs.doc
145.019.Mental Health Equitable Treatment and Parity.doc
145.020.Insurer Liability for Unpaid Claims.doc
145.021.Insurance Recoupment.doc
145.022D.Prompt Access to Benefits.doc
145.023.Third Party Administrators.doc
145.024.Medical Decision Makers Licensed in Texas.doc
145.025.Out-of-Network Payments.doc
145.026.Expanding Coverage to Children.doc
145.027.Transparency of Preventive Care Services.doc
145.028.Unequal Insurance Contract Reimbursement for Solo Practitioners.doc
145.029.Physician Outpatient Visits for Obesity.doc
145.030.Prevent Disclosure of Information about a Specific Patient Service in EMR Systems.docx
145.031.Requirement for Medical Insurance Companies to Provide Online Real-Time Insurance Claim Adjudication.docx
145.032.Improving Network Adequacy in Health Insurance Plans.docx
145.033.Notification to Physicians Regarding COBRA Grace Period.docx
International Medical Graduates
150.001D.International Medical Graduates Assessment Mechanisms.doc
150.002.International Medical Graduates Curriculum Requirements.doc
150.003.Minimum Educational Requirement for Physician Licensure in Texas.doc
150.004D.International Medical Graduate Requirements.doc
150.005.J-1 Visa Waiver Program.doc
155.001.Laboratory Director Requirements.doc
155.002D.Private Office Laboratories.doc
155.003D.Clinical Laboratory Improvement Amendments of 1988.doc
155.004D.SI and Conventional Terminology.doc
155.005.Laboratory Accreditation.doc
155.006.Laboratory Personnel.doc
155.007.Cytology Proficiency Testing.doc
155.008.Direct Access Laboratory Testing.doc
155.009.Laboratory and Radiology Reports Database.doc
155.010.HIT Physician Access to Clinical Laboratory Reports.doc
155.011.Opposition to Laboratory Reporting Provisions of HR 4302.docx
160.001.Frivolous Suits.doc
160.002.Texans Against Lawsuit Abuse.doc
160.003.Tort Reform Program.doc
160.004.Contingent Witness Fees.doc
160.005D.Tort Reform.doc
160.006.Corporate Practice of Medicine.doc
160.007D.Litigation Guidelines.doc
160.008.Nonprofit Health Corporations.doc
160.009D.Physician Expert Witness.doc
160.010.Employement by Nonprofit Corporations.doc
160.011D.Court Appointed Guardian.doc
160.012.Antitrust Laws.doc
160.013.Medical Expert Witness Standards.doc
160.014.Principles for TMB Discipline in Expert Medical Testimony.doc
160.015.Court Sanctions for Improper Medical Testimony.doc
160.016.General Antitrust Compliance Principles.doc
160.017.Utilization Review.doc
160.018.Statue of Limitations for Administrative Violations.doc
160.019.Temporary Texas License for Medical Opinion or Testimony.doc
Legislative & Regulatory
165.001.Health Care Policy Development.doc
165.002.Antitrust Relief.doc
165.003D.Grassroots Political Action.doc
165.004.Government Competency Checks.doc
165.005.Public School Finance and Taxes.doc
165.006.Supplemental Nutrition Assistance Program Reform.doc
165.007.Whistle-Blower Protections for Physicians.doc
165.008.Prompt Pay Legislation to Include Medicaid Programs.doc
165.009.Excessive Federal Paperwork Requirements.docx
170.001.Good Samaritan Law.doc
170.002.Charitable Immunity.doc
170.003D.Medical Liability Claims Adjudication System.doc
170.004D.Medical Liability Reforms.doc
170.005.Professional Liability Statute of Limitation.doc
170.006.Physician Liability for Acts of Assistants.doc
170.007.Professional Liability.doc
170.008.Physician Relief from Product Class Actions.doc
170.009.Product Liability Lawsuit Impact on Premiums.doc
170.010.Professional Liability Coverage for Physicians Providing Long-Term Care.doc
170.011.Liability for Acts or Omissions.doc
170.012.Physician Protection from Product Liability.doc
170.013.Health Plan Liability Requirements.doc
Licensure & Discipline
175.001.TMB Additional Funding for Legal Purposes.doc
175.002.TMB Consolidation with Other State Agencies.doc
175.003.TSBME Physician Licensure Fees Allocated to Operation of Board.doc
175.004D.Physician Initial Licensure.doc
175.005D.Physician National Standard Licensure.doc
175.006.Physician Licensure by Individual State Medical Boards.doc
175.007.Texas Medical Board Funding.doc
175.008.Medical Licensure Linked to Practice Location or Specialty Shortages.doc
175.009.Statewide Medical Examiner System.doc
175.010.Data Collection.doc
175.011.TMB Funding.doc
175.012.Principles for Sunset of TMB.doc
175.013.Major Depression and Physician Licensure.doc
175.014.Allowing Border Areas to Qualify for Expedited Medical Licensure.doc
175.015.Contested Cases of the Texas Medical Board.doc
175.016.Public Recognition of Board Certification by Texas Medical Board.doc
175.017.Opposition to Maintenance of Licensure.doc
175.018.Maintenance of Certification.doc
175.019.Medical Licensing Exam Passage Attempts and Timeframe Limits.docx
Managed Care
180.001.Managed Care Truth in Advertising Standards.doc
180.002.Managed Care Incentive Withholds.doc
180.003.Managed Care Referral Practices.doc
180.004.Managed Care Antitrust.doc
180.005D.Managed Care.doc
180.006.Managed Health Alliances and Health Care Purchasing Cooperatives.doc
180.007.Managed Care Business Principles.doc
180.008.Managed Care Capitation.doc
180.009D.Managed Care Compromising Quality.doc
180.010.Health Maintenance Organizations.doc
180.011D.Managed Care and Fee For Service.doc
180.012.Patient Protection Act.doc
180.013.Preferred Provider Plan Rules.doc
180.014.HMO Financial Reporting.doc
180.015.Managed Care Patient Protection.doc
180.016.Managed Care Physician Profiling Criteria.doc
180.017D.Managed Care Practice Guidelines.doc
180.018D.Managed Care Education Rural and Nonurban.doc
180.019D.Managed Care Appropriateness.doc
180.020.Managed Care Education.doc
180.021.TMAIT Managed Care Plans.doc
180.022D.Managed Care Benefit Provisions and Limitations.doc
180.023D.Managed Care Clinical Guidelines.doc
180.024.Managed Care Companies Ethical and Moral Standards.doc
180.025D.Managed Care Liability.doc
180.026.Managed Care Plans.doc
180.027.Managed Care Prompt Payment.doc
180.028.Full Explanation of Noncontracted Payment Limits.doc
180.029.Economic Profiling.doc
180.030.Managed Care Disclosure.doc
180.031.Pharmacy Benefit Managers.doc
180.032.Advocacy Efforts Regarding Health Care Payment Plans.doc
180.033.Payment for After-Hours Non-Emergent Care.doc
190.001D.Medicaid Quality Assurance and Utilization Review Program.doc
190.002.Medicaid Medications.doc
190.003.Medicaid Payments to Increase Participation.doc
190.004.Medicaid Allowance for Preterm Labor.doc
190.005D.Medicaid RBRVS Fee Schedule.doc
190.006D.Medicaid Peer Review.doc
190.007.Medicaid Funding.doc
190.008D.Medicaid Physician Payment System.doc
190.009.Medicaid Payment for Diagnostic Tests.doc
190.010.Medicaid Fiscal Integrity.doc
190.011.Medicaid Benefits.doc
190.012.Medicaid Managed Care.doc
190.013D.Medicaid Prescription Drug Requirement for GI Drugs.doc
190.014.Medicaid Managed Care Guiding Principles.doc
190.015.Medicaid and Rural Physicians.doc
190.016D.Single Application Form for Eligibility of Services.doc
190.017.Medicaid Fee Schedule.doc
190.018.Medicaid Reimbursement for Rehabilitation.doc
190.019.Medicaid and Medicaid Managed Care.doc
190.020.Sterilization Services.doc
190.021.Funding for Pregnancy.doc
190.022.Medicaid and CHIP Funding and Access to Care for Children.doc
190.023. Policy Principles for Medicaid and CHIP Legislative Initiatives.docx
190.024.National Provider Identifier.doc
190.025.Office of Inspector General Responsibility.doc
190.026.Medicaid Preferred Drug List.doc
190.027.180-Day Minimum for Billing.doc
190.028.Medicaid and CHIP Applications.doc
190.029.Health Care Coverage Legislative Initiatives.doc
190.030.Physician Enrollment in Medicaid HMOs.doc
190.031.Texas Medicaid Reform Initiatives.doc
190.032.Medicaid Coverage and Reform.doc
190.033.Enhancing Childrens Health Insurance Program Coverage.docx
190.034.Barriers to Psychoactive Pharmacotherapy for Medicaid Pediatric Patients.docx
190.035.Floor for Medicaid Payments.docx
190 023 Policy Principles for Medicaid and CHIP Legislative Initiatives.docx
Medical Education
200.001D.Medical Schools Cheating.doc
200.002D.Medical School Curriculum Required Family Practice Rotation.doc
200.003D.Medical Education K-Type Examination.doc
200.004D.Universal Precautions.doc
200.005.Parental Leave for Students and Residents.doc
200.006.Health Care Workers.doc
200.007.Medical Student and Resident Abuse.doc
200.008.Medical Student Local County Involvement.doc
200.009.Residency Training in Risk Management.doc
200.010D.Student Health Insurance.doc
200.011D.Medical Education Performance Based Funding.doc
200.012D.Resident Physicians Faculty Evaluations.doc
200.013.Residency Training in Emergency Medicine.doc
200.014D.Family Leave in Residency Program Contracts.doc
200.015D.Medical Education Data.doc
200.016.Graduate Medical Education.doc
200.017.Regulation of Private Health Professional Schools.doc
200.018D.Medical Education Undergraduate.doc
200.019.Medical School Curriculum Rural Health Programs.doc
200.020.Medical Education Curriculum.doc
200.021.Allied Health Professions Credentialing.doc
200.022.Medical Education Admissions.doc
200.023.Medical Education for Primary Care.doc
200.024D.Residency Training in Community Settings.doc
200.025D.UT Public Health Satellites.doc
200.026.Residency Training Programs.doc
200.027.Graduate Medical Education Training Positions.doc
200.028.Medical School Expansion.doc
200.029.Personalized Education Program.doc
200.030.Preventive Medicine Education.doc
200.031.Medical School Admissions.doc
200.032.Teaching Physicians Audit Process.doc
200.033D.Public Health School North Texas.doc
200.034D.US Medical Licensing Examination Step III Scores for Medical Licensure.doc
200.035D.Coastal Bend Health Education Center.doc
200.036.Community Based Medical Education.doc
200.037.Prairie View AAndM University.doc
200.038.Clinical Skills Assessment.doc
200.039.State Formula Funding of Texas GME Programs.doc
200.040.Joint Admission Medical Program.doc
200.041D.State Formula Funding.doc
200.042.Informing Legislators about Medical Education Process.doc
200.043.Criminal Background Checks on Medical Students.doc
200.044.Community-Based Physicians as Educators and Mentors.doc
200.045.Growth in Medical School Enrollments and Graduate Medical Education Programs and Expansion of State Physician Education Loan Repayment Program.doc
200.046.Educating and Training Physicians in Texas.doc
200.047.Clinical Training Resources for Texas Medical Students.doc
200.048.Residency Slots.doc
200.049.Advocacy Education in Medical School Curricula.doc
200.050.Moonlighting by Residents.doc
200.051.Need for Greater State Support of Graduate Medical Education.doc
Medical Education Finance & Support
205.001.Student Loan Deferment.doc
205.002.Student Loan Funds Repayment.doc
205.003.Nursing Schools Funding.doc
205.004.Educational Financial Assistance.doc
205.005.Funding Levels for Research and Medical Education.doc
205.006D.Funding of Texas Medical Schools.doc
205.007D.Student Loan Funds Disbursement.doc
205.008.Graduate Medical Education Funding Cuts.doc
205.009D.Block Grants.doc
205.010.Medical Education Funding by the State.doc
205.011.Student and Resident Economic Hardship.doc
205.012D.Medical School Funding.doc
205.013D.Residency Programs Funding.doc
205.014.Medical Education Funding Through All Payor Approach.doc
205.015.Medical Education Tuition.doc
205.016.Medical School Scholarships for Minorities.doc
205.017.Formula Funding for Health Science Centers.doc
205.018.Hopwood v Texas.doc
205.019.Instructional Costs for GME.doc
205.020D.Physician Loan Repayment.doc
205.021.State Loan Repayment Program.doc
205.022.Federal Title VII Graduate Medical Education Grant Program.doc
205.023 Physician Education Loan Repayment Program.doc
205.024.Medicare and Medicaid Graduate Medical Education Funding.doc
205.025.Graduate Medical Education Funding.doc
205.026.Expansion of Medical Student Loan Forgiveness Program.doc
205.027.Physician Education Loan Repayment.doc
205.028.Mental Hospital Psychiatry Residency Training.doc
205.029.Hurricane Ike and The University of Texas Medical Branch.doc
205.030.Commercial Support Regarding Unrestricted CME Funding.doc
205.031.Restore Funding of Statewide Preceptorship Program.doc
205.032.Loan Deferment During Residency.doc
205.033.Restoring Parity and Interest Subsidies to Federal Graduate Student Loans.doc
205.034.Reinstate and Enhance Texas Physician Education Loan Repayment Program.doc
205.035.Restore Funding of Statewide Preceptorship Program.doc
205.036.Support for Resident Salaries.doc
Medical Review
210.001D.Private Sector Utilization Review.doc
210.002.Second Surgical Opinion Program.doc
195.001D.Medicare Regulatory Relief.doc
195.002.Medicare HMO Disclosure of Limitations on Choice of Physicians.doc
195.003D.Medicare Supplemental Insurance.doc
195.004.Disproportionate Share Fund.doc
195.005.Medicare Reform.doc
195.006.Medicare Program Cutbacks.doc
195.007D.Medicare Elective Surgery.doc
195.008D.Medicare Explanation of Medical Benefits.doc
195.009.Medicare Hospital Incentive Payments.doc
195.010D.Medicare Cataract Surgery Demonstration Project.doc
195.011.Medicare Fee Schedule.doc
195.012.Medicare Intent of Law.doc
195.013.Medicare Limiting Charge.doc
195.014.Medicare Participation and Nonparticipation.doc
195.015.Medicare Nonpayment for Emergency Office Care.doc
195.016.Medicare Secondary Payer.doc
195.017D.Medicare Serviced Provided by Optometrists.doc
195.018.Medicare Limiting Charge for Injected Drugs.doc
195.019.Medicare Rehabilitation Services Under Managed Care.doc
195.020D.Medicare Automated Laboratory Testing.doc
195.021.Medicare Managed Care.doc
195.022.Medicare Initial Survey and ReCertification Program.doc
195.023D.Medicare Legislation Guidelines.doc
195.024.Medicare HMOs.doc
195.025D.Medicare Chemistry Panels.doc
195.026D.Medicare Reform Healthcare Equity.doc
195.027.Medicare Balanced Billing.doc
195.028.Medicare as a Defined Contribution Plan.doc
195.029.Registry for Advance Directives.doc
195.030.Medicare Payment Localities.doc
195.031.Health Savings Accounts for Medicare Beneficiaries.doc
195.032.Federal Physician Compare Website.doc
195.033.Medicare Value-Based Payment Modifier.doc
195.034.Risk Adjustment under PPACA.doc
195.035.Medicare Opt Out.doc
Mental Health
215.002.Family Planning and Sexually Transmitted Disease Prevention for Institutionalized Individuals.doc
215.003.Mental Hospitals and Clinics.doc
215.004.Psychiatric Care and Treatment.doc
215.005D.Psychiatric Hospitals Licensing.doc
215.006D.Mental Health Code.doc
215.007D.Inequitable Funding for County Mental Health and Mental Retardation Authorities.doc
215.008D.Mental Health Institutions Physician Superintendents of State Hospitals.doc
215.009.Mental Health Institutions Community Mental Health Care Centers.doc
215.010.Mental Health Institutions Guidelines for Psychiatric Practice.doc
215.011D.ICF MR Interpretive Guideline Drug Regulation.doc
215.012.Quality Care for Mentally Ill.doc
215.013.Mental Health Crisis Center in Harris County.doc
215.014.Texas State Advisory Councils for Mental Health.doc
215.015D.Psychiatric Inpatient Admissions.doc
215.016D.TDMHMR and Texas Commission on Alcohol and Drug Abuse.doc
215.017D.Safety Net Rider for Core Mental Health Services.doc
215.018.Patients Awaiting Orders of Protective Custody.doc
215.019.Mental Health Care Funding.doc
215.020.Funding for Mental Illness and Substance Abuse No Psych hospital Closure.doc
215.021.Alternative to Incarceration for Individuals With Nonviolent Behavioral Issues.docx
215.022.Physician-Initiated Mental Health Holds.doc
Military Medicine
220.001.Active Duty Physicians.doc
220.002.Military Medical Reserve Personnel Strengthening of.doc
220.003D.Military Service.doc
220.004D.Military Reserve Duty Physicians Repository of Federal Laws and Regulations.doc
220.005D.Military Medical Reserve Program.doc
220.006.Recognition of Medical Service in Times of Armed Conflict.doc
Peer Review
225.001.Peer Review Notices of Final Determination.doc
225.002D.Peer Review Photocopying Costs.doc
225.003D.Preprocedure Certification Review.doc
225.004D.PRO Preprocedure Certification.doc
225.005D.Texas Medical Foundation Independent Review Panel.doc
225.006D.Texas Medical Foundation Due Process.doc
225.007.Peer Review Regulation of Private Review Organizations.doc
225.008D.PRO Post Admission Preprocedure Review.doc
225.009D.PRO Quality Intervention Plan.doc
225.010.Texas Medical Foundation as Statewide PRO.doc
225.011D.Deficiency Reports without Peer Review.doc
225.012D.Uniform Clinical Data Set.doc
225.013.Due Process for Physicians in Arranged Health Care Plans.doc
225.014.Peer Review for Federally Owned Facilities.doc
225.015D.Texas Medical Foundation as Medical PRO.doc
225.016D.Texas Medical Foundation Peer Review.doc
225.017 TRICARE and PRO Uniformity.doc
225.018D.Texas Medical Foundation.doc
225.019.Peer Review.doc
245.001D.Cognitive Examinations.doc
245.002.Health Care Provider.doc
245.003.Professional Freedom Erosion.doc
245.004D.Advertising Regulation of Health Care Professionals.doc
245.005.Age Discrimination.doc
245.006D.Physician Services Organization.doc
245.007.Retired Physician Restrictions.doc
245.008D.Patient Physician Terminology.doc
245.009.Disciplinary Investigation Reporting.doc
245.010.Physician Discrimination.doc
245.011.Clinical Privileges.doc
245.012.Retired Physician Licensure.doc
245.013.Appropriate Title Nomenclature in Medical Settings.doc
245.014.Physicians and Substance Use Disorder.doc
245.015.Physician Joint Negotiation with Health Care Payment Plans.doc
245.016.Physician Reentry Into Practice.doc
245.017.Clear Identification.doc
245.018.Specialty Board Recertification-Enrollment in a State Physician Health Program.doc
245.019.Physician Immunizations Against Communicable Diseases.doc
245.020.Physicians Retaining Autonomous Clinical Decision-Making Authority.doc
245.021.Patient-Doctor Privileged Communication.doc
Physician Fees
230.001D.Fees According to Ability to Pay.doc
230.002.Fees Direct Billing and Fee For Service.doc
230.003.Fees General and Separate Billing.doc
230.004D.Medical Records Transfer Fees.doc
230.005.Fee Schedules Mandated by Federal Government.doc
230.006.Physician Charge Transparency.doc
230.007.Posting of Charges by All Entities Providing Services in Texas.doc
Physician Payment & Reimbursement
235.001.Fee for Service.doc
235.002.Individual Responsibility for Health Care and Funding.doc
235.003.Reimbursement Based on Years in Practice.doc
235.004.Third Party Payor Physician Payment Reductions.doc
235.005D.Behavioral Offset.doc
235.006.Bundled Payment Proposals.doc
235.007.Reimbursement of Preventive Health Care.doc
235.008.Surgical Assistants.doc
235.009D.After Hours Services.doc
235.010D.Board Certification as a Requirement for Reimbursment or Licensure.doc
235.011.Reimbursement for Emergency and Initial Care Services.doc
235.012.Bundled Payments.doc
235.013.DRG Payment System.doc
235.014D.Reimbursement for Cognitive Services.doc
235.015D.Reimbursement of Physician Training in NonTraditional Sites.doc
235.016.Reimbursement for Risk Deliveries.doc
235.017.Reimbursement Restrictions for Physician Services Provided in Teaching Situation.doc
235.018D.Reimbursement for Percutaneous Blood Gas Determinations.doc
235.019.Universal Identifier System.doc
235.020.Billing by Fellows.doc
235.021D.Reimbursement for Physician Performed Microscopy.doc
235.022.Clinical Pathology Services Payment.doc
235.023.Reimbursement for Uncompensated Services to the Uninsured or Underinsured.doc
235.024.Payment for Laboratory Tests.doc
235.025.Payer Computer Upgrades.doc
235.026.Medical Care and Fair Compensation.doc
235.027.Payment for Physician Work Product.doc
235.028.Texas Revised Franchise Tax.doc
235.029.Franchise Tax Issues.doc
235.030.Increase in Statewide Reimbursement for After-Hour Care.doc
235.031.Equal Payment for Rural Health Clinics Regardless of Type of Ownership.doc
235.032.Payment for Services Provided to County Indigent Patients.doc
235.033.Coordination of Benefits.doc
235.034.Authorizations Initiated by Third-Party Payers.doc
Physician Payment & Reimbursement - Medicare
240.001.Geographic Practice Cost Indices.doc
240.002D.Medicare Claims Mandatory Submission.doc
240.003D.Medicare Single Check Reimbursement for Multiple Patient Services.doc
240.004.Medicare Reimbursement for Emergencies.doc
240.005D.RBRVS Implementation of Fee Schedule for Primary Care EAndM Services in Rural Areas.doc
240.006D.GPCI Delay of Implementation.doc
240.007D.Medicare Billing for Substitute Physician Services.doc
240.009D.RBRVS Extension to Private Payers.doc
240.010.Medicare Payment for Psychiatric Services.doc
240.011.Medicare Reimbursement Funding of Teaching Hospitals.doc
240.012.Medicare Payment for Injected Drugs.doc
240.013.RBRVS AMA Development.doc
240.014.Geographic Practice Cost Indices.doc
240.015D.Medicare RBRVS Conversion Factor.doc
240.016.Medicare Reimbursement Rates.doc
240.017.Prostate Cancer Screening Compensation.doc
240.018.Sustainable Growth Rate.doc
240.019.Medicares Elimination of Payments for Consultation Codes.doc
240.020.Deactivation of Medicare Billing Privileges–Appeal RightsHarsh Adverse Effects.doc
240.021.Equity in Government Payment for Physician Services.doc
Practice Parameters
250.001.Practice Parameters.doc
250.002.Ethical Practice of Medicine for Physicians Participating in the Women's Health Program.doc
250.003.Limiting Physician and Patient Conversations.doc
Primary Care
255.001.Primary Care Physician Definition.doc
255.002.Primary Care.doc
255.003.Undergraduate Medical Education.doc
255.004.Patient-Centered Medical Home.doc
255.005.Monitoring Development of the Patient-Centered Surgical Coordination Concept.doc
Public Health & Safety
260.001.Infectious Waste Management.doc
260.002D.Glue and Paint Sniffing.doc
260.003.Poison Control Centers Enhancements.doc
260.004.Scalding Hot Water.doc
260.005.Community and Migrant Health Centers.doc
260.006D.Genprobe Test.doc
260.008D.Air Bags-Shoulder Belts.doc
260.009.Passenger Safety in Pickups.doc
260.010.Handicapped Parking.doc
260.011D.Hepatitis B Immunization Recommendations of the AAP.doc
260.012D.Minority Health.doc
260.013D.Underride Safety Guards.doc
260.014D.Poison Centers Six Center System.doc
260.017D.Hepatitis B Vaccination For Adolescents.doc
260.018.Motorcycle Helmets and Seatbelts.doc
260.019.Protective Headgear for Equestrian Sports.doc
260.020D.Radioactive Wastes.doc
260.021.Sexually Transmitted Diseases.doc
260.022.Swimming Pool Safety.doc
260.023D.Gun Ownership.doc
260.024D.Hepatitis B Vaccination.doc
260.025D.Sterilization of Instruments.doc
260.026.Football Helmet Use.doc
260.027.Mobile Scanning Services.doc
260.029.Preventive Medicine.doc
260.030.Seat Belts; Motor Vehicle Restraints.doc
260.031D.Explosion Preventing Technology.doc
260.032D.Healthy Communities.doc
260.033D.Sexually Transmitted Disease Education.doc
260.034.Lead Poisoning.doc
260.035D.Toxicological Laboratory.doc
260.036D.US and Mexico Border Health Commission.doc
260.037.Essential Public Health Services.doc
260.038.Television Educational Programming.doc
260.039D.Walk Texas.doc
260.040.Binational Tuberculosis Elimination Campaign.doc
260.042.Core Public Health Services.doc
260.043.Glaucoma Diagnosis and Treatment.doc
260.044D.Gun Safe Campaign.doc
260.045D.Clean Air.doc
260.046.Healthy Families Program.doc
260.047.Low Level Radioactive Waste Disposal.doc
260.048.Manganese in Gasoline.doc
260.049.Public Health Services and Training.doc
260.050.Hepatitis B Vaccine.doc
260.051.Motorcycle Riders without Helmets.doc
260.052.Preventive Screening Tests.doc
260.053D.Public Health Funding Through Medicaid Managed Care Savings.doc
260.054.Family Planning Funding.doc
260.055D.Local Public Health Service.doc
260.056D.Opposition to the Lethal Drug Abuse Prevention Act.doc
260.057.Regulation of Ephedrine Products.doc
260.058.Labeling of Ephedrine Products.doc
260.059.Texas Poison Center Network.doc
260.060.Hepatitis C.doc
260.061D.Safety Regulation Enforcement.doc
260.062.Indoor Tanning Salong Regulation.doc
260.063.Herbal Remedies.doc
260.064.Family Comes First.doc
260.066D.Safe Driving.doc
260.067.Disaster Preparedness.doc
260.068.Bioterrorism Education.doc
260.069.Dangerous Herbal Preparations.doc
260.070D.Sale of Herbal Preparations.doc
260.072.Conscientious Objection to Immunizations.doc
260.073D.Texas Certificate of Birth.doc
260.074.All-Terrain Vehicles.doc
260.075.Family Planning Services for Uninsured Women.doc
260.076.All Hazards Disaster Planning.doc
260.077.Clean Air in Texas.doc
260.078.Mandated Patient Information.doc
260.079.Coal Power Plant and Diesel Emissions in Texas.doc
260.080.Vaccine Delivery.doc
260.081.Bar Coding on Vaccines.doc
260.082.Reducing the Health Burden of Air Pollution in Texas.doc
260.083.Promotion of Healthy Lifestyles I Reducing the Population Burden of Cardiovascular Disease by Reducing Sodium Intake.doc
260.084.Fireworks Education.doc
260.085.Driving While Using Hand-Held Comm Devices.doc
260.086.Retire Coal-Fired Power Plants and Replace With Cleaner Energy Sources.doc
260.087.Natural Gas Fracking in Texas.doc
260.088.United States-Mexico Border Health Commission.doc
260.089.Border Violence Awareness Support.doc
260.090.Distracted Driving.doc
260.091.Sale of Raw Milk.doc
260.092.Responsible Opioid Prescribing for Pain Management.doc
260.093.Clinical Approaches to Obesity Prevention and Treatment.doc
260.094.Cheerleading Head Injuries and Concussion.doc
260.095.Eligibility of Sugar-Sweetened Beverages for SNAP.doc
260.096.EPA-Compliant Pollution Controls on Old Coal Plants.doc
260.097.Post Exposure Prophylaxis for Management of Communicable Diseases.docx
260.098.Reduce Ozone Causing Emissions From Three Antiquated Coal-Fired Power Plants.docx
260.099.Promoting Safe Exit From Prostitution.docx
260.100.TCEQ 2015 State Implementation Plan.docx
265.001.Exclusive Contracts.doc
265.002.National Practitioner Data Bank.doc
265.003.Medicine and Business Coalitions.doc
265.004D.Physician Office Inspections.doc
265.005.Clinical Competence.doc
265.006D.Outcomes Research.doc
265.007D.Office Inspections.doc
265.008D.Health Quality Institute.doc
265.009D.Outcomes Measurement.doc
265.010.Medical Care Guidelines.doc
265.011.Medical Record Review.doc
265.012.Health Information Technology and Health Information Exchange.doc
265.013.Timely Release of Medical Records to Treating Physicians.doc
265.014.Pay-for-Performance Measures.doc
265.015D.Key Principles for Health Information Exchange.doc
265.016.Healthcare Integrity and Protection Data Bank.doc
265.017.Pay-for-Performance Principles and Guidelines.doc
265.018.Evidence-Based Medicine.doc
265.019.Disruptive Behavior Standard.doc
265.020.Comprehensive Analysis of Potential Errors Facilitated by the Implementation of Computerized Physician Order Entry Systems.doc
265.021.Electronic Medical Records.doc
265.022.Improving Pt Care Quality by Decreasing Comm Errors From Language Barriers.doc
265.023.Choosing Wisely Campaign.doc
265.024.Bridges to Excellence as Best Practice Model.doc
265.025.Long-Term Care Funding and Quality Improvement.doc
270.001.Rehabilitation Services Access and Funding.doc
270.002.Rehabilitation Services.doc
270.003.Rehabilitation Services in Managed Care Programs.doc
270.005D.Texas Rehabilitation Commission.doc
270.006D.Glossary of Rehabilitation Terms.doc
Rural Health
275.001.Physician Relief Program.doc
275.002D.Rural Preceptorships.doc
275.003.Rural Health Clinic Regulations.doc
275.004D.Rural Physician Shortage Pilot Project.doc
275.005D.Rural Health Clinic Reimbursement.doc
Science & Technology
280.001D.Biomedical and Veterinary Research.doc
280.002.Insurance Coverage for New Medical Procedures.doc
280.003.Science Education in Public Schools.doc
280.005.Science Teacher Scholarships.doc
280.007D.Vapor Recovery Technology.doc
280.008D.Fetal Tissue Research.doc
280.009D.Cytomegalo Virus and Related Viruses.doc
280.010.Organ Transplants.doc
280.011.Scientific Evaluation Guidelines.doc
280.012.Human Tissue.doc
280.013.Animal Research.doc
280.014.Chelation Therapy.doc
280.015D.Nuclear Medicine Fluoroscopy.doc
280.016.Human Subject Research – A Patients Bill of Rights.doc
280.017D.Lignite and Nuclear Power Sources.doc
280.018.Patenting of Surgical Techniques.doc
280.019D.Stroke Prevention Project.doc
280.020.Science Coalition.doc
280.021.Stroke Prevention Awareness.doc
280.022D.Organ Donation.doc
280.023D.Scientific Section Programming and Content.doc
280.024.Interagency Council for Genetic Services.doc
280.025.Genetically Modified Foods.doc
280.026.Increasing the Number of Donor Organs.doc
280.027D.Black Mold and Human Illness.doc
280.028.Imaging Screening in Asymptomatic Populations.doc
280.029.Stem Cell Research.doc
280.030.Licensure of Genetic Counselors.doc
280.031.Methylmercury and Public Health.doc
280.032.Definition of Surgery.doc
280.033.Hypothermia for Successful Out-of-Hospital Resuscitation.doc
280.034.Pain Management.doc
280.035.ST-Elevation Acute Myocardial Infarction.doc
280.036.Fair Access to Sci and Tech Research Act for Improved Access to Medical Research.doc
Sports Medicine
285.001.Special Olympics.doc
285.002.Weight Requirements.doc
285.003D.Sport Preseason Physicals and Examination Forms.doc
285.004D.Physical Examinations for Athletes.doc
285.005.Salt Use in Athletics.doc
285.006D.Preparticipation Form and Physical Exam for Sport Activities.doc
285.007D.Physical Exams.doc
285.008D.Football Games on Artificial Turf.doc
285.009.Optimal Rehydration of Student Athletes.doc
290.001.Academic Libraries.doc
290.002.Telemedicine Use to Improve Health Care.doc
290.003.Telemedicine Use As Supportive Mechanism.doc
290.004.Telemedicine Consultation Allocation of Association Resources.doc
290.006.Telemedicine Reimbursement.doc
290.007.Telemedicine and Confidentiality.doc
290.008.Telemedicine Use in Protecting the Health and Welfare of Citizens.doc
290.009.Guidelines for Electronic Communications with Patients.doc
Texas Medical Association
295.001D.Legacy of Caring Program.doc
295.002.Health Insurance Offered to Association Employees.doc
295.003.Interspecialty Society Providing News of Interest.doc
295.004D.Relevance to Texas Physicians TMA.doc
295.005.Member Access to Council and Committee Information.doc
295.006.E-Mail Addresses for TMA Leaders.doc
295.007.Conflicts of Interest.doc
295.008.Reduction in Size of Texas Delegation.doc
295.009D.Medical Student Members as Special Appointees to Board of Trustees.doc
295.010.Officer and Trustee Full Disclosure.doc
295.011.Potential Conflicts of Interest Disclosure of Affiliations and Relationships with Business Entities.doc
295.012.Medical School Support of Student Involvement in TMA and AMA.doc
295.013.Election Process.doc
295.014.Adherence to HIPAA Policies by TMA Workforce.doc
295.015.Pilot Programs.doc
TMA Meetings
300.001.Council and Committee Members and Chairs Recognition.doc
300.003D.Annual Session Meeting Dates.doc
300.004D.Annual Session Meeting Schedules.doc
TMA Membership
305.001.Membership Failure to Uphold Service Obligations.doc
305.002D.Inactive Membership Category.doc
305.003.Leave of Absence Subcategory of Membership.doc
305.004D.Resident Physician Section Representation in TMA House of Delegates.doc
305.005D.Resident Representation on American Medical Political Action Committees.doc
305.006.Resident Physician Membership Participation and Retention.doc
305.007.Orientation of New Physicians.doc
TMA Related Organizations
310.001D.TMA TMAA TMAF Committee on Annual Statewide Joint Community Service Projects.doc
310.002D.TMA TMAA Joint Programs at Annual Meetings.doc
315.001D.Smoking in Hospitals.doc
315.002D.Tobacco Advertising.doc
315.003D.Smoke Free Hospitals.doc
315.004D.Smoke Free Environment.doc
315.005D.Tobacco Sales at Pharmacies.doc
315.006D.Tobacco Labeling and Packaging.doc
315.007D.Tobacco Funding.doc
315.008D.Tobacco Investments Divestiture.doc
315.009D.Tobacco Regulation.doc
315.010D.Tobacco Sale and Distribution.doc
315.011D.Tobacco Tax Deductions for Advertising.doc
315.012D.Smoke Free Entities.doc
315.013D.Smoking Cessation.doc
315.014D.Tobacco Education.doc
315.015D.Product Liability Exemption of Tobacco Products.doc
315.017D.Smoking Bans.doc
315.018D.Tobacco Funding for Research.doc
315.019D.Smoke Free Ordinances.doc
315.020D.Smoke Free Texas Prisons.doc
315.021D.Smokeless Tobacco.doc
315.022D.Smoking in Educational Facilities.doc
315.023D.Smoke Free Tobacco Free Hospitals.doc
315.024D.Tobacco Distribution of Free and Discounted.doc
315.025D.Comprehensive Plan to Reduce Tobacco Use.doc
315.026D.Tobacco Settlement Monies.doc
315.027D.Strategy Regarding Texas Tobacco Settlement.doc
315.028D.Tobacco Taxation for Funding Programs.doc
315.029.Smoke-free Dining and Drinking.doc
315.030.Physicians and Regulation of Electronic Cigarettes.docx
315.031.Restricting the Sale of Electronic Cigarettes to Minors.docx
Town Gown
320.001D.Town Gown Purchase of Medical Practices.doc
320.002.Town Gown.doc
320.003D.Town Gown Issues Working Group.doc
320.004D.Medical School Clinics.doc
320.005D.Use of State Funds for Direct Competition.doc
320.006.Managed Care Academic Health Centers Medicaid Patient Base.doc
320.007.Town Gown Medical School Funding.doc
320.008D.Town Gown Relationship.doc
320.009D.Solicitation of Private Patients.doc
Violence & Abuse
325.001D.Financial Responsibility for Sexual Assault and Sexual Abuse Exams.doc
325.002.Family Violence.doc
325.003.Violence Reduction of in the Media.doc
325.004.Child Abuse and Neglect and Family Violence.doc
325.005D.Violence Prevention and Intervention.doc
325.006D.Domestic Violence.doc
325.007D.Family Violence Abuse and Intervention.doc
325.008.Insurance Discrimination Against Victims of Family Violence.doc
325.009.Child Abuse Prevention and Education.doc
325.010. Physicians' Role in Identifying Violence and Abuse.doc
Womens Health Issues
330.001.Folic Acid Supplementation.doc
330.004.Silicone Gel Breast Implants.doc
330.005D.Breast Self Examinations.doc
330.006.Early Discharge of Mothers and Babies.doc
330.007.Folic Acid.doc
330.008.Cervical Cancer Screening.doc
330.009.Preconception and Inter-gestational Health and Care.doc
330.010.Women's Health.doc
330.011.Home Deliveries.doc
330.012.Obstetrical Delivery in the Home or Outpatient Facility.doc
330.013.Maternal Mortality Review.doc
330.014.Maternal Obesity.doc
Workers Compensation
335.001.Workers Compensation Utilization Review.doc
335.002.Workers Compensation Lack of Benefits Due to Cultural and Language Differenc.doc
335.003D.Workers Compensation Physician Medical Director.doc
335.004D.Workers Compensation Vocational Rehabilitation.doc
335.005.Workers Compensation Impairment Ratings.doc
335.006D.Workers Compensation Filing Deadlines.doc
335.007.Workers Compensation System Audits.doc
335.008D.TWCC Spine Treatment Guideline Workgroup.doc
335.009D.Workers Compensation and HB 2600.doc
335.010.Preauthorization and Retrospective Review of Workers Compensation.doc
335.011.TWCC Fines and Investigations.doc
335.012.Guiding Principles for Improvement of Texas Workers Compensation System.doc
335.013.Workers Compensation Prompt Pay.doc
335.014.Workers Compensation Delivery System.doc
185.001.Physician Workforce Texas 2001.doc
185.002.Physician Workforce-Primary Care and Specialty Training.doc
185.003D.Physician Manpower Enrollment of Underrepresented Minorities.doc
185.004D.Physician Manpower Minority Representation.doc
185.005.Physician Shortage.doc
185.006.Physician Workforce and Distribution.doc
185.007D.Underserved Areas.doc
185.008D.Physician Workforce.doc
185.009.Promotion of Medicine and Health Careers to Underrepresented Minorities.doc
185.010.Workforce Shortage Areas Defining Boundaries.doc
185.011.Physician Workforce Long Term Approach.doc
185.012.Physician Recruitment.doc
185.013D.Health Professional Shortage and Medically Underserved Areas.doc
185.014.Physician Workforce.doc
185.015.Addressing Workforce Issues.doc
185.016D.Workforce Analysis Capabilities.doc
185.017.Addressing the Threat to Primary Care in Texas.doc
185.018.Mitigating the Texas Physician Shortage.doc
185.019.Rural Physician Workforce Policy.doc
185.020.Principles for Employment Contracts.doc


text:
Funding via Yehu Microfinance Trust
Mwanasiti sells her makuti from her home to the neighborhood. She has acquired sales experience, which helps her to make a good profit. She has gained a lot of customers because they prefer her excellent service and her product for its quality and affordable price. With this in mind she is now applying for a 40,000 KES loan from Yehu to buy more makuti to sell.
Mwanasiti has many goals she wishes to accomplish. She is confident that she possesses many important skills vital to making this business a success. She is happy in this business and working hard to achieve a prosperous future.
Success!! The loan was 100% repaid


text:
Kohl's is offering 20% off your entire purchase when you use coupon code CYBER20 at check out. You will also receive free shipping (no minimum). If you received any Kohl's Cash for your Black Friday shopping, now is the time to redeem it!
I thought the last day to earn $15 was yesterday/Sunday.
You're right! Sorry Renee and everyone else. I will update the post.
but I can use the money I earned on Black Friday!


text:
6000 Glades rd Ste 1093 1093 Ste Boca Raton, Florida 33431(561) 392-3622 Website
Print | Save | Directions
AboutHollister is located at the address 6000 Glades rd Ste 1093 in Boca Raton, Florida 33431. They can be contacted via phone at (561) 392-3622 for pricing, hours and directions.
Hollister has an annual sales volume of 501K - 999,999. .For more information contact Steve Milliner, Manager or go to www.hollisterco.com|www.facebook.com/hollister
For maps and directions to Hollister view the map to the right. For reviews of Hollister see below.
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Key Contacts
- Steve Milliner
- Manager


text:
NeoGaf's beloved source of insider tips, "crazy buttocks on a train" (affectionately known as CBOAT) has dropped by with another interesting info-package. It's an image marked "Valve confidential" that depicts the final part of the plantation level from Left4Dead2, apparently redone in Source 2.0.
Of course Valve has been incrementally updating its Source Engine over the past few years, but this is a rare look at the engine that may well be used for the next title they put out. Given the nature of the image, and previous rumours, Left4Dead3 may be on the cards. Although that game would have a '3' in the title, which is something Valve generally doesn't react well too.
A further comparison shot between the original Left4Dead2 and the 'remade' shot follows.
Update: A drive-by posting over at Valvetime claims this powerpoint presentation and its images are from 2011. The same person provided another image from a different angle, so they presumably know their stuff.
Dx9 is a disease, kill it, everything made should be DX11+ now
I'd imagine any Source 2.0 engine would be OpenGL. Valve wants to get away from DirectX entirely.
Even better!
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