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April 27th, 2010
12:09 PM ET

Surgical equipment price a shocker

By Sabriya Rice, CNN Medical News producer
and Elizabeth Cohen, CNN Senior Medical Correspondent

When Dr. Linda Galloway learned she needed surgery to save her vision, she scheduled the procedure immediately with her ophthalmologist.

What an eye-opener it was when the hospital bill arrived. She noticed several high-priced items, including a charge of $863.20 for disposable forceps.

"Surgical instruments can be expensive but I think $863.20 is really outside of the realm of realistic prices," she complains.

Then Galloway, an obstetrician in Orlando, Florida went online and found similar forceps for $1,155 for a box of six, or $192 each.

"I was outraged. I tried to get an explanation as to why I was charged that amount of money," she said. When she called the billing department, the answer upset her even more.

"They said when you signed consent for the procedure, you allowed us to charge anything we wanted to and therefore, this is what it is," she recalls.

Galloway says she was especially upset because with her insurance plan, she has to pay 20 percent of her medical bill and if the hospital is going address her as a consumer, then she wants them to level the playing field.

"I need to be in power to do things.  If you're going to charge me this amount of money, then I need to know exactly what instruments you're going to use and what medications you're going to use. Because I can then buy them outside and bring them to the hospital."

Florida Hospital, the place where Linda had her surgery says their charges are fair and compatible with other hospitals.

"Like all other hospitals across the country, [Florida Hospital] bases charges on a charge master that serves as a guide,” a spokeswoman wrote in an e-mail.  She says that an independent contractor compares Florida Hospital’s charges with those of other hospitals and that the results show “we are in the mid-range in that pricing structure."

But is markup of more than four times the market rate really reasonable?

According to the American Hospital Association, the prices increases are necessary.

“A hospital is a very expensive enterprise to keep open 24 hours a day, 7 days a week, 365 days a year and ready for any medical need or emergency. And that does lay out a basic level of cost that has to be captured through the charge structures," says Rich Umbdenstock, president of the AHA.

Umbdenstock says that hospitals have to compensate for programs such as Medicare and Medicaid that traditionally underpay, and that each hospital has to set prices in a way that helps their bottom line.

"The hospital has to be able to bring in more money than it spends or else it won't be there for the next patient.”

Editor's Note: Medical news is a popular but sensitive subject rooted in science. We receive many comments on this blog each day; not all are posted. Our hope is that much will be learned from the sharing of useful information and personal experiences based on the medical and health topics of the blog. We encourage you to focus your comments on those medical and health topics and we appreciate your input. Thank you for your participation.


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It is as part of all-natural approaches of battling and counteracting depression that the inclusion of cannabis preparations with cannabinoids naturally occurring in the plant in the day-to-day diet regimen is acquiring an increasing number of popularity worldwide. Cannabidiol CBD, located in e.g. CBD oil or full-spectrum hemp oil, appears in many clinical studies as a potentially efficient cannabinoid in the treatment of clinical depression. Notably, it is a 100 natural chemical compound of plant origin. Surprisingly, anxiety is among the three most usual mental illness in which individuals consider CBD hemp preparations such as CBD oil, full spectrum hemp oil with CBD or CBD capsules. Reports from customers and their favorable point of views on the efficiency of e.g. CBD oil or full range hemp oil with natural CBD are expanding at an extraordinary speed. 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A high degree of anandamide is also associated with a positive impact on the reduction of depression as well as anxiousness signs and symptoms. This system is still not completely comprehended, however it appears rational that a highly clinically depressed mood in a specific time period for a details situation, and also with the synchronised lack of actions aimed at its renovation, results in an intensification of the increase of unfavorable ideas. As depressive conditions create, they can turn into a lot more dangerous forms of conditions, e.g. psychosis, delusions or schizophrenia. Decreasing this procedure as quickly as feasible might become critical in the efficient treatment of mental disorders of human performance.

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Main definitions suggest that depressive problems, likewise understood colloquially as anxiety, are defined by: sudden depression of a person's mood, in the unfavorable direction, of modest to strong intensity of the strength of the skilled modifications, for more than a few weeks. There may be several factors for the event of modifications. It additionally occurs that it is difficult to determine any unquestionable factor. We very typically discovered the declaration that it is a human being disease of the 21st century – it impacts both older and also more youthful people. Our education and learning is trivial for clinical depression, let alone our profits – it can impact any person. Treatment of anxiety boils down to: pharmacotherapy, psychotherapy and psychoeducation, phototherapy, electroconvulsive therapy and even more all-natural tasks associated with the augmentation of exercise and also the introduction of considerable adjustments in the everyday diet. It is as part of natural approaches of battling and counteracting clinical depression that the addition of marijuana preparations with cannabinoids normally taking place in the plant in the day-to-day diet plan is getting increasingly more popularity on the planet. Cannabidiol CBD, found in e.g. CBD oil or full-spectrum hemp oil, shows up in countless scientific studies as a possibly effective cannabinoid in the therapy of clinical depression. Importantly, it is a 100 all-natural chemical compound of plant origin. Remarkably, anxiety is among the 3 most common mental illness in which people consider CBD hemp prep work such as CBD oil, full range hemp oil with CBD or CBD capsules. Records from consumers as well as their favorable point of views on the efficiency of e.g. CBD oil or complete spectrum hemp oil with natural CBD are expanding at an unmatched pace. 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The endocannabinoid system includes a neurotransmitter called anandamide (AEA). Anandamide is a neurotransmitter that is naturally generated in the human brain. Its manufacturing is promoted by e.g. physical activity, as well as to a lesser extent by the supposed work with the body (massage!). Its sources are "used" to maintain the correct performance of the body, including in the field of psychological health and wellness. As received this research study: https://www.ncbi.nlm.nih.gov/pubmed/23580381 high degrees of anandamide are associated with a decreased threat of developing psychotic symptoms. A high level of anandamide is likewise connected with a positive effect on the reduction of clinical depression as well as anxiousness signs. This mechanism is still not totally understood, yet it seems sensible that a highly clinically depressed mood in a private time period for a certain instance, as well as with the synchronised absence of actions aimed at its enhancement, leads to a concentration of the influx of unfavorable ideas. As depressive disorders establish, they can become much more harmful types of conditions, e.g. psychosis, delusions or schizophrenia. Decreasing this procedure as rapidly as possible may turn out to be important in the efficient therapy of mental illness of human functioning.

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Official meanings suggest that depressive problems, likewise known colloquially as anxiety, are characterized by: unexpected anxiety of a person's state of mind, in the adverse direction, of modest to strong intensity of the strength of the knowledgeable adjustments, for greater than a couple of weeks. There may be several factors for the occurrence of adjustments. It also takes place that it is challenging to determine any unquestionable factor. We very often discovered the declaration that it is a human being condition of the 21st century – it impacts both older as well as more youthful people. Our education is not important for clinical depression, not to mention our incomes – it can affect anyone. Treatment of clinical depression comes down to: pharmacotherapy, psychiatric therapy and also psychoeducation, photo-therapy, electroconvulsive therapy and also more natural tasks connected to the aggravation of physical activity and also the introduction of significant adjustments in the day-to-day diet. It is as part of natural methods of fighting as well as neutralizing anxiety that the addition of cannabis preparations with cannabinoids naturally happening in the plant in the daily diet plan is acquiring increasingly more appeal on the planet. Cannabidiol CBD, located in e.g. CBD oil or full-spectrum hemp oil, shows up in countless clinical studies as a possibly effective cannabinoid in the treatment of depression. Significantly, it is a 100 all-natural chemical substance of plant origin. Interestingly, depression is among the three most usual mental illness in which clients consider CBD hemp prep work such as CBD oil, complete spectrum hemp oil with CBD or CBD pills. Reports from consumers and their favorable point of views on the efficiency of e.g. CBD oil or complete range hemp oil with natural CBD are expanding at an unprecedented speed. THC as well as CBD cannabinoids – distinctions The main cannabinoids in the marijuana plant are THC (Δ9-tetrahydrocannabinol) as well as CBD (cannabidiol). They show hostile effects, which indicates that CBD minimizes the impacts of THC. What are these impacts? THC has an envigorating effect, creates a feeling of bliss, affects cognitive features, yet additionally loosens up. Huge, on a regular basis taken in doses of THC are considered dangerous to the human brain. Excessive consumption of THC can result in psychosis, lack of motivation, and even permanent negative modifications in cognitive function. Both THC as well as CBD influence the endocannabinoid system in the body. Their action, as currently stated, is contradictory. Cbd-a-thc-in-the-endocannabinoid-1 system When creating images, CBD slows down the exhaustion of anandamide resources, and also THC speeds up this procedure. Nevertheless, this does not suggest that THC is only a damaging cannabinoid and also must not be in the preparation in all. However. Its small visibility in hemp preparations is also necessary in order to obtain the so-called impact. synergy. THC completely range hemp oil exists in such a limited and also, importantly, legal amount. This amount is so little (less than 0.2) that it does not create intoxication. Collaborating, THC as well as CBD have better possibility than either particle performing alone. What is anandamide (AEA)? What is its relevance for people experiencing anxiety? Continue reading! CBD, Anxiety as well as the endocannabinoid system The endocannabinoid system is a crucial system responsible for the regulation of fundamental human physical processes, such as power management, neurohormonal and neuroimmune connections, motor activity, mood and also inspiration, and also fat metabolic rate. The endocannabinoid system consists of a neurotransmitter called anandamide (AEA). Anandamide is a neurotransmitter that is naturally produced in the human brain. Its manufacturing is promoted by e.g. exercise, and also to a lower extent by the supposed work with the body (massage therapy!). Its sources are "used" to preserve the correct functioning of the body, including in the field of mental health and wellness. As displayed in this study: https://www.ncbi.nlm.nih.gov/pubmed/23580381 high degrees of anandamide are related to a reduced danger of creating psychotic symptoms. A high level of anandamide is additionally associated with a positive effect on the decrease of depression and anxiety signs. This system is still not totally recognized, but it appears rational that a strongly clinically depressed mood in a private amount of time for a particular instance, and with the simultaneous lack of activities aimed at its renovation, leads to an aggravation of the increase of unfavorable thoughts. As depressive disorders create, they can develop into much more harmful kinds of problems, e.g. psychosis, deceptions or schizophrenia. Reducing this process as promptly as possible may turn out to be crucial in the effective treatment of mental illness of human functioning.

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Main definitions suggest that depressive problems, additionally known informally as clinical depression, are defined by: unexpected anxiety of an individual's state of mind, in the unfavorable instructions, of modest to solid strength of the intensity of the knowledgeable modifications, for greater than a couple of weeks. There might be several reasons for the incident of modifications. It additionally takes place that it is challenging to recognize any indisputable reason. We really frequently come across the declaration that it is a civilization disease of the 21st century – it impacts both older and younger people. Our education is not important for clinical depression, not to mention our earnings – it can influence anyone. Therapy of depression boils down to: pharmacotherapy, psychotherapy as well as psychoeducation, photo-therapy, electroconvulsive therapy and even more all-natural activities related to the rise of physical activity as well as the intro of significant adjustments in the everyday diet regimen. It is as part of all-natural techniques of dealing with as well as combating anxiety that the addition of marijuana prep work with cannabinoids naturally happening in the plant in the everyday diet is obtaining more and more popularity in the world. Cannabidiol CBD, discovered in e.g. CBD oil or full-spectrum hemp oil, appears in various scientific research studies as a potentially effective cannabinoid in the treatment of anxiety. Importantly, it is a 100 natural chemical compound of plant origin. Remarkably, clinical depression is among the three most typical mental illness in which people resort to CBD hemp preparations such as CBD oil, complete spectrum hemp oil with CBD or CBD capsules. Reports from consumers and also their favorable point of views on the performance of e.g. CBD oil or complete range hemp oil with all-natural CBD are growing at an extraordinary rate. THC and CBD cannabinoids – differences The primary cannabinoids in the cannabis plant are THC (Δ9-tetrahydrocannabinol) and also CBD (cannabidiol). They show hostile effects, which means that CBD lowers the effects of THC. What are these results? THC has an envigorating result, creates a feeling of euphoria, influences cognitive features, but likewise kicks back. Huge, regularly eaten dosages of THC are considered damaging to the human brain. Excessive usage of THC can bring about psychosis, absence of inspiration, as well as also long-term negative modifications in cognitive feature. Both THC and also CBD impact the endocannabinoid system in the human body. Their action, as already stated, is inconsistent. Cbd-a-thc-in-the-endocannabinoid-1 system When writing photos, CBD decreases the deficiency of anandamide sources, and THC speeds up this procedure. However, this does not mean that THC is only an unsafe cannabinoid as well as should not be in the preparation in all. On the other hand. Its small visibility in hemp prep work is even essential in order to get the supposed impact. synergy. THC completely spectrum hemp oil exists in such a limited as well as, notably, legal amount. This amount is so little (less than 0.2) that it does not cause intoxication. Working together, THC and CBD have better capacity than either molecule performing alone. What is anandamide (AEA)? What is its significance for people suffering from depression? Keep reading! CBD, Anxiety and also the endocannabinoid system The endocannabinoid system is a crucial system responsible for the law of fundamental human physical procedures, such as power management, neurohormonal as well as neuroimmune connections, electric motor activity, state of mind and also inspiration, and fat metabolic process. The endocannabinoid system includes a natural chemical called anandamide (AEA). Anandamide is a neurotransmitter that is naturally generated in the human brain. Its manufacturing is boosted by e.g. physical activity, and to a minimal degree by the so-called deal with the body (massage therapy!). Its sources are "utilized" to maintain the correct functioning of the body, including in the field of mental health. As displayed in this research study: https://www.ncbi.nlm.nih.gov/pubmed/23580381 high levels of anandamide are connected with a lowered risk of developing psychotic symptoms. A high level of anandamide is additionally associated with a positive effect on the reduction of anxiety and anxiety signs and symptoms. This system is still not fully comprehended, but it seems rational that a highly depressed mood in a private time period for a specific case, and also with the simultaneous absence of actions aimed at its improvement, brings about an intensification of the influx of negative thoughts. As depressive disorders create, they can become a lot more unsafe types of problems, e.g. psychosis, delusions or schizophrenia. Reducing this procedure as quickly as feasible may become critical in the effective treatment of mental disorders of human functioning.

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Main interpretations recommend that depressive problems, also recognized informally as clinical depression, are defined by: abrupt clinical depression of an individual's state of mind, in the negative instructions, of modest to strong intensity of the strength of the experienced changes, for greater than a few weeks. There might be one or more reasons for the incident of modifications. It likewise occurs that it is challenging to recognize any indisputable factor. We really usually found the declaration that it is a world illness of the 21st century – it influences both older and more youthful people. Our education and learning is trivial for depression, let alone our revenues – it can influence any person. Therapy of anxiety comes down to: pharmacotherapy, psychotherapy and psychoeducation, photo-therapy, electroconvulsive therapy and also even more all-natural tasks connected to the aggravation of exercise and the intro of significant adjustments in the daily diet plan. It is as part of natural techniques of dealing with as well as counteracting depression that the addition of cannabis prep work with cannabinoids normally happening in the plant in the everyday diet plan is acquiring more and more appeal worldwide. Cannabidiol CBD, found in e.g. CBD oil or full-spectrum hemp oil, shows up in countless clinical research studies as a potentially reliable cannabinoid in the treatment of clinical depression. Importantly, it is a 100 all-natural chemical substance of plant beginning. Surprisingly, depression is amongst the 3 most common mental illness in which people turn to CBD hemp prep work such as CBD oil, complete spectrum hemp oil with CBD or CBD capsules. Records from consumers as well as their positive opinions on the effectiveness of e.g. CBD oil or full range hemp oil with all-natural CBD are growing at an unmatched pace. THC and also CBD cannabinoids – distinctions The primary cannabinoids in the cannabis plant are THC (Δ9-tetrahydrocannabinol) as well as CBD (cannabidiol). They show hostile effects, which suggests that CBD reduces the impacts of THC. What are these results? THC has an envigorating impact, causes a sensation of ecstasy, influences cognitive functions, but additionally kicks back. Big, regularly taken in dosages of THC are taken into consideration hazardous to the human brain. Too much consumption of THC can cause psychosis, lack of motivation, and also also permanent unfavorable modifications in cognitive function. Both THC and CBD impact the endocannabinoid system in the body. Their activity, as already pointed out, is inconsistent. Cbd-a-thc-in-the-endocannabinoid-1 system When writing pictures, CBD decreases the exhaustion of anandamide resources, and THC accelerate this procedure. Nonetheless, this does not suggest that THC is just a harmful cannabinoid as well as ought to not remain in the prep work in any way. However. Its little visibility in hemp prep work is even required in order to obtain the supposed impact. synergy. THC in full range hemp oil is present in such a low and, notably, lawful amount. This amount is so tiny (less than 0.2) that it does not cause intoxication. Interacting, THC as well as CBD have better potential than either particle acting alone. What is anandamide (AEA)? What is its relevance for people experiencing clinical depression? Continue reading! CBD, Depression and the endocannabinoid system The endocannabinoid system is a vital system responsible for the law of standard human physical procedures, such as power monitoring, neurohormonal and neuroimmune connections, electric motor task, mood as well as inspiration, and also fat metabolism. The endocannabinoid system consists of a natural chemical called anandamide (AEA). Anandamide is a neurotransmitter that is normally produced in the human brain. Its manufacturing is boosted by e.g. exercise, as well as to a lower extent by the supposed work with the body (massage therapy!). Its sources are "used" to keep the correct performance of the body, consisting of in the field of psychological wellness. As displayed in this study: ncbi.nlm.nih.gov/pubmed/23580381 high levels of anandamide are connected with a reduced danger of establishing psychotic symptoms. A high level of anandamide is also associated with a positive result on the decrease of clinical depression and also anxiousness signs. This mechanism is still not fully understood, yet it seems sensible that a strongly depressed mood in a private period for a certain instance, as well as with the synchronised lack of activities aimed at its improvement, leads to a climax of the increase of unfavorable ideas. As depressive problems develop, they can develop into a lot more dangerous kinds of problems, e.g. psychosis, delusions or schizophrenia. Reducing this process as promptly as feasible might become crucial in the efficient therapy of mental illness of human functioning.

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Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.