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Kentucky rises to No. 3 in diabetes, increasing concern about removing dental and vision coverage from basic Medicaid

Kentucky rises to No. 3 in diabetes, increasing concern about removing dental and vision coverage from basic Medicaid
Gov. Matt Bevin's plan for Medicaid "would have a profound effect in a state with the nation's third-highest rate of diabetes," The Courier-Journal reports, because it would remove dental and vision care from the regular package of benefits.

Reporter Deborah Yetter cites a Louisville optometrist who often discovers diabetes during routine eye exams, and an Eastern Kentucky dentist who "is seeing many more patients thanks to Kentucky's 2014 expansion of Medicaid that added coverage for those he describes as the 'working poor'."

"Dr. Bill Collins, a dentist and president of the Kentucky Dental Association, sees many patients with diabetes, which can worsen oral health," Yetter writes. "Some patients are in such bad shape they must have all of their teeth extracted" because, he said, they have gone "so many years without care and without insurance." (MORE)

Local medical center is one of only a few nationwide, to perform the newest non-surgical, reversible weight loss procedure

Louisa, KY – Approved by the FDA in June, Three Rivers Medical Center is the first hospital in Kentucky, and one of only a few nationwide, to perform the newest non-surgical, reversible weight loss procedure.

Dr. FrazierThe procedure utilizes a tube to drain a portion of the stomach contents after every meal.

The staggering truth is that more than one-third of adults in America are obese and sometimes losing the weight is not just a matter of willpower, but can be influenced by many biological factors,” said Dr. Thomas Frazier, the gastroenterologist who performed the first procedure. ”Providing this type of non-surgical weight loss option can mean the difference for many individuals struggling with associated health issues and low quality of life.

The procedure enables patients to remove up to 30 percent of a meal from the stomach through a thin tube after eating so the body doesn’t absorb the calories, causing weight loss. During a 15-minute procedure under twilight sedation, a thin tube is placed in the stomach, connecting to a discreet button on the abdomen. Patients can remove up to 30 percent of a meal directly into the toilet using a smartphone-sized device. The device used in the procedures was approved by the FDA in June 2016.

Patients also must learn to eat more slowly and chew carefully to ensure digested material can fit through the tube, helping patients learn to eat smaller portion sizes. Once the patient achieves his or her desired weight loss, the tube can be removed, or left in place indefinitely if the patient chooses.

We are excited to be a pioneer in the state by offering people struggling with obesity a new, less invasive weight loss option compared to bariatric surgery,” said Greg Kiser, CEO of Three Rivers Medical Center.  

For more information on this new weight loss procedure, Please contact Three Rivers Gastroenterology at (606) 638-4656.

About Three Rivers Medical Center

Three Rivers Medical Center is your community healthcare provider; a 90-bed acute care facility accredited by The Joint Commission. We believe in the power of people to create great care. We provide essential hospital essential hospital services and are proud to house an accredited Chest Pain Center and a Sleep Disorders Center. And we work hard every day to be a place of healing, caring and connection for patients and families in the community we call home. 

Three Rivers Medical Center, Healing Begins Here


Opioid epidemic has increased rate of grandparents raising grandchildren; 21% live below poverty line

An increasing number of grandparents are raising their grandchildren, largely because many of the children's parents are addicted to heroin or prescription drugs, both increasing problems in rural areas, Teresa Wiltz reports for Stateline. In 2015, 2.9 million kids were living with their grandparents, up from 2.5 million in 2005.

"Child welfare officials say drug addiction, especially to opioids, is behind much of the rise in the number of grandparents raising their grandchildren, just as it was during the crack cocaine epidemic of the 1980s and ’90s," Wiltz writes. That has led to a growing number of children being neglected or abandoned and for caseworkers to turn to grandparents for help, largely because the foster care system is already overcrowded with children of addicts.

"Federal law requires that states consider placing children with relatives in order to receive foster care and adoption assistance," Wiltz writes. "And grandmothers and grandfathers often are the first—and best—choice when state and local caseworkers have to take a child out of a home and find someone else to take custody, said Angela Sausser, executive director of the Public Children Services Association of Ohio, a coalition of public child-safety agencies in the state."

Generations United, a group that works to improve the lives of youth and older adults, says that grandparents and other relatives raising children save taxpayers $4 billion each year by keeping the children out of the foster care system, Wiltz reports. But some of those grandparents might not be equipped to handle raising a child. Generations United says that 21 percent of grandparents caring for grandchildren live below the poverty line, 39 percent are over 60 and 26 percent have a disability. "And because many are not licensed in the system, they are not eligible for the same services and financial support as licensed foster parents." (Read more)

Written by Tim Mandell Posted at 11/02/2016 11:48:00 AM