My BuckMD data protected by BuckeyePass – Effective Wednesday, January 3

Cybercriminals’ top priority is a real-life payout. For Ohio State student systems, that means criminals may target your personal health information (PHI). If criminals get your user name and crack your password, they may be able to view your PHI and share information about you that you would prefer not to have shared.

If you have more than one step to log in – more than just your user name and password – your risk is reduced significantly. That’s why we’re adding a multifactor authentication tool called BuckeyePass (link is external) as an extra layer of security for student systems. Extra security protects your personal information stored in My BuckMD.

How does BuckeyePass affect me?

  • BuckeyePass (link is external) will be added to My BuckMD on Wednesday, January 3.
  • BuckeyePass (link is external) requires not only a password and username, but also a second method of authentication that you control. We recommend that you sign up as soon as possible and enroll multiple devices so you have a backup in case your primary device is stolen, broken or unavailable for any reason.

What do I need to do?

The first step is to enroll in BuckeyePass (link is external).  We have found the tool to be reliable and easy to use. We’ve posted a video (link is external) so you can see what the process looks like and how it works.

 

Information above summarized from:  https://odee.osu.edu/news/2017/11/01/students-should-sign-buckeyepass-november-5

Prior Authorization

One of the most frustrating experiences as a patient is arriving at the pharmacy to pick up your medication and being told that a prior authorization is required. If you have never experienced this before the process can be especially confusing and aggravating. Unless you decide to pay cash for your medication or your doctor decides to change your therapy it can also involve a significant delay before you can actually get your medication.

Prior authorization is a process where the insurance provider wants more information from the doctor before they will pay for a medication. This process typically starts at the pharmacy when the staff there try to bill an insurance plan for a drug. The insurance will then send the pharmacy a rejection notifying them that a prior authorization needs to be completed. At this point the pharmacy will contact the doctor to let them know they must complete a prior authorization if they want the insurance company to cover the cost of the prescribed drug. The doctor must then answer some questions about the use of the prescribed medication and send those answers to the insurance provider. Finally, the insurance provider must review the doctor’s response and decide if they will pay for the medication or not. Thankfully this process is quicker than it used to be as many of these interactions are automated or electronic. Typically this process can take anywhere from a day to a week to complete, although times may vary. If a patient stays on their medication for an extended time it is likely that the prior authorization will need to be completed again at some point. Many plans require prior authorizations annually while some require them more often.

The main reason insurance plans institute prior authorization is cost savings. Plans want to review the use of high cost medications and make sure they are being utilized appropriately. A common way they do this is called step-therapy. Step therapy means that the insurance provider will require a trial of one or more lower cost medications before they will pay for a high cost drug. Many insurance providers require prior authorization for brand name drugs if a generic is available. Insurance plans often prefer a certain drug within a medication class due to cost and require providers to complete a prior authorization if they write a prescription for a different drug in the same class.

Prior authorization can be frustrating for both patients and healthcare workers. Despite that the practice isn’t going away anytime soon. If you want to be more informed about which drugs will require prior authorization on your health insurance you can request a copy of your insurance formulary which will show you which drugs your insurance plan prefers. Drugs on this list will be less likely to require a prior authorization.

Michael Kowalczyk

PharmD candidate 2018

Prescription Refills

Are you on a daily medication or learning to handle your own prescriptions for the first time? Do you have a prescription that you need to continue taking but you are out of refills?

In most cases, if you are out of refills it means that your provider felt at the time of writing your prescription that a follow-up visit was indicated in this period of time. We generally write most on-going prescriptions with the number of refills that fits the standard of care for following that health condition. Sometimes there are lab tests or physical findings that need to be checked periodically.

You don’t have time to come in for an appointment right now?

Ideally you would be able to make the time to come in for a visit so that we can provide the best possible care. However, we too were students once and understand your crazy schedules, so you can either message your provider through MyBuckMD or call the health center to leave a message with your provider asking for an extension until you can make it in for an appointment.

How to avoid running out of medications?

Plan ahead! If you notice that your medication is running low, take a look at the bottle for any refills. If you see no refills remaining, make an appointment with the prescribing provider as soon as you can.

Don’t see an appointment on-line that fits your schedule?

All available appointments do not show up for on-line scheduling. So if you are having trouble finding an appointment with your provider, please call our appointments line at 614-292-4321. Our appointments associates will be happy to help you find the next available appointment that fits your schedule.

Ryan Hanson, M.D.

My Journey into Mindfulness Based Stress Reduction

I was browsing the internet when a statement caught my eye and it stated “Do you want to
relieve stress related symptoms, promote a sense of well being and peace of mind”? I was
intrigued and thought I would love to relieve stress and also learn ways to help my patients too.
I clicked on the link and was taken to a course description titled “Mindfulness-Based Stress
Reduction program (MSBR) that was being offered for 8 weeks over the summer.

I signed up for the program without really knowing what the course was going to be about.
The first night of class I was in a room with 15 other participants who were of different ages,
backgrounds and occupations with our instructor Kevin who was a licensed social worker. We
were given the book “ Full Catastrophe Living” by Jon Kabat-Zinn along with a workbook and a
CD. He had us imagine that we had a rock in our hand and walked up to a well and dropped it
in and then he went around the room and asked us what that symbolized to us. I remember
that I had said that it symbolized throwing away the stressful feelings and discomfort. He also
asked us not to set a goal or expectations for the course.

The program focused on attitudinal qualities that would relieve stress including: non-judging,
patience, beginner’s mind, trust, non-striving and acceptance. Non-judging is being an
impartial witness to our own experience and not having a reaction to the experience. Patience
is allowing letting things unfold in good time and make a connection to the present. Beginner’s
mind is not allowing our beliefs and thinking from seeing things as they really are. Trust is to
listen and trust our own being through meditation. Non-striving is about trying less and
through meditation we are non-doing. Acceptance is seeing things as they are in the present
and not trying to force things to the way we want them to be which causes more stress and
prevents positive change.

We had daily meditations on our CD that guided us through body scan which focused our mind
on each body part starting with the head and then ending at our toes or sitting or laying
meditations or meditative yoga. We had a log in our workbook to document our feelings and
reactions to different situations that may have given us distress or pleasure. We had a retreat
day after our sixth week in which we did not speak during that time. Our instructor gave us
directions during the day and guided us through different types of mediation. We ate our lunch
mindfully and took our time tasting and chewing our food more times than we would normally
and did not pick up the fork before we swallowed our bite. I was a little anxious as well as
some of the other participants of not talking or using our phones for a whole day and staying
focus on the present, but it actually was easier than I thought and at the end of the day I felt a
sense of peace.

This type of course is not for everyone, but it is evidenced based and taught internationally.
The course has taught me a way of being. It is not a philosophy, it is a be practiced by being
mindful and carrying out the meditation practices daily. It takes commitment and is to be
practiced daily in order for it to be available when needed.

At the end of the eight weeks, I am better at being more mindful and at mediation, but it is a
work in progress. After the eight week course I had learned that my initial response to the first
question of dropping the rock into the well throwing away stress thoughts and feelings was not
mindfulness, it is about learning to live with all the thoughts or feelings good and bad and
acknowledging them and not reacting to them. “ Life is not the way it’s supposed to be. It is
the way it is. And how we relate with this truth is what makes all the difference. “. Virginia Satir

Submitted by Edith Chang, M.D.

Medication Disposal Day – Don’t rush to flush!

The Student Health Services Pharmacy will be holding our 6th annual DEA-approved Medication Disposal Day Thursday, October 26th, from 9:00 a.m. to 2:00 p.m. 

All students, staff, and faculty are invited to bring unused or expired medicines to be disposed of in a safe, legal, and environmentally-friendly way.  This service is entirely free of charge and is completely anonymous.  No questions asked!  We will take any expired, damaged or unused medications (even if they are a controlled substance like narcotic pain medication or ADD medication).

Please note: Do not remove medication labels before drop-off.  Syringes, needles, and thermometers will not be accepted.

Our goal is to address a vital public safety and public health issue by removing potentially dangerous prescription drugs from your backpacks and medicine cabinets.

  • Since 2007, more Ohians have died from unintentional drug overdosing than motor vehicle accidents.
  • More than 7 million Americans currently abuse prescription drugs, according to the 2009 Substance Abuse and Mental Health Administration’s National Survey on Drug Use and Health.
  • Each day, approximately 2,500 teens use prescription drugs for the first time to get high, according to the Partnership for a Drug Free America.
  • Studies show that a majority of abused prescription drugs are obtained from family and friends, including the home medicine cabinet.

These expired medicines can be as bad for our environment as they are for our health.  Measurable quantities of some common medications are showing up in lakes, reservoirs, and municipal water supplies, thought to be due in large part to improper flushing of medications down sinks and toilets.

So make the right choice and join us for our 5th Annual Medication Disposal Day!  It’s a great way to keep yourself healthy and our campus safe!

This event is jointly sponsored by Student Health Services (Office of Student Life), Department of Public Safety, and Generation Rx.

Candace Haugtvedt, RPh, PhD
Student Health Services
The Ohio State University

Changing your eating habits

Changing Eating Habits

So how does one start to eat healthier? No matter what your end goals are changing what you are doing is where you have to start. One way to start is by using the website ChooseMyPlate.gov.

Its start you on a basic eating concept that can be applied in the dining halls or at home. You quarter your plate each quarter containing one of the following: vegetables, fruit, protein and grain or starchy vegetables. To the right of the plate there is serving of dairy which is designed to remind you to have a calcium source. Eating this way naturally balances out your meal and controls your calories. The website coaches you on what foods fit into each area. For vegetables, there are recommendations for how many servings of green and red and orange vegetables over the week and how to incorporated starchy vegetables such as potatoes and corn. Under protein, you can find meat and meatless sources to select in your diet. This is also a discreet method to evaluate your plate.

MyPlate on Campus

Wondering about size of plate or how high you can stack your food? This is where you use common sense. Women can use a lunch or smaller dinner plate (8-9 inches) and men can use a larger dinner plate (10-11 inches). Beware our plate size has grown for around 8-9 inches up to 13 inches in some restaurants. You have to keep your plate from looking like the first trip at Thanksgiving. Normally, a plate would be a 1-3 inches high depending on the food.

Remember to eat the vegetables and fruit first and stop when you are comfortably full.

Kristina Houser, LD

Diet is a four-letter word!

Losing Weight

Dieting is a word that should not exist! It’s depressing to say the least. Our mind begins to focus on what we can’t have. Then, we mess up, give up and we try again. If you have struggled with your body weight all of your life, the cycle is frustrating. Perhaps you’re someone who has never had a weight problem but seems to have gained weight in college and is unsure of how to go about losing weight.

Everyone seems to want to start with the 1200 calorie diet and hopes for the best. In about 3 days, it’s not going well. Why? Because 1200 calories is too low for almost everyone but if you go on line that is what you will find. The websites suggest this will permit fast weight loss which everyone wants!

Weight loss is about being healthier. If you can match your food intake to your body’s needs, weight loss will happen. The trick – figuring out what works for your body. If done correctly, you aren’t dieting; you are eating well for your body and you continue to eat that way when you’ve reached your goal weight.

Some people need to reduce portion size, others need to manage carbohydrates, some eat out less, and others move more. The list goes on with changes in habits or food that need that you need to incorporate. A dietitian is the best way to get personalized help. Student Life Student Health Services has a dietitian on staff that can help with your weight loss goals.

So how to you start on this adventure on your own: keep a food log for a week.

Then, go to Choose My Plate.gov and compare how you are eating with what is suggested.

Kristina Houser, LD

GI Issues: Could you join the Pepto Bismol lineup?

Your GI tract is causing you trouble:

Does this Pepto Bismol lineup describe you?  Everyone has times in life when their GI tract seems to revolt: upset stomach, bloating, diarrhea, constipation and the list goes on. Sometimes the symptoms are severe and you need to get to a doctor but often you can try a few things yourself. Before you panic and think you have colon cancer or celiac disease, try some simple steps to see if you can improve your situation.

If you have recently taken antibiotics, you may have diarrhea or if you get it every time you take them, start taking a probiotic when you start the antibiotics. You will be amazed at how much better it goes. For this, a basic probiotic from the store will work.

Constipation is an issue no one likes to bring up but it can make life very uncomfortable. Often the cause is low fiber or not enough water or a combination of both. College students often average only 10 grams of fiber a day and it should be between 25 and 35 grams for good health. Water intake can be low if you don’t carry a water bottle or you don’t like water.

There several action steps that can be taken to improve reflux, IBS, and other GI issues as well but talking to a dietitian to personalize your plan is best.

Kristina Houser, LD

Stomach Flu – What to Do?

If you have the stomach flu (not really the flu, by the way), which means you have been experiencing nausea and potentially vomiting, no matter how hungry you might be, do not try to eat or drink anything for at least 60 (sixty) minutes after vomiting.  You need to start small and slow.  Try small sips of water or ice chips.  Limit yourself to just 1 (one) teaspoon every 3 (three) minutes until you have consumed about 1/2 (one-half) a cup of water.  Then wait 15 (fifteen) minutes before trying more fluids.  If your nausea has not increased and you do not vomit, you can then try other “clear” liquids.  Clear as in you can see through them.  This would include:

  • water
  • fruit juices that do not contain pulp and are transparent such as grape juice, apple juice, and cranberry juice
  • Kool-aid
  • Tea – sugar or honey can be added, but no milk
  • broth, but nothing solid
  • sports drinks
  • Popsicles, Jell-O and clear hard candy can also be tried

This DOES NOT include:

  • milk products
  • juices that are acidic or contain pulp such as orange juice, pineapple juice, tomato juis and all fruit nectors
  • alcohol (that includes beer and wine)
  • coffee

After 3 (three) to 4 (four) hours, if your nausea had diminished and you have not vomited, you can then try eating some dry foods.  Again, start small and slow and think bland or boring.  Saltines (soda crackers), pretzels, and dry plain toast are good options.

After another 3 (three) to 4 (four) hours with no vomiting or worsening of your nausea you can advance to more substantial food, but again small and slow and boring.  Try some soup with rice or noodles, plain rice, baked potato (no toppings), or bread products (no toppings).

If it has been 24 hours with no incidence of nausea or vomiting you can then progress to a more substantial bland diet and include items such as skinless chicken breast, banana, or applesauce.  Best to avoid fatty, greasy, and spicy foods, as well as milk products.  Give it a day or two for your stomach to recover before resuming your regular diet.

If you find that your nausea and vomiting is not going away and it has been more than 24 (twenty-four) hours since it’s onslaught , schedule an appointment with your doctor.

Maribeth Mulholland M.D.

Take a step towards better eating

A simple step to eating better:

In college life can be crazy, each week brings new challenges and one’s eating habits get put to the back burner for a lot of people. When someone asks us what we had for dinner we always answer with the main dish: lasagna, pizza, ham and cheese

meal plan options

There are vegetable and fruit options available.

sandwich, or chicken breast. Do you ever tell someone the vegetables or fruit you are having first? “I am having broccoli with chicken breast for dinner.”

 

Start thinking about what vegetable and /fruit you are going to have with your meal first. You will begin having more because you will become mindful of these foods. Stores now have more individual vegetable and fruit portions which you can put on your shopping list, especially in the freezer section.  If you are living in an apartment off campus and on the meal plan, there are vegetable and fruit based items you can add as sides and if you don’t see any ask.

Eating better is about progress not perfection because eating perfect every day is not realistic. If you work on one healthy habit each month by the end of 12 months you will be amazed at how much you have changed.

Kristina Houser, LD