Fearless cardiologist author, Dr Aseem Malhotra, busts myths and shares Pioppi health secrets

One of the most influential cardiologists in Britain and a world leading expert in the prevention, diagnosis and treatment of heart disease, Dr Aseem Malhotra is a brave advocate for public health initiatives. An award-winning NHS cardiologist, Dr Malhotra has successfully motivated leading academics, the media and politicians to make sugar reduction a health priority in the UK. His academic publications can be found in the BMJ and BJSM (see links below) and he is prominent in mainstream media. He recently published what is already a best-seller, “the Pioppi Diet: A 21 day lifestyle plan”.

For more BJSM (British Journal of Sports Medicine) podcasts click here: BJSM Podcasts

How to File a Health Insurance Claim Form as explained in “the balance”

By Mila Araujo

Updated May 01, 2017  Link to original article 

When to File a Health Insurance Claim Form

A health insurance claim is when you request reimbursement or direct payment for medical services obtained. The way to obtain benefits or payment is by submitting a health insurance claim via a form or request.

What Are the Options to File a Health Insurance Claim

There are two ways that you can file a health insurance claim.

1. The first way, and the most convenient, is when your medical services provider can submit the claim directly to the insurance company through the network directly electronically.

2. The other way is by filling in the health insurance claim form and sending in the paperwork yourself. If your health service provider is not in the network for your health insurance company and can not file the claim on your behalf, then you will have to file a health insurance claim form to request payment for the medical services obtained.

What Kinds of Information Do You Need to File a Health Insurance Claim Form

If you have to file your own health insurance claim here are the steps you will need to take along with some helpful tips on submitting your insurance claim form

4 Steps to Filing Your Health Insurance Claim Form

1. Obtain Itemized Receipts: You will need to ask your doctor for an itemized bill. An itemized bill lists every service that your doctor provided and gives the cost of each of the services. Make sure any medications or drugs provided during any treatment are clearly listed with itemized costs.

Your health insurance company will need you to attach the original itemized bills to the claim form.

List of Things on a Health Insurance Claim Form:

The claim form should be fairly self explanatory to fill out. It will ask things like:

  • your insurance policy number
  • group plan number or member number
  • who received the services (for example if it was the primary insured or a dependent like a child, spouse or domestic partner)
  • if there is co-insurance or dual coverage
    what was the visit for (accident, workers compensation), etc.
Online Health Insurance Claims When You Need to Request a Reimbursement

You used to have to submit health insurance claims through the mail, but with advances in technology health insurance companies and medical benefit plans now offer a few different options, depending on the health insurance company.

When you go to the doctor or other medical provider and are told that you have to submit your own insurance claim form it means that the doctor or facility does not ask the health insurance company to pay for your bill and you must do it yourself.

2. Get Your Claim Form: You will need to contact your insurance company to obtain a health insurance claim form or download a copy from their website.Your claim form will also give you additional instructions pertaining to what other information they may need from your doctor or health care facility.

Submit Your Health Insurance Claim Form Online

Before you start filling in paperwork and heading to the post office, always check your health insurance company’s website.

Many insurance companies now offer the possibility to log onto your health and medical benefits plan online.

You can ask your employer if your health plan offers this option, or if your healthcare plan is not through your employer, contact your health plan insurer directly to find out if they have access to their services online. Usually, if you go to your insurance company website, there will be a place where you can log on. If you do not have the information call them and have them help you set it up.

You may also be able to fill information online and submit at least part of the claim via your health insurance company website. If they do not offer full online submission, you may be able to start the claim and just mail in the supplementary documents with the associated reference number.

Advantages of Making Your Health Insurance Claim Electronically Through a Website

The benefit to submitting claims online is that the payment for your claim may be significantly faster, in some cases 24 hours.

Getting your payment processed as fast as possible is worth going through the trouble of setting up an account to manage your services online. There is also a good chance that when you fill in your form online, you will also immediately see what portion of the claim is covered, what your co-insurance clause is and what deductible, if any, applies. Setting up an account to access your health insurance benefits and claims online will help you be better prepared to understand the related health insurance out-of-pocket expenses, or what kind of refund or payment your benefits plan will pay.

When You Have to Submit Your Health Insurance Claim By Mail

In some cases a health insurance provider may not offer online submission, or may limit online forms to specific services. In those cases you may have to print a health insurance claim form and fill in the details, then submit it via the mail.

3. Make Copies: Once you have your claim form filled out and your itemized bills from your doctor, don’t forget to make copies of everything. This will eliminate any errors that may be made in the claim process and make it easier for you to re-file your health insurance claim if it gets lost.

4. Review then Send: To make sure everything is completely accurate, call your health insurance company and tell them you are about to send in your health insurance claim form. Review with them all the paperwork you have and ask them if there is anything else you need. Also, ask your insurance company how long should you expect to wait for your claim to be paid and mark that date on your calendar. Once you have everything in order, send out the claim form to your insurance company. The address to send the claim form should be on the claim form itself. Keep an eye out on your calendar for the claim date that you marked and contact your insurance company if you don’t receive your claim within the time frame given to you.

Resource Links:

Mediator Release Test (MRT) in combination with the LEAP Protocol

“Let food be thy medicine and medicine be thy food.”― Hippocrates

This quote is often cited to emphasize food’s importance. A food’s quality is usually thought to be what agencies such as the USDA and the FDA have to say. There have certainly been great strides in food quality with improved storage techniques and cleanliness. But is it good for me?  The accepted food pyramid may not be the best way to know. The increasing ++incidence of illnesses like diabetes and obesity brings our current understanding of food into question.

In an attempt to solve this riddle, there has been an increase in special tests for food allergies and specialty diets. Are these just fads, or are they based on science? Is there a test of diet that is right for you? This has become a hot topic. There are many “experts”, and it can be difficult to make sense of it all.

I want to share with you my practice’s experience with food sensitivity testing and diet modifications, which uses a practical approach and sets realistic goals. This has been very positive. The process begins with dietary counseling and interventions to decrease inflammation. This usually has secondary benefits such as weight loss and improved blood sugar control. I then proceed to test for food sensitivity with Mediator Release Test (MRT) followed by dietary counseling and coaching with the LEAP (Lifestyle, Eating, And Performance) protocol. Success is measured by the increase in function, decreased pain, and improvement in chronic conditions such as high blood pressure and diabetes.

Below is a video by Susan Linke, a registered and licensed dietitian, Certified LEAP Therapist (CLT), and Certified Gluten Practitioner (CGP). She explains this concept. To learn more, contact my office at (865) 577-1914 for more information.

To your health – Dr. Lakatosh


Is it harder to sleep as we age? Unfortunately yes.

As we age many of us find that it is harder to go to sleep and wake up rested. Below is a link to “Insomnia: What You Need to Know as You Age”, an article from Johns Hopkins Medicine.  I invite you to read this and take time to evaluate the quality of your sleep.

Insomnia: What You Need to Know as You Age

I also added a link for WebMD,”10 Things to Hate About Sleep Loss”, which you may be surprised to learn.

10 Things to Hate About Sleep Loss

Improving your sleep will have numerous benefits and may help you live longer and healthier.

Water: How much should you drink every day? This is what the Mayo Clinic has to say.

Water is essential to good health, yet needs vary by individual. These guidelines can help ensure you drink enough fluids.

By Mayo Clinic Staff

How much water should you drink each day? It’s a simple question with no easy answer.

Studies have produced varying recommendations over the years. But your individual water needs depend on many factors, including your health, how active you are and where you live.

No single formula fits everyone. But knowing more about your body’s need for fluids will help you estimate how much water to drink each day.

Health benefits of water

Water is your body’s principal chemical component and makes up about 60 percent of your body weight. Your body depends on water to survive.

Every cell, tissue and organ in your body needs water to work properly. For example, water:

·        Gets rid of wastes through urination, perspiration and bowel movements

·        Keeps your temperature normal

·        Lubricates and cushions joints

·        Protects sensitive tissues

Lack of water can lead to dehydration — a condition that occurs when you don’t have enough water in your body to carry out normal functions. Even mild dehydration can drain your energy and make you tired.

How much water do you need?

Every day you lose water through your breath, perspiration, urine and bowel movements. For your body to function properly, you must replenish its water supply by consuming beverages and foods that contain water.

So how much fluid does the average, healthy adult living in a temperate climate need? The National Academies of Sciences, Engineering, and Medicine determined that an adequate daily fluid intake is:

·        About 15.5 cups (3.7 liters) of fluids for men

·        About 11.5 cups (2.7 liters) of fluids a day for women

These recommendations cover fluids from water, other beverages and food. About 20 percent of daily fluid intake usually comes from food and the rest from drinks.

What about the advice to drink 8 glasses a day?

You’ve probably heard the advice, “Drink eight 8-ounce glasses of water a day.” That’s easy to remember, and it’s a reasonable goal.

Most healthy people can stay hydrated by drinking water and other fluids whenever they feel thirsty. For some people, fewer than eight glasses a day might be enough. But other people might need more.

Factors that influence water needs

You might need to modify your total fluid intake based on several factors:

·        Exercise. If you do any activity that makes you sweat, you need to drink extra water to cover the fluid loss. It’s important to drink water before, during and after a workout. If exercise is intense and lasts more than an hour, a sports drink can replace minerals in your blood (electrolytes) lost through sweat.

·        Environment. Hot or humid weather can make you sweat and requires additional fluid intake. Dehydration also can occur at high altitudes.

·        Overall health. Your body loses fluids when you have a fever, vomiting or diarrhea. Drink more water or follow a doctor’s recommendation to drink oral re-hydration solutions. Other conditions that might require increased fluid intake include bladder infections and urinary tract stones.

·        Pregnancy or breast-feeding. Women who are pregnant or breast-feeding need additional fluids to stay hydrated. The Office on Women’s Health recommends that pregnant women drink about 10 cups (2.4 liters) of fluids daily and women who breast-feed consume about 13 cups (3.1 liters) of fluids a day.

Beyond the tap: Other sources of water

You don’t need to rely only on what you drink to meet your fluid needs. What you eat also provides a significant portion. For example, many fruits and vegetables, such as watermelon and spinach, are almost 100 percent water by weight.

In addition, beverages such as milk, juice and herbal teas are composed mostly of water. Even caffeinated drinks — such as coffee and soda — can contribute to your daily water intake. But water is your best bet because it’s calorie-free, inexpensive and readily available.

Sports drinks should be used only when you’re exercising intensely for more than an hour. These drinks help replace electrolytes lost through perspiration and sugar needed for energy during longer bouts of exercise.

Energy drinks are different from sports drinks. Energy drinks generally aren’t formulated to replace electrolytes. Energy drinks also usually contain large amounts of caffeine or other stimulants, sugar, and other additives.

Staying safely hydrated

Your fluid intake is probably adequate if:

·        You rarely feel thirsty

·        Your urine is colorless or light yellow

A doctor or registered dietitian can help you determine the amount of water that’s right for you every day.

To prevent dehydration and make sure your body has the fluids it needs, make water your beverage of choice. It’s also a good idea to:

·        Drink a glass of water or other calorie-free or low-calorie beverage with each meal and between each meal.

·        Drink water before, during and after exercise.

·        Drink water if you’re feeling hungry. Thirst is often confused with hunger.

Although uncommon, it’s possible to drink too much water. When your kidneys can’t excrete the excess water, the sodium content of your blood is diluted (hyponatremia) — which can be life-threatening.

Athletes — especially if they participate in long or intense workouts or endurance events — are at higher risk of hyponatremia. In general, though, drinking too much water is rare in healthy adults who eat an average American diet.

Letter to Our Patients

D O N A L D L A K A T O S H, M D
Orthopedic and Sports Rehabilitation

407 North Forest Park Blvd, Knoxville, Tennessee 37919 Tel: 865 577.1914 Fax: 865 577.1714

August 30, 2017

Dear Patients,

To begin, I want to thank you for the trust you have given me over the years as your physician. Taking care of you has been an honor for my staff and me.

I also want to let you know of some changes in my practice. As of September 6, 2017, my office will be relocating to 407 North Forest Park Blvd, in the Bearden area of Knoxville. My telephone number (865) 577-1914 and fax number (865) 577-1714 will remain the same. My Seymour and Fort Sanders West offices will be closing as of September 1, 2017.

Additionally, beginning January 1, 2018 my medical practice will no longer be participating in any insurance plans. What does this mean to you? I am still available to provide care, but it will be on a cash rather than insurance fee schedule. I will not be filing or participating with any insurance including Medicare.

A cash only model will enable me to provide care with greater efficiency and equal or lesser expense. I will be posting a fee schedule for services on my website, www.drlakatosh.com. Many of my services are currently not covered by insurance such as Regenerative Injection therapy, i.e., prolotherapy, PRP etc. This was a factor in making this transition in that I plan to focus more on Regenerative Medicine. Impairment ratings for the Department of Labor EEOICPA program will not be affected by this change.

This type of medical practice may not be for everyone. Because of this, I am providing a list of physicians who accept insurance from which you can choose. I will continue to be the custodian of your medical records. At your request, I can send your medical records to fellow physicians assisting in your care.

If you have questions or concerns please contact my office at 865 577-1914.


Donald A. Lakatosh, M.D., FAAPMR
CAQ Sports Medicine

Ten (plus one) nutrients to look for in your diet

Nutrition along with exercise, hydration and sleep are essential elements for optimal health. Nutrition may be the most important in that without the proper “fuel”, our “engine” will not work. The elements of nutrition are critical to counteract the daily wear and tear our bodies experience. This prepares us for aging. Yes, we are getting older. It was once said that you cannot run away from a poor diet. The health choices you make now will catch up with you later; it all starts with nutrition.

What we eat, regarding both amount and content are important. Our diet is something we can control, so it is important to know what it contains and what we need. In addition to protein, healthy fats and limited sugars, we need vitamins and minerals. But how much do we need, and where do we get them?  The links below will help. Not all foods are created equal; some contain more and some less.

Our body best recognizes and then absorbs nutrients when they are in foods rather then supplements. My advice is to be mindful of the foods you eat to ensure your body’s nutritional needs are met. Supplements, that is pills, may not be as well absorbed and most likely will cost more in the long term. You may feel that you did your part by taking you vitamin or mineral pill, but it may not be absorbed and does not substitute for a well balance diet.

Below is a list of ten (+1) nutrients to look for in your diet. Each is linked to the University of Maryland Complimentary and Alternative Medicine website and explains what they do and foods that they are contained in.

You can find more information about diet and nutrition on previous blogs. Dr. Andrew Weil’s discussion about the Anti-inflammatory diet is where I recommend starting.

Bon Appetit and Good Health


Sitting All Day? Well it’s time to move.

Most of us are busy and technology which can make work more efficient. It can also lead us do MORE work. This technology whether it be a phone, tablet, computer or smart watch takes our attention and we usually are sitting still using them. With these advances, most of use have become less “mobile” throughout the day. We may go to the gym and exercise, but for most of our day we are either sitting or standing in place, but not moving.

Below are several articles that explain what happens it we don’t move and innovative ways to change that. So if you have the chance just move, take the stairs, walk or even dance. You body needs to move and you will feel better for it.

10 Things That Happen When You Sit Down All Day

·       Weak Legs and Glutes
·       Weight Gain
·       Tight Hips and a Bad Back
·       Anxiety and Depression
·       Cancer Risk
·       Heart Disease
·       Diabetes Risk
·       Varicose Veins
·       Deep Vein Thrombosis (DVT)
·       Stiff Shoulders and Neck

Sitting Is Killing You, But Standing Isn’t the Answer (And Neither is Exercise) by Fitness in Post

How to Survive Sitting All Day by Nerd Fitness

When is the Best Time to Exercise?

Exercise has many benefits, and exercising regularly makes all the effort worthwhile. The question is, when is the best time to exercise. This varies from person to person because our schedules and responsibilities may restrict the time to set aside for exercise. There are advantages to morning exercise, afternoon exercise, exercising with a buddy and exercising before meals. But what is the best time for you? Many gyms and fitness clubs such as Gold’s Gym, Workout Anytime and Plant Fitness are open 24 hours a day, making access easier, but is this a good thing? You can also exercise at home. Even the Wall Street Journal is in the act with a video on home exercise tips by Fitness Blender.  The following article may help answer this question. I agree with and recommend it to help guide your exercise schedule. When’s the Best Time to Work Out? By Claudine Morgan on July 4, 2016.

Remember that exercise should be done in moderation and consistently. Modifications or limitations may be needed due to medical conditions such as diabetes or heart disease. It is important to consult your physician prior to starting an exercise program if your being treated for such a medical condition.

Below are some great tips to remember for your exercise routine from webmd.

·       Be Consistent

·       Develop a Routine

·       Set Realistic Goals

·       Use the Buddy System

·       Make Your Plan Fit Your Life

·       Be Happy

·       Watch the Clock

·       Call in the Pros

·       Get Inspired

·       Be Patient

The American Medical Society for Sports Medicine (AMSSM) has some advice for those beginning their exercise program as well. Before You Exercise – Tips for the Beginner Exerciser.

Here, I included an article from the Wall Street Journal, The Peak Time for Everything, Back More in a Day By Matching Tasks To the Body’s Energy; Lung Power at 5 p.m. by Sue Shellenbarger Sept 26, 2012. It may help you schedule your day so you have time to treat yourself and exercise.

Hopefully, these articles can help you have a more efficient, active, healthy and most of all enjoyable day.

Aquatic Physical Therapy

Aquatic Physical Therapy uses the unique properties of water for strengthening, stretching, balance and endurance training. Land based physical therapy uses modalities to relieve pain, stretching muscles and equipment for strengthening.  There are times exercise is best performed in water to place less stress on joints.  This is the essence of Aquatic Physical Therapy.

In addition to reducing stress across arthritic joints, it also increases resistance when moving through the water and the ability to work several body parts at one time.  Below is a list taken from a section on the American Physical Therapy Association’s website on Aquatic Physical Therapy listing some of these benefits.

Aerobic capacity/endurance conditioning
Balance, coordination and agility
Body mechanics and postural stabilization
Gait and locomotion
Muscle strength, power, and endurance

Interventions used in Aquatic Physical Therapy include, but are not limited to, therapeutic exercise, functional training, manual therapy, breathing strategies, electrotherapeutic modalities, physical agents and mechanical modalities using the properties of water and techniques unique to the aquatic environment.

So the next time your physician recommends physical therapy ask if Aquatic Physical Therapy is right for you.

Click here to learn more about Aquatic Physical Therapy