Living Well Spring 2014

cotics) and physical

medi c i ne ( re s t ,

stretching, chiro-

practic, physical ther-

apy or a back brace)

Preventing back pain

is the best solution to

minimizing pain as

you age. Maintain-

ing a healthy weight,

good diet and good

posture are im-

portant, as is exercise

to keep your back

and abdomen strong

and flexible.

All-States Medical

Supply offers a back

brace that is covered

by insurance that can

help to relieve pain.

If you are looking for

a non-surgical ... continued on page 19

Living Well By All-States Medical Supply

S P R I N G

2 0 1 4

Back Pain? You Are Not Alone.

80% of

the popu-

lation will

e x p e r i -

ence some

sort of

back pain in their

lifetime. For some,

the pain is due to an

injury, poor posture,

being overweight or

other health condi-

tions, but the num-

ber one cause for

back pain is actually

AGING.

Using our backs over

time can cause pain

that is just “normal

wear and tear.”

That’s because the

discs between the

vertebrae wear away

and shrink, which

causes pain and stiff-

ness as the bones rub

against each other.

If you overdo it, you

may feel soreness in

your lower back.

Common treatments

can include surgery

(disc replacement or

spinal fusion), medica-

tions (aspirin, ibu-

profen, steroids or nar-

FACTS ABOUT BACK PAIN:* 8 out of 10 people will

suffer from back pain at some point in their lifetime.

Within any given year, up to 50% of US adults suffer from back pain.

Americans spend $50 Billion a year on low back pain

It is the second most frequent reason for visits to the physician.

Every year there are approx. 916,000 spinal surgeries performed in the US.*www.usspinecare.com

P A G E 2

Congratulations

to John H. from

NC for winning

our Fall

Folding Cane

Giveaway!

Name_____________________________________________________________________

Address___________________________________________________________________

City___________________________________State___________________Zip_________

Phone____________________________Email___________________________________

THREE WAYS YOU CAN ENTER before noon on June 30, 2014*:

ONLINE by visiting: http://www.AllStatesMedical.com/WIN

EMAIL us at: [email protected]

MAIL this form to: All-States Medical Supply

ATTN: Marketing

221 Old Hendersonville Road, Suite A

Fletcher, NC 28732

ENTRY FORM

*Visit www.AllStatesMedical.com/WIN for official contest rules. One entry per person.

Winner will be chosen on July 1, 2014

WIN! WIN! WIN!

Prevent falling by

placing this mat on

your bathroom floor

or tub. $18.95 reta i l va lue .

Available in Blue or White.

P A G E 3

We would like to con-

gratulate David W.

Wilson, C.Ped. on re-

cently passing his ex-

am to become a Certi-

f i e d P e d o r t h i s t

through The Ameri-

can Board for Certifi-

cation in Orthotics,

Prosthetics & Pedor-

thics. Are you won-

dering what a Certi-

Certified Pedorthist

ASM Employee News

fied Pedorthist does?

David works in our

Shoe department and

assesses the needs of

our patients by evalu-

ating and sizing them

for custom fit inserts

and therapeut ic

shoes.

The 4th Quarter Em-

ployee Award was giv-

en to Anne Mbodwam

for her teamwork and

dedication to ASM.

Anne has been with

the company since

2010 working in sev-

eral departments as

the company grew

and needs arose. She

has settled in nicely

Quarterly Employee

Award

to the Pharmacy and

has since become a

Registered Pharmacy

Tech. With Anne’s

help, the pharmacy

has grown tremen-

dously over the last

year. Anne is a pleas-

ure to work with and

is thrilled to be recog-

nized by her fellow em-

ployees for the award.

Congratulations Anne! David W. Wilson, C.Ped.

“Doing a great job! You’ve come a long way baby! Keep it up. Very pleased! I know you had some growing pains getting started, but your doing a great job! Keep Going!” Philip from TN “I am a new client to All-States and am very happy with the service and all the supplies I have received. I am looking forward to getting other educational materials from you. Thanks for my order!” Edith from CT

Patient Testimonials

P A G E 4

The Centers for Medi-

care and Medicaid

Services (CMS) have

now begun to enforce

Section 6407 of the

Affordable Care Act.

This section requires

physicians, nurse

practitioners, physi-

cian assistants, and

clinical nurse special-

ists to document they

have had an in-person

face-to-face examina-

tion with their patient

within six months of

writing an order for

Durable Medical

Equipment. They

need to document the

exam in their medical

records stating the

need for the item be-

ing requested.

CMS recently sent a

“Dear Physician” let-

ter to your physician

regarding these new

guidelines. If you will

will not be affected by

this change, so if you

already receive test-

ing supplies from us

then you will contin-

ue to do so. You will

only be affected if you

place an order for

NEW equipment such

as a seat lift mecha-

nism, continuous air-

way pressure devices,

or a back brace.

If you have a change

in testing frequency

and need additional

supplies, the new law

won’t apply. It only

applies to equipment,

NOT consumables

such as diabetic test-

ing supplies, CPAP

masks or electrodes

for the TENS unit.

Call or email us if you

have questions about

this new law.

Face-to-Face Exam is now required by Medicare

require any new equip-

ment that is to be paid

by your Medicare in-

surance, you must

have had an in-person

face-to-face examina-

tion to discuss the

need for the item with-

in the last six months

prior to your physician

ordering the new de-

vice and before we are

able to send your sup-

plies. This does not

apply to orders that

have already been

placed.

How does this affect

you?

If you already receive

supplies from us, your

current supply order

P A G E 5

CPAP Supplies Medicare covers replace-

ment supplies to keep your

CPAP clean and safe to use.

Clean filters keep air parti-

cles out of the device and ul-

timately your body. Mask

cushions break down over

time from your skin’s oil,

causing them to crack and

not seal properly.

There is no charge to get

these supplies. Simply con-

tact our CPAP department

to get on schedule for deliv-

ery. You can reach them at

855-362-3344 ext. 2511.

Item When

CPAP Mask Every ninety days

Mask Cushion Monthly (Full Face) Or Bi-monthly (nasal)

Filters Bi-monthly

Tubing Every ninety days

Headgear Every six months

Diabetic Supplies

Replace Your Supplies

Item When

Glucose Monitor

Every five years

Strips Every three months

Lancets Every three months

Batteries Every six months

Control Solution

Every three months

Lancing Device

Every six months

The above schedule is when

Medicare allows you to re-

ceive new supplies. We will

automatically ask you on

your due date if you would

like to receive your new sup-

plies. If you prefer, you can

re-order your testing supplies

on our website home page

www.allstatesmedical.com.

Simply click the link to fill

out the questionnaire. Once

submitted our medical rec-

ords team will handle your

request.

P A G E 6

Finished puzzle answers can be found on last page of newsletter.

Crossword

Puzzles by www.BoatLoadPuzzles.com

6. Mont Blanc, e.g.

7. Confederate general

8. Sarcastic writing

9. “Aida,” for one

10. Fish feature

11. Korea’s continent

12 William or Sean

13. Origin

21. Neck part

23. 14th letters

26. Snake’s sound

27. Newspaper story

28. Proficient

30. Belonging to them

31. Acquire by labor

32. Cleveland’s waterfront

33. Animal skin

34. Field cover

35. Balm

36. Edges

40. Plan

41. “Alien Vs. ____”

44. Copier

46. Poem of praise

47. Gridiron number

49. Levels

50. Young People

51. Upright

52. Road curves

53. Italian city

54. For all time

55. Ogle

56. Pen fluids

58. Factual

61. George Gershwin’s

brother

62. Ship’s record

ACROSS 1. Diving gear

6. Plus

10. Mountain passes

14. Pitches

15. Jump

16. “____ dead peo-

ple!” (2 words)

17. Opera highlights

18. Tennis’s _____

Sampras

19. Draw the _____

20. Wicker

22. Dublin’s country

24. Raised railways

25. North African

28. Be ambitious

29. Prepare tea

34. Latest

37. Hound’s prey

38. Foreigner

39. Drink daintily

41. Risk

42. Frolic

43. Woodwind instrument

45. Basil sauce

47. Las Vegas groom,

often

48. Removed

50. Kickoff gadget

53. Alleviate

57. Evaluators

59. Bakery hot spot

60. Malicious

63. Forest growths

64. Timid

65. Fiddling emperor

66. Pound part

67. Is mistaken

68. Catch

69. Takes five

DOWN

1. Gape

2. Reef material

3. Single items

4. Whip

5. James Earl Ray, e.g.

P A G E 7

A Good Laugh

An old man went to the Doctor complaining that his wife could barely hear. The Doctor suggested a test to find out the extent of the problem. “Stand far behind her and ask her a question, then slowly move up and see how far away you are when she first responds.” The old man ,excited to finally be working on a solution for the problem, runs home and sees his wife preparing supper. “Honey,” the man asks standing about 20 feet away “what’s for supper?” After receiving no response he tried again 15 feet away, and again, no response. Then again at 10 feet away and again, no response. Finally when he was 5 feet way “ he asked, “Honey, what’s for supper?” She replies ‘For the fourth time, it’s lasagna!”

Indications for use:

Postural Support

Chronic Back Pain

Lumbar Strains or Sprains

Post-operative Rehabilitation

Lumbar Instability

Visit our web pages to learn more about the

brace and to watch a demonstration video.

www.AllstatesMedical.com/Ultra-Support-

Back-Brace.

Have questions or ready to give it a try?

Contact 1-800-362-0050 or email us at

[email protected].

P A G E 8

Get back pain relief

without using drugs or

surgery. Our Ultra Sup-

port Back Brace will

keep you stable enough

to do your daily activities

without pain!

Get back to shopping,

playing golf, gardening

and playing with your

grandkids. The brace is

easy to put on and com-

fortable to wear. It can

even be worn over or un-

der clothing.

Product Spotlight - Ultra Support Back Brace

4 Easy Steps to Pain Relief.

Satisfaction Guaranteed! If you are not fully satisfied

with your back brace, you can exchange or return it

within 180 days and we will refund your insurance.

Now you see it.

Now you don’t!

Complimentary Glucose Testing Log Name: ____________________________ Log Dates: ____________ To ____________

Date Before Bfast

After Bfast

Before Lunch

After Lunch

Before Dinner

After Dinner

Before Bed

During Night

Comments

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Date Before Bfast

After Bfast

Before Lunch

After Lunch

Before Dinner

After Dinner

Before Bed

During Night

Comments

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Date Before Bfast

After Bfast

Before Lunch

After Lunch

Before Dinner

After Dinner

Before Bed

During Night

Comments

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Date Before Bfast

After Bfast

Before Lunch

After Lunch

Before Dinner

After Dinner

Before Bed

During Night

Comments

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Date Before Bfast

After Bfast

Before Lunch

After Lunch

Before Dinner

After Dinner

Before Bed

During Night

Comments

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Date Before Bfast

After Bfast

Before Lunch

After Lunch

Before Dinner

After Dinner

Before Bed

During Night

Comments

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Date Before Bfast

After Bfast

Before Lunch

After Lunch

Before Dinner

After Dinner

Before Bed

During Night

Comments

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Date Before Bfast

After Bfast

Before Lunch

After Lunch

Before Dinner

After Dinner

Before Bed

During Night

Comments

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Date Before Bfast

After Bfast

Before Lunch

After Lunch

Before Dinner

After Dinner

Before Bed

During Night

Comments

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

P A G E 1 2

Shoe Lacing Techniques from Dr. Comfort

Questions? Call our Shoe Department at 855-362-3344 ext. 2225 or email [email protected]

P A G E 1 3

P A G E 1 4

There seems to be a

relationship between

obesity and obstruc-

tive sleep apnea.

Evidence shows that

sleep deprivation

slows your metabo-

lism, which can, in

dramatic cases, slow

to the point where

you can’t lose weight.

When someone is di-

agnosed with sleep

apnea and they start

using a CPAP

machine at night,

they will improve

their sleep. While a

CPAP machine is not

weight loss equip-

ment, many people do

Sleep Apnea and Weight Loss

What is Sleep Apnea?

Sleep apnea is an involuntary cessation of breathing that occurs while

the patient is asleep. People with untreated sleep apnea stop breathing

during their sleep sometimes hundreds of times in one night.

What is a CPAP Machine?

CPAP is a Continuous Positive Airway Pressure machine that blows

air in to your airways to keep them open at night while you sleep.

tend to lose weight

once placed on the ma-

chine because sleeping

better causes metabo-

lism functions im-

prove. It also can

break a vicious cycle

where sleeping poorly

causes less motivation

to do physical activity

thus making people

more likely to gain

weight.

Most people are una-

ware that they have

sleep apnea, but there

are a few easy ways to

see if you should get

checked. According to

Dr. Frankie Roman

from JD Doctor’s Hos-

pital, “if your neck cir-

cumference is 17 inch-

es or more for men or

16 inches or more for

women then there’s a

good possibility you

have obstructive sleep

apnea.” On the next

page you will find the

Epworth Sleepiness

Scale. It’s a self test

you can take to see if

you have symptoms of

sleep apnea. If you

suspect you may be

suffering from sleep

apnea, you should seek

medical attention.

The Epworth Sleepiness Scale

P A G E 1 5

How likely are you to doze off or fall asleep in contrast to feeling just tired?

The Epworth Sleepiness Scale below helps to measure if you may have a

problem that may require medical attention.

Use the following scale to choose the most appropriate number for each sit-

uation. Write down the number corresponding to your choice in the right

hand column. Total your score at the bottom.

0= No Chance Of Dozing

1= Slight Chance Of Dozing

2= Moderate Chance Of Dozing

3= High Chance Of Dozing

SITUATION CHANCE

OF

DOZING

Sitting and reading

Watching TV

Sitting inactive in a public place (e.g. theater)

As a passenger in a car for an hour without a break

Lying down to rest in the afternoon when circumstances permit

Sitting and talking to someone

Sitting quietly after lunch without alcohol

In a car, while stopped for a few minutes in traffic

TOTAL SCORE:

Analyze Your Score: 0-7: It is unlikely that you are abnormally sleepy.

8-9: You have an average amount of daytime sleepiness.

10-15: You may be excessively sleepy depending on the situation. You may

want to consider seeking medical attention.

16-24: You are excessively sleepy. It is advised to seek medical attention.

Makes One Serving Calories: 71, Fat: 2g, Sodium: 37mg, Cholesterol: 0mg, Carbohy-

drates: 13g, Protein: 1g, Fiber: 1g

Diabetic –Friendly Snack Recipes

P A G E 1 6

Ingredients

1 square graham cracker broken in 2 rectangles

1/2 tsp Nutella

2 slices banana, sliced long ways

1/2 tsp shredded coconut

Chocolate-Banana Grahams

Directions

Spread each graham cracker piece with Nutella and banana. Sprinkle with coconut.

Makes Six Servings Calories: 81, Fat: 5.9g, Cholesterol: 53mg, Sugar 3.7g, Carbohydrates:

6.5g, Protein: 1.8g, Fiber: 1.1g, Potassium 232mg, Sodium 900mg

Ingredients

1 egg

1 tsp Ms. Dash seasoning

1/3 Cup heavy whipping cream

1/3 Cup Worcestershire Sauce

1/3 tsp Tabasco sauce

1 1/2 Cups crushed pork rinds

1/2 Tbsp garlic salt

2 tsp black pepper

12 oz. whole dill pickles

Fried (baked) Pickles

Directions

1. Preheat oven to 350 F

2. Mix together first 5 ingredients to make egg wash. Whip and set aside.

3. Mix next 4 ingredients in a shallow dish to make dip.

4. Slice pickles 1/8 inch thick.

5. Dip pickle into egg wash then into dip and place in a foil lined pan.

6. Bake 20 minutes.

P A G E 1 7

Recipes from www.DiabeticConnect.com

Ingredients

8oz. Cream Cheese

2 Large Eggs

1/4 Cup Xylitol (Natural

Sweetener)

1 tsp Pure Vanilla Extract

3 Tbsp Vanilla Whey Protein

(heaping)

1/2 Tbsp Cinnamon

1/4 tsp Pumpkin Spice

1/4 tsp Nutmeg

Cream Cheese Muffins

Makes 8 Servings Calories: 127, Carbohydrates: 4g, Protein: 4g

Directions

1. Preheat oven to 350 F

2. Combine all ingredients in bowl and beat with electric mixer until consistency

of pancake batter.

3. Spray muffin tin with cooking spray. Pour 1/4 C batter in each cup.

4. Place into pre-heated oven and bake for 15 min. Will be dry if you overcook.

5. Turn off oven and leave tins in oven to cool for 20 minutes. They puff up when

baked, but fall when cooling. That is what you want.

6. Remove from tins and cover with plastic wrap and refrigerate.

7. Serve cold with cinnamon sprinkled on top. Optional: Sour cream or fresh fruit.

Candied Roasted Peanuts

Ingredients

2 Cups roasted peanuts

1 raw egg white

1/4 Tbsp cinnamon

1/4 Cup sugar-free maple syrup

Directions

1. Preheat oven to 350 F. Use a non-stick baking sheet

2. Whisk egg white until foamy. Add the rest of the ingredients except for peanuts and

whisk together. Add peanuts and stir to coat. Spread on baking sheet in a single layer

and bake 20 to 25 minutes until mixture is dry and not soggy.

Makes 8 Servings of 1/4 cup each: Calories: 223Carbohydrates: 3g, Protein: 10g, Fiber: 4 g

P A G E 1 8

In order to more efficiently follow Medicare

guidelines requiring us to verify shipments prior to

sending, we are now using an Automated Call

System to ensure you are ready to receive your

quarterly testing supplies when they are due.

Automated Call System

HOW IT WORKS:

System will call your primary phone number between 2PM and

3PM EST daily starting 14 days prior to your next shipment.

If you answer the call, you will be prompted to answer questions

using your telephone keypad. (It does NOT respond to voice

commands)

If you have a voicemail, the system will leave a message with two

questions. “Will you be within two weeks of your supplies running

out by your next ship date?” and “Is your shipping address and

doctors information the same since your last shipment?” If your

answer is YES to BOTH of the questions, you do NOT need to

return the call and your supplies will be shipped as scheduled. If

your answer is NO to either question, then you will need to call

ASM at 855-362-3344.

For your convenience, you can also answer the

questions online at our website at

www.AllStatesMedical.com. On the home page

you will find the link to re-order your supplies

anytime within 14 days of your next shipment.

***PLEASE NOTE. Some caller IDs do not recognize our phone number and may say “Unknown Number.” These calls are, in fact, from ASM even though the ID does not say so.

P A G E 1 9

Back Pain (Continued from Page 1)

solution that will al-

low you to go about

your daily activities

without pain getting

in the way then con-

tact our Patient Care

Representatives. You

can learn more about

the brace on page 8

of this newsletter. If

the brace does not

relieve your back pain,

just return it within

180 days and we will

refund your insurance.

With a satisfaction

guarantee like that,

there is no reason not

to give it a try. Call us

toll free 1-800-362-

0050 or Email us at

“I don’t even want to go

golfing anymore!”

As you can see, we

have a new logo! All

sh i p m en t s a n d

pa perw ork y ou

receive from us will

now have the new

logo that you can see

here.

Can you see hands in

the shape of a heart?

A dogwood flower?

Over the next few

months we will

share more about the

New Logo

“It hurts to get in and out of my car, so I

can’t go to the grocery store like I used to.”

process of choosing

our new logo and why

we felt it was a better

representation of who

we are and of our

mission of caring for

our patients

Remember even

though we look

different, you will

still get the same

quality care you’ve

always received from

us.

Crossword Puzzle Answers from Page 8

HOW TO CONTACT US

By Phone: 1-855-362-3344 Current Patients

1-800-362-0050 New Patients

By Email: [email protected]

Website: www.AllStatesMedical.com

Facebook: www.Facebook.com/Allstatesmedical

By Mail: 221 Old Hendersonville Road,

Suite A

Fletcher, NC 28732

How are we doing? We welcome your

feedback online at

www.AllStatesMedical.com/feedback

Join our Monthly Email Newsletter to

get news delivered to your inbox once a

month. Sign up online at

www.AllStatesMedical.com.

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products and to stay up-to-date on news

about All-States!

www.Facebook.com/allstatesmed

Need to talk to us? The FASTEST way to

get a response to your questions is to

send us an email at

[email protected]

Connect With Us Online www.AllStatesMedical.com

CHECK EXPIRATION DATES on your supplies. Throw out anything that is past due!