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Our Health Talk Blog

An ongoing series of informative entries personalized to our client's needs

More Vaccination Information Blog Entry

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Adult Children

Did you know that under the Affordable Care Act (ACA),” insurance plans that cover children now allow parents to add or keep adult children on their health insurance policy until they turn 26 years old” CDC, 2017)? Let me hear about your experiences.

More Information on Vaccination Coverage from the CDC

Medicaid

Most state Medicaid agencies cover at least some adult immunizations, but some may not offer any vaccines. Check with your state Medicaid agency for more information.

Military

If you serve in the military or are a military dependent, you are eligible for TRICARE. Under TRICARE, vaccines are covered according to the CDC recommended schedule.

No Insurance?

If you do not currently have health insurance, visit www.HealthCare.gov to learn more about affordable health coverage options.

Homeless

The Miami Rescue Mission provides free vaccines to Homeless adults 18 years of age 

Vaccination for the Seniors Blog Entry

Adult Immunizations

For Our Senior Citizens - Straight from the CDC:

Medicare Part B will pay for the following:

• Influenza (flu) vaccines

• Pneumococcal vaccines

• Hepatitis B vaccines for persons at increased risk of hepatitis

• Vaccines directly related to the treatment of an injury or direct exposure to a disease or condition, such as rabies and tetanus

Medicare Part D plans identify covered vaccines through formularies. Part D plan formularies must include all commercially available vaccines (except those covered by Part B). A new preventive vaccine may not specifically appear in the formulary, but the plan may still cover the vaccine. Contact your plan to find out about coverage.

Medicare Part D or Medicare Advantage Plan Part C that offers Medicare prescription drug coverage may also have coverage for the following:

• Zoster (shingles) vaccine

• MMR vaccine

• Tdap vaccine

Vaccination Blog Entry February 20, 2018

Adult Immunizations

Did you know that according to the CDC, “all health insurance Marketplace plans, and most other private insurance plans must cover certain vaccines without charging a copayment or coinsurance when provided by an in-network provider? This is true even for patients who have not met a yearly deductible. Doses, recommended ages, and recommended populations for vaccinations vary. The following vaccines are usually covered by health insurance” Check with your insurance provider for your coverage. The list of covered vaccines includes: Hepatitis A and B; Herpes Zoster, Human Papillomavirus (HPV), Influenza (FLU), Measles, Mumps, Rubella (MMR), Meningococcal, Pneumococcal (PPSV 23 and PCV 13), Tetanus, Diphtheria, Pertussis (Tdap) and Varicella.

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Prescription Opioids

From 1999-2016, more than 350,000 people died from an overdose involving any opioid, including prescription and illicit opioids.2

This rise in opioid overdose deaths can be outlined in three distinct waves.

The first wave began with increased prescribing of opioids in the 1990s 3, with overdose deaths involving prescription opioids (natural and semi-synthetic opioids and methadone) increasing since at least 1999.

The second wave began in 2010, with rapid increases in overdose deaths involving heroin.

The third wave began in 2013, with significant increases in overdose deaths involving synthetic opioids – particularly those involving illicitly-manufactured fentanyl (IMF). The IMF market continues to change, and IMF can be found in combination with heroin, counterfeit pills, and cocaine. 2,4

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Prescription Opioids

Prescription opioids can be used to treat moderate-to-severe pain and are often prescribed following surgery or injury, or for health conditions such as cancer. In recent years, there has been a dramatic increase in the acceptance and use of prescription opioids for the treatment of chronic, non-cancer pain, such as back pain or osteoarthritis, despite serious risks and the lack of evidence about their long-term effectiveness.


Side Effects

In addition to the serious risks of addiction, abuse, and overdose, the use of prescription opioids can have a number of side effects, even when taken as directed:

• Tolerance—meaning you might need to take more of the medication for the same pain relief

• Physical dependence—meaning you have symptoms of withdrawal when the medication is stopped

• Increased sensitivity to pain

• Constipation

• Nausea, vomiting, and dry mouth

• Sleepiness and dizziness

• Confusion

• Depression

• Low levels of testosterone that can result in lower sex drive, energy, and strength



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Breast Cancer Gene

Tumors are neoplasms described as a proliferation of mass producing cells that are either benign (non-spreading) or malignant (growth of abnormal cells that spread by infiltrating tissue) (Heuther and McCance, 2017, p. Turgeon, 1996, p. 416). Malignant neoplasms are referred to as cancer, described as a disease of aging in recent literature (McCance and Heuther, 2014, p. 367). Cancer is an oncogene that is directly related to several carcinogens (cancer causing agents) and can be found in both the external and internal environments. Although, the etiology of cancer is unknown, etiologic factors have been found in exposure to radiation, chemicals, hormones and viruses (Coleman, Limbard and Sicard, 1992, p.429; (McCance and Heuther, 2014, p.364 ); as well as a genetic link in persons with a family history of breast cancer.


Because genetics and epigenetics have a major influence on the development of cancer in families with a known history of breast cancer, there is a high propensity for the development of malignant cancer cells (McCance and Heuther, 2014, p. 372). According to a University of Cambridge (2014) study conducted by the international PALB2 (partner localizer of BRCA2) Interest Group, researchers found that women with PALB2 mutations had an 1-in-3 chance for developing breast cancer by age 70 years. The study was conducted in 17 centers and 8 countries and included “data from 154 families with mutations of the BRCA1 and BRCA2, including 362 family members with PALB2 gene mutations” (Printz, 2015). Study findings showed a 35% chance of developing breast cancer by age 70 among persons with a family history of breast cancer and with more than one relative affected by the disease. Recommendations were provided by the authors encouraging women found with the mutated gene to receive genetic counseling and follow up breast screenings with an magnetic resonance imaging (MRI) (Printz, 2015).