SIUSLAW NEWS ❚ WEDNESDAY, APRIL 13, 2016
5 B
Community acupuncture Round up household hazardous waste this weekend
County is holding a
What to bring: paint, house- 541-682-4120.
items at a time): televisions,
offered every Wednesday free Lane hazardous
waste roundup hold cleaners, lawn and garden
What about hazardous waste computer monitors, central pro-
On Wednesdays, Patricia
Immel, L.Ac., of Wellspring
Clinic, offers “Points of
Grace,” a weekly community
acupuncture
program
between noon and 3 p.m.
The treatment is acupunc-
ture of the ears with 1 to 5
points treated in each ear,
followed by 15 to 25 min-
utes of relaxation time with
the needles in place.
This is a quiet group treat-
ment held in the Wellspring
Clinic Garden Room.
Acupuncture of the ears is
a very simple and effective
therapy to relieve pain, calm
and balance the nervous sys-
tem, reduce anxiety and
depressive feelings, promote
restful sleep, increase mental
clarity and provide an inner
sense of wellbeing.
This treatment, known as
5NP or 5 needle protocol, is
utilized internationally in
integrated healthcare set-
tings.
Walter Reed Medical
Center in Washington, D.C.,
is currently researching the
effectiveness of acupuncture
to help veterans and return-
ing military personnel with
recovery from traumatic
experiences.
Currently, acupuncture is
being used in war zones for
active duty soldiers to relieve
pain, anxiety and insomnia.
Wellspring Clinic is now
located at 1845 Highway
126, near Quince Street at
Park Place, suite H.
You should allow 30 to 40
minutes for your treatment
experience. Donations are
appreciated and will help
sustain Points of Grace.
For more information,
contact Wellspring Clinic at
541-902-8860 or email well
spring@bmi.net.
for households and will collect
up to 35 gallons of hazardous
waste per customer.
Businesses, schools, church-
es or nonprofit organizations
are subject to disposal fees.
In Florence, the round up
will be Friday, April 15, from
noon to 5 p.m., and Saturday,
April 16, from 8 a.m. to 2 p.m.,
at the Florence Transfer Site,
2820 N. Rhododendron Drive.
All community members are
welcome
to
participate
in the roundup.
Chen’s Family Dish,
Homegrown, Los Amigos
Burritos, Craig’s BBQ,
Beachcomber, Ichiban,
A Taste of Hawaii, Best-Thai
Cuisine, Jerry’s Place
Order online at:
FlorenceFoodDelivery.com
or call 541-991-8399
We specialize in:
Stain • Scratch Removal • Road Paint
Tar • Over spray • Tree Sap • Oxidation
B Y B OB H ORNEY
CANCER SURVIVOR
U S TOO CHAPTER LEADER
M
y first inkling that PSA-
based screening had
been under a full-blown
attack was when Dr. Bryan
Mehlhaff, at the March 9 meeting
of the Us TOO Florence Prostate
Cancer Education/Support Group,
stated that CMS (Center for
Medicare and Medicaid Services)
had dropped pursuing a clinical
quality measure which could
financially penalize physicians
who dared order a PSA test.
My knowledge of this measure
started last November, with a let-
ter from Tom Kirk, president and
CEO of Us TOO International.
Kirk said he received an email
from the American Urological
Association that same week
informing them that the CMS had
contracted with Mathematica
Policy Research to develop a clin-
ical quality measure entitled
“Non-Recommended PSA-Based
Screening” and had opened the
draft version for public comment.
I only had two days to submit
my comments but I made it, rely-
ing on the information in the letter
from Kirk.
The intent of the measure as set
forth by the CMS: “This measure
targets an important area for qual-
ity improvement: reducing the use
of medical services that have been
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Dakotah Hill, Owner
541.214.0714 • 1745 15th, Florence
kodyhill96@live.com
PARTS
CONSIGNMENTS
SERVICE
cessing units (CPUs) and lap-
tops.
Appointments are required
and fees may apply for more
than seven items. To arrange an
appointment, call 541-682-
4120. There is a $35 charge for
large copy or printing machines
and large floor-standing elec-
tronics.
Call 541-682-4120 for more
information regarding haz-
ardous waste disposal for
households or businesses.
Behind the headlines
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GET THE PERFECT SHINE AND PROTECTION
from businesses?
Businesses, nonprofit organ-
izations, schools and churches
that generate small amounts of
hazardous waste may pre-regis-
ter for this event. They must
pay a fee for disposal of their
waste, but most can save
money by using this program
rather than a contractor.
For electronics recycling, the
Florence transfer site will
accept the following items for
free during normal operating
hours (maximum of seven
Us TOO Flor ence
Food Delivery
Mon-Sat. 11am-9pm
View Menus Online
chemicals, car care products,
arts and crafts products and
other household hazardous
waste. Check labels for words
such as flammable, corrosive,
poison, caution and danger.
Don’t bring empty contain-
ers, drums, radioactive waste,
asbestos, electronics or explo-
sives.
Any empty containers can be
safely thrown in the trash.
For information about dis-
posal of radioactive waste,
asbestos and explosives, call
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found to result in more harms than
benefits. The intent of this meas-
ure is to discourage the use of
PSA-based screening in the gener-
al population of men. A lower rate
on this measure indicates better
performance.”
It is no surprise, then, that the
2012 USPSTF recommendation
was the basis of this measure since
Mathematica was tasked with
eliminating, as much as possible,
all PSA-based screening.
Instead of asking Mathema-
tica to perform an in-depth analy-
sis including current PSA-based
screening and suggest a clinical
quality measure, CMS provided
the measure’s title, “Non-
Recommended
PSA-Based
Screening” and the USPSTF 2012
recommendation as the evidence.
As noted in the Large Urology
Group Practice Association
response, the document produced
by Mathematica revealed a lack of
familiarity and depth in preparing
for this task.
Not a single reference was cited
beyond 2013. Had Mathematica
done its own research, including
2014-2015, it would have
observed the true effects of the
2012 USPSTF recommendation
— fewer men being screened,
fewer men being diagnosed with
prostate cancer — but the number
of men having a PSA greater than
10 at the time of diagnosis increas-
ing by 3 percent per year. That
clearly suggests that cancers are
being detected later when treat-
ment is more difficult.
This turnaround was predicted
in 2012 by many expert urologists
throughout the U.S. With primary
care physicians being discouraged
from ordering the test and many
men deciding on their own to
avoid the test, there was every rea-
son to expect advanced prostate
cancer diagnoses to gradually
resemble the 1980s Pre-PSA era.
Back to Dr. Mehlhaff’s com-
ment: The problem, as stated in
several responses to the CMS, is
that the measure could potentially
be used in all of Medicare’s quali-
ty reporting programs. This would
financially penalize providers who
order a PSA test unless a man had
at least one of 4 specific excep-
tions: prostate cancer, known pre-
cancer, PSA level above 4.0 with-
in past year or on a 5-alpha reduc-
tase
inhibitor.
Healthcare
providers ordering this test in men
without those exceptions would be
providing lesser quality care
(according to the CMS). As a
result, Medicare would pay them
less.
After reviewing the public
comments, CMS made the follow-
ing statement: “We have heard the
concerns and recommendations
from many stakeholders. Based on
this feedback, CMS will continue
to work with the American
Urological Association as well as
engage additional members of the
community such as providers and
patients. By taking the time to
engage stakeholders in reviewing
the electronic specifications, we
can then determine the path for-
ward for this eCQM. We seek to
develop quality measures that
facilitate effective, safe, efficient,
patient-centered, equitable and
timely care.”
Time will tell.
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541-999-6709
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