Tag Archives: health journalism

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Tampa Bay Times: At Moffitt, a push to ease cancer’s toll in the workplace

By Justine Griffin

Cathy Bishop, a retired teacher and assistant principal in Hillsborough County, is in remission after treating stage IV colon cancer at Moffitt Cancer Center in Tampa. The disease affected key decisions about her career and retirement. [Photo courtesy of Moffitt Cancer Center]

Cathy Bishop worked as a teacher and assistant principal at Hillsborough County schools for nearly 35 years when she found out she had colon cancer.

Diagnosed after a routine colonoscopy, she had to make a tough decision about how she was going to let the disease impact her career. She would rely on the health insurance offered to her through the school district to pay for medical bills that stacked up because of chemotherapy and surgery. But ultimately, Bishop chose to work through her diagnosis and treatment plan instead of taking medical leave.

“My retirement is a teacher’s pension, which is half a salary. Basically, not much,” Bishop said. “I have two sons, and one of them was in law school at the time. I had to make a decision that was best for my family.”

Bishop told her story Monday to a room full of professionals from some of the Tampa Bay region’s largest employers. Tech Data, Port Tampa Bay, the YMCA and the city of Orlando government were just a few of the organizations in the audience at the Moffitt Cancer Center in Tampa. Moffitt hosted its first ever “Employer Forum,” where doctors and administrators shed light on the cost of cancer and its huge impact on the workforce. They also proposed a new way of collaborating with insurers to make treatments more affordable for patients like Bishop.

“It’s a topic that’s hardly ever mentioned in the workplace, but the employer plays a big role in terms of support for the patient and their family,” said Dr. Louis Harrison, chief partnership officer at Moffitt and one of several physicians who shared stories about how difficult it can be for patients to balance work and cancer.

“Just recently I was treating a patient with neck and head cancer who was worried a test was going to take too long,” he said. “He told me he had to get back to work or else they were going to be angry with him. What a predicament.”

Read more here.

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Tampa Bay Times: Free clinics respond as more people head to the ER with dental problems

By Justine Griffin

Charles Lee had been dealing with an excruciating toothache for days.

The pain made it hard to eat or sleep or focus on work. But Lee, 54, didn’t have dental insurance. His job as a delivery truck driver offered only a supplemental policy that was too expensive. He feared he needed a root canal, which he knew could cost hundreds of dollars even with insurance.

The Department of Health in Pinellas County referred Lee to a free dental clinic in Clearwater, just blocks from his home, where a volunteer dentist found the cause of his issue and replaced two fillings for the price of a donation.

“I had nowhere to go. I had no affordable health care. I went into a Walgreens to see what they could do, and walked out with my tooth still killing me because they wanted $119 just to see me,” said Lee, one of the 27 percent of U.S. adults ages 20 to 64 who, according to the Kaiser Family Foundation, are living with untreated dental issues.

Most adults who don’t have dental insurance end up in emergency rooms because of tooth or gum problems. The number of patients who go to the ER with dental-related issues surged from 1.1 million in 2000 to 2.1 million in 2010, and continues to rise, according to the American Dental Association. The organization says that up to 1.65 million ER visits a year could be better handled at dental clinics.

While the Affordable Care Act and low-income insurance programs like Medicare and Medicaid have improved Americans’ access to health care, barriers still remain for adult dental care.

Local health departments, including in Pinellas, Hillsborough and Pasco counties, offer some low-income dental plans to residents who qualify. And children’s dental care is covered nearly in full through Medicaid, the federal Children’s Health Insurance Program and the ACA.

But Florida Medicaid plans for adults provide dental-related reimbursements only to participants who need emergency services to alleviate pain or infection or denture-related procedures, according the Agency for Health Care Administration.

At the Community Dental Clinic in Clearwater, dentists and hygienists convinced Charles Lee to come back for several follow up appointments, which helped get his dental care on track. And Lee didn’t have to worry about how much he was paying for the continuing service.

Read more here.

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Tampa Bay Times: Patients face delays, bureaucratic headaches after marijuana clinics close

By Justine Griffin

The remaining Tetra Health Care center is located at 2814 W Martin Luther King Jr. Blvd. in Tampa. Similar to a walk-in urgent care center, Tetra Health Care is a place where patients can see a licensed doctor about obtaining medical marijuana as a form of treatment. [Photo by ALESSANDRA DA PRA | Times]

Thousands of patients who received medical marijuana access from physicians at a half-dozen recently closed clinics in Tampa Bay may be forced to find another doctor soon, which is no easy task due to state restrictions.

Tetra Health Care, a California-based chain that hires licensed doctors to write medical marijuana recommendations at six clinics in Florida, shut down all but one of them last month to focus on working with state lawmakers to make access easier for patients, a company spokeswoman said. But a former doctor with the chain said Tetra ran into financial trouble and stopped paying its physicians and staff in October.

Those in the industry say Tetra’s downsizing is just one sign of many growing pains doctors and companies will face as Florida heads into its second year offering medical marijuana products to registered residents.

“When they stopped paying us is when I left,” said Dr. Kelly King, who worked for Tetra Health Care since the company began opening clinics in Tampa Bay last summer. She said Tetra was still using the passwords of departed physicians to access the state registry that tracks which patients were assigned to them.

“I noticed after I left, they were still putting new patients into my registry,” she said. “People I had never seen or treated before.”

King, who said she treated hundreds of patients during her time with Tetra, also said the company grew too big too fast. Tetra Health Care had one clinic in Sacramento, Calif., before expanding into Florida.

“They never really opened a lot of offices at one time before,” King said.

Tetra had five locations in the Tampa Bay area: two in Tampa and one each in St. Petersburg, Clearwater and Brandon. A sixth was in the Orlando area. Patients are being directed to one remaining center in Tampa, at 2814 W Dr. Martin Luther King Jr. Blvd., for appointments and doctor recommendations.

“The roadblocks from the state and delays in patient access have resulted in higher operational costs than originally projected for the industry statewide, including for Tetra Health Care. Tetra expects to make full restitution shortly,” said Tanya Cielo, a spokeswoman for Tetra.

Read more here.

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Tampa Bay Times: As politicians pledge solutions to the opioid epidemic, advocates say the key will be money

By Justine Griffin

With deaths from opioid abuse rising dramatically, state and national leaders have stepped up recently to acknowledge the crisis. But those on the front lines of the epidemic say the best thing they can do is provide money for much-needed treatment. [Times files]

The opioid epidemic has grabbed the spotlight of late, with state and national leaders promising action.

Gov. Rick Scott pledged in September to push for tighter prescription rules and budget $50 million for treatment and beefed up law enforcement. A month later, President Trump declared the epidemic a public health emergency and outlined some possible ways to fight addiction and make certain drugs less available.

But local advocates, medical professionals and researchers who work every day with those affected by opioid addiction are hesitant to celebrate until they see meaningful action.

“We certainly want to commend the governor that he’s recognizing that he needs to make a larger commitment to combat this epidemic,” said Anne Swerlick with the Florida Policy Institute in Tallahassee. “But both on the fiscal and policy side, the state has not opted to expand Medicaid, which would be leveraging millions of dollars to provide substance abuse programs for people in need.”

She worries that much of the $50 million Scott talked about would go to law enforcement, “which isn’t the same as providing people coverage for programs that have been proven to help.”

Scott’s office says the money would go toward statewide drug treatment, counseling and the Florida Violent Crime and Drug Control Council, a program launched in 1993 to help local law enforcement agencies with violent crime or drug investigations.

The governor also plans to propose legislation that would limit opioid prescriptions to a three-day supply, or seven days under strict conditions; require those who prescribe or dispense medication to use a statewide database that monitors prescriptions; combat unlicensed pain management clinics; require health professionals to get and stay educated about opioids; and open the door for federal grants to help with the problem.

But Scott’s record has some people questioning his commitment. In 2011, he eliminated the Office of Drug Control and chose not to expand Medicaid. And state funding has fluctuated drastically over the years for organizations like Operation PAR in Tampa Bay, which provides drug treatment and mental health services for those dealing with addiction, said Marvin Coleman, the group’s vice president of community relations.

“We need more help along the lines of funding,” Coleman said. “In order to treat a client, we need the infrastructure in place to help them: the facility, the doctors, the nurses. It takes dollars. The public awareness of the issue is great. This crisis hits all corners, and so many people have been touched by this epidemic. But the only way to fight it is to fund treatment.”

Despite his doubts, Coleman said he’s hopeful. He said lawmakers are asking the right questions this year, and looking for the best ways to help and allocate money to programs with good track records.

“A lot of centers like us sustained budget cuts last year. Substance abuse centers are never at the top of the list,” Coleman said. “But they ended the last legislative session talking about the issue, and we hope they begin the next one by keeping this topic on the table.”

The 2018 session begins in January.

Read more here.

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Tampa Bay Times, Study: Mental quickness exercises can lower risk of dementia

By Justine Griffin

Where did I leave my keys?

As we age, it can take longer to answer a question like that.

Humans begin to lose cognitive ability at age 25. Dementia, or the decline of memory most commonly seen in aging adults, takes hold early on and is gradual, but accelerates in the seventh or eighth decade of our lives.

However, a local researcher and the lead author on a ground-breaking medical study has found a way to reduce the risk of dementia by a remarkable 29 percent. The answer? Computer games.

Computerized brain-training exercises studied by Jerri Edwards, a professor in the Department of Psychiatry and Behavioral Neurosciences at the University of South Florida, are the first intervention of any kind to reduce the risk of dementia in older adults, according to the study, just published in the journal Alzheimer’s & Dementia: Translational Research & Clinical Interventions.

Read more here.