Sheila OShaughnessy Peripheral Neuropathy Relief

My name is Sheila O'shaughnessy and I've been coming to see greenand staff for six months. I saw him on Facebook awesome people liked him so I um made an appointment came I came because I new I was suffering from peripheralneuropathy and I had burning and tinglingmy hands and feet and

heating and burning went up to my elbows and my knees and I knew I had to do something about it and I knew if I didn't take care of it this issue that I would be very I would be immobilized as I got older I also came because I have avery foggy brain lo and behold

up to six months I do not have theburning and tingling up to my knees and elbows t's now onlymy feet and hands I found out I was allergic to gluten I found out I was allergic to lots of foods different foods.I changed my diet I change the way I think about how I need to improve my health I'm off

all mediions except for the supplements that Green has been giving me and I am more than thrilled about the way I feel today and peoplehave noticed the changme. I look forward to continuing on this journey with you and I look forward to continuing thisjourney with green and his staff until I feel like I am completely cured of all my ailments wonderful great

Medical Coding for Pressure Ulcers

Alicia: Pressure ulcers these are fun,not quite as much fun as neoplasms, but most people that start outthe medical fieldwhen they're young they end up working in, they used to be called nursing homes now.They are skilled facilities and stuff like that. So most of us have timethere, andpressure ulcers are something that is kind of the bane of the healthcare profession becausethey are very hard to treat and prevent. Q: It was asked by one of the students previously,pressure ulcers, how do we code them? You have to code the site where it's loed andyou have to code the stage. So, she wanted to know is it site stage, site stage; or isit site, site, stage, stage?

A: First, let's figure out what a pressureulcer is. Pressure ulcers on the skin reduce blood flowto the area. Without enough blood, the skin can die and an ulcer may form. An ulcer isliterally like how you get a cold sore on your lip or something like that. That's what'shappening. You are more likely to get a pressure ulcerif you area wheelchair. It doesn't matter how old you are but you've got constant pressureon your buttocks,your sacrum and stuff. Usually if you'rea wheelchair you can'tfeel, so you don't know when it's starting to go numb.

If you're an older adult, cannot move certainparts of your body without help because of a spinal injury or multiple sclerosis, havea disease that affects blood flow including diabetes or vascular disease like PVD orneuropathy or stuff like that and you're not able to feel. You have Alzheimer's diseaseor another condition that affects your mental status. In other words, you're sitting fora long period of time and you don't think to get up. You have fragile skin, the older you get,if you've noticed if you look at somebody that's a whole lot older than you, you'llnotice their skin gets papery thin and you

can see the vessels and stuff. You have urinaryincontinence or bowel incontinence. Again, this goes with Alzheimer's disease, if you'resittinga chair and Alzheimer's isn't like you forgot where your keys are. Alzheimer'sis like when you can't remember what a key is used for. If you can't remember that youhave to go to the bathroom when you feel that discomfort, you have urinary incontinence.You do not get enough nutrition (malnutrition) that's another keyway to have problems. Here are the main places that pressure ulcersoccur: The back of the neck, the head because of the bed, on your elbows. If you've everhad to be beidden like if you were pregnant

or something, they made you staybed fora long time and you're constantly pushing yourself, sliding yourself upthe bed,you'll get pressure ulcers on the elbows. Your sacrum (the tailbone), buttock area,because that's where people like to lay on their back and stuff, or on their sides orsacrums; that's why they say you have to move every two hours or more often. The ankle andthe heel, you don't think about that, but if you're not moving and your foot sits fortwo hoursone position, your foot can go numb. So, that's the most common places. Let's get into the coding aspect of it. Theseare the common codes for pressure ulcers:

You've got 707.00 and they start with a zero.It goes all the way down to different body parts and they mainly list those red bulletedareas that we were talking about. Then, there are stages. Now these are going to be 707.02codes and each one of those is going to indie a different. I did list all of these becauseI wanted to give you this description so you have a better understanding. Stage 1 is considered a superficial lesionwith discoloration of the skin, but the lesion is not actually an ulcer at this point. Itpresents as a nonblanching reddened area on the skin. Stage 1 indies a higher riskfor serious pressure ulcer but does not cause