Why Should Physicians Care About M&A

Mergers and acquisitions (M&A) have for quite some time been a piece of the social insurance scene. The indicated objectives incorporate effectiveness, better access, enhanced quality and lower cost prompting upgraded productivity. The vulnerability in the social insurance condition and repayment has driven healthcare frameworks to seek after M&A to safeguard their focused position and to pick up value influence with safety net providers. For other people, it might mean getting to populace healthcare ability, healthcare designs or relationship with a prominent healthcare framework.

The Advisory Board reports that the volume of M&A’s almost doubled from 50 in 2009 to 89 in 2012. Indeed, hospital transactions as a whole (including mergers, acquisitions, and joint ventures) have climbed from 66 in 2010 and 95 in 2014 to 112 in 2015, an 18% increase from 2014. Kaufman, Hall & Associates reported 102 deals in 2016 and reported an 8% increase in the first quarter of 2017 compared to the same period in 2016. It is projected that one in five hospitals will pursue a merger in the next five years. The majority of mergers occur in hospitals with less than $500 million in annual revenue and in not-for-profits, which represent about 75 % of all hospitals. Forty-one percent of 250 senior healthcare executives surveyed expect that M&A will represent their growth strategy in the coming year.

Benefits

To be sure, hospitals certainly are not in the business of losing money unless there were demonstrated benefits to the acquirer as well as the acquired. The main reasons advanced include: benefit of the larger scale, lower cost of capital and improved care due to the standardization of processes and patient care

In fact, one study shows a 2.5% reduction in annual operating expense per admission at the acquired hospital. However, the authors of this report point out that the expense per admission did not go down in absolute terms but the increase was 2.5% lower than comparable hospitals. The report also failed to find any statistically significant improvement in outcomes. Another study by Dranove and Lindrooth looked at two independent hospitals merging into one health system between 1986 and 1996. They saw a benefit of a 14% reduction only if the two merged hospitals operated using one license rather than two separate licenses.

Market forces have altered the size of physician practices. While the solo or 2-10 physician practices are decreasing, large groups approaching 50 physicians are on the rise. An advantage for merging physician groups is that the ‘vertical’ integration of employed physician and hospitals is often associated with higher prices charged to commercial insurers.

–Dr. Kenneth Scott Koeneman, MD

Nutrition And Cancer Care

In 2018, an estimated 1,735,350 new cases of cancer will be diagnosed in the United States, with the most common cancers being breast cancer, lung cancer, prostate cancer, and colorectal cancer. The good news is more and more patients are surviving cancer. For example, in 2016, there were an estimated 15.5 million cancer survivors in the U.S.

Great nourishment is vital, both amid and after malignant growth treatment. Nourishment is the procedure by which sustenance is taken in and utilized by the body for development, to keep the body sound and to supplant tissues. A solid eating routine includes eating and drinking enough nourishment and fluids that have the supplements your body needs. These supplements incorporate nutrients, minerals, protein, starches, fat, and water.

While malignant growth medicines can inflict significant damage on your body, eating the correct sustenances can enable you to feel good and rally quicker. Eating admirably can likewise enable you to endure treatment-related reactions and add to your quality and vitality.

Understanding the Importance of Proteins, Fats, Carbs, and Water

Each cancer patient is different, but there are some general nutrition concepts to keep in mind. For example, people undergoing cancer treatment often need more protein. This is because protein is vital to healing tissues and to help keep the immune system healthy. If you don’t have enough protein during cancer treatment, your body may break down muscle tissue instead for the fuel it needs. If this happens, it may take you longer to recover from treatment and make you more at risk to infections.

How Cancer Itself and Related Treatments Affect Nutrition

When the head, neck, esophagus, stomach or liver are affected by the cancer treatment, it can be hard to take in enough nutrients to stay healthy. Some cancer treatments may also affect your taste, smell, appetite and the ability to eat enough food or absorb the nutrients from food. This can cause malnutrition, which is a health issue caused by a lack of key nutrients. Malnutrition may cause patients to be weak, tired and not able to fight an infection or finish cancer treatment. The issue of malnutrition may be worse if cancer grows or spreads. By working with your cancer care team and a registered dietitian, you can help ensure you are eating the right amount of protein and calories

Take care of yourself and instead of frying chicken in vegetable oil, you can make “oven fried chicken” with less fat, calories, and salt. Finally, if you decide to drink alcohol, limit the amount to no more than 1 drink per day for women, and 2 for men.

-Dr. Kenneth Scott Koeneman, MD (Urology Specialist)

Doctors Opinion Regarding Prostate Cancer!

Prostate cancer is a type of cancer which upsets the system and functioning of the prostate gland which is present beneath the bladder and in front of the rectum. Prostate cancer is the kind of cancer which is most commonly perceived to be affecting men. Though it is a dangerous disease, it can be cured if the treatment begins in the initial phases. As time passes, the treatment continues to become complex. Therefore, it is always better to rely on regular checkups so that you can identify any health-related issues early. The sooner the disease is diagnosed, it easier it is to treat it. This cancer can be treated completely if it is treated before its spread all over the body. It is important to conduct regular screening so that you can identify any issues. Following are some major symptoms that are perceived in patients of prostate cancer.

How to confirm prostate cancer?

Majority of the patients do not report any symptoms during the initial stages. This is why it becomes very difficult to identify and diagnose the disease in the early stages. Though, if symptoms emerge, they commonly include the following ones:

Frequent urination:

Patients sometimes report that they feel a recurrent need to urinate during the entire day.

 Difficulty urinating:

Some patients report that they find it really hard to urinate. The flow is not normal. Urine takes time to come out and it becomes difficult to maintain it.

Blood in urine:

There are some patients who report that they bleed while urinating.

Pain:

Some experience pain while urinating.

Difficulty in erecting:

Sexual arousal is not very frequent and some report that they find difficulty achieving an erection. This surely affects the sex life of people as they are less likely to feel aroused.

Pain in bones:

In the case of advanced prostate cancer, the symptom of bone ache is perceived. Some also report pain in the spine, pelvis, ribs or femur. Sometimes the bones even get fractured.

Leg weakness:

In case cancer spreads the down to spine and the spinal cord gets compressed as a result, some patients report that they feel that their legs are becoming weaker. Some even report having fecal incontinency.

Role of a Nutritionist in Avoiding Prostate Cancer!

Have you ever heard of the horror that one gets when one gets to know that he is suffering from cancer? The horror is real and it is important to avoid it even if you have cancer or you are at its risk. This is a sickening disease and anyone can get affected by it. Therefore, it is important to understand the importance of the fact that different lifestyle changes can help you in maintaining a great lifestyle. It is also imperative to understand the negative effects of alcohol on your entire wellbeing.

The commonality of prostate cancer points toward the common habits that every human being has adopted lately, smoking, excessive consumption of alcohol and a number of other things lead to different issues. The aforementioned things have played a great role in the development of prostate cancer. Another thing that must be taken into consideration is that different food choices can help you in balancing your health. Tissue building and blood flow are two different things that are managed by different foods and they are further strengthened by them as well.

Slight changes in lifestyle:

Different changes and progress in the lifestyle are of excessive importance and they are going to give you unmatched benefits. Adopting a new lifestyle that includes healthy eating is very important. Good health is the best thing and different people have recognized the importance of good health. You would be amazed to know this that different food selections can help you in having a better sleep pattern. Sleep is equally important as food.

Opinion of doctors

Doctors are quite persuaded that different lifestyle changes can bring positive progress in your life. There is a different definition of healthy food of we take the opinion of a number of people into account. It is important to get in touch with a nutritionist as he or she can guide one in a proper manner that which foods are healthy and which are not. A person cannot decide the right kind of food without assistance of the doctor or nutrition specialist.

Everything You Need To Know About Prostate Cancer!

Prostate cancer is just another kind of cancer but it is different from other kinds in a way that it cannot be easily identified in the initial stages owing to a number of reasons. Even though the technological developments has played a significant role in the identification of such diseases, there are still certain diseases that require more time for their identification. The most important factor in this regard is that the symptoms of prostate cancer are similar to different diseases which causes delay in the exact identification.

It can be inferred that it is difficult to diagnose prostate cancer at early stages. It is also important to notice the fact that symptoms are different in every case.

Different symptoms in different cases:

Prostate cancer is difficult to diagnose in the early stages as most of the time patients show different symptoms and it is difficult to categorize a category of the symptoms of prostate cancer. This simply means that of a certain patient complain about urinary pain, the other might have abdominal swelling. The most important thing in this regard is that there are a number of people who have varying intensity of pain as well.

Higher rates of prostate cancer in men:

Prostate cancer is quite common in men if we take the statistics in to account. Therefore, doctors who deal with affected people strongly suggest men to visit their doctor for complete checkup as this is the only way to diagnose this disease at early stages.

Urinary symptoms:

Owing to the fact that the prostate gland is located right next to bladder, a number of symptoms are linked to urinary problems. As per the opinion of the doctors, most of the people suffering from this disease complain about pain while urinating and other pertinent symptoms. This disease can affect urine flow and can cause pain while urinating.

In addition to it, following are the major symptoms as per the opinion of the doctors:

• Feeling of burning and pain while urinating
• UTI or any other kind of infection affecting abdomen
• Difficulty while urinating that is usually painless
• Loss of bladder control
• Unusual flow of urine
• Urge to pass out urine frequently at night

How Eating Right Can Help In Avoiding Prostate Cancer?

You might be amazed by reading the title and might be thinking how a disease like cancer can be treated through diet or how it can be avoided through eating right. Well, you have read it right and this article is the complete guide regarding how eating right can save you from a number of diseases.

It is important to mention some of the food items here that can cause such diseases and these food items include caffeine, alcohol, unhealthy fats and refined sugars can enhance the chances of such diseases. It is also important to shed light on the negative outcomes of processed food.

Nutritional programs designed to deal with prostate cancer comprises of foods rich in zinc and selenium. The aforementioned two components are known for their amazing power against the growth of tumors. In addition to it, foods including Vitamin B are also quite helpful in this regard. In the same manner, you can also consult your nutritionist as he or she can guide you better regarding the diet that you must be avoiding and the one you must be taking.

Healthy Digestion is essential in making the difference!

A well-functioning digestive system is of great importance if we talk about tackling the prostate cancer. It is important to understand the importance of your diet here as well. A better diet leads to a strong and well-functioning digestive system. Balancing your digestion is a great thing if we talk about dealing with the prostate cancer. Or in better words, preventing it.

Importance of digestive enzymes:

Digestive enzymes are of great significance in this regard as they can help to deal with prostate cancer and even avoiding it. If we focus on other elements, hydrochloric acid in a supplemental form of stomach acid can also be beneficial in this regard. It is helpful as it helps in the breakdown of food. There are a number of other things as well that can also help in better digestion.

Why are probiotics necessary?

Probiotics are helpful as they play an important role in balancing your digestive microflora. It is basically the bacterial ecosystem that helps in managing and regulating your immune system and nutrient approval. Your body can fight the bacteria off if the food selection is right.

–Dr. Kenneth S Koeneman, MD

Ways to Avoid Prostate Cancer

If you have been facing multiple issues regarding your health, then you should know that there are countless ways to improve things for yourself. However, you will have to take preventive measures to improve things for your overall health. If you have been facing symptoms of prostate cancer, then there are few important things that you should immediately take into account. If you are not focusing on the things that will help you in the best way possible, then you won’t be able to come up with a great solution. Make sure that you are avoiding prostate cancer by focusing on few basic tips.

Dr. Kenneth S Koeneman, MD – Urology Specialist

It is the right way to proceed so you can avoid all the issues that you are facing. Here, we will be sharing few important ways to avoid prostate cancer. Make sure that you are checking things in detail so you can come up with a great solution.

Always focus on the right diet

Whenever you are trying to avoid prostate cancer, you will have to focus on taking the right diet. If you are not paying close attention to the details that matter the most, then you won’t be able to come up with a great solution. It is always necessary for you to go through every single detail that will help you in the best way possible. Make sure that you are taking the perfect diet to avoid the risk of prostate cancer. If you are not focusing on your diet plan, then you won’t be able to make things easier for yourself.

Cut back on few things

There are few things that you need to cut back on. If you are trying to improve your health, then you should always focus on healthy lifestyle and healthy diet plan. You need to avoid corn oil or simple carbohydrates. If you want to take care of yourself and you want to get rid of the problems that you are facing, then you should cut back on these things.

Keep doing exercises

Exercise is necessary for multiple reasons. If you are doing exercise on a regular basis, then it will keep you healthy. You will be able to avoid all the health issues if you are focusing on doing exercise on the regular basis. These are the things that you need to focus on so you can avoid all the problems that you are facing.