Olivia Lanna MD MA

Olivia Lanna MD MA An Integrative Medical Practice Dedicated to Serving the Health Needs of Patients Preferring Privacy Hello and welcome! Congratulations! I get it. I can help.

You are here with me, so it is clear you care about taking control of your healthcare! Medicine is rapidly changing and the role you play in staying well is getting more and more important every day! Making sure your are well informed, and have a plan to stay well is key! The hospital is a place to avoid at all cost, but when you need to go, the place you choose can mean the difference between lif

e and death: literally! If you are curious about the choices Doctors make for themselves, stay tuned for discussions on new and controversial topics. Sorting through media sensationalism can be confusing, especially without guidance. Many Doctors are employees of a particular Hospital or Hospital group and contractually are not allowed to refer you outside of their group. Therefore, it is very hard for patients to know where the best place to go for any particular problem. Clearly different institutions excel at different things. Only a self employed physician without political ties to an institution is legally able to be frankly honest in guiding you, without the reward of a bonus, or the punishment of "non renewal of contract," influencing what he or she shares with you. Understanding the nuances of these relationships is very challenging , even for some Doctors inside the systems so it is almost impossible for patients outside of the system to fully appreciate the cost of contractual agreements, to patient care. More and more physicians have limited time with their patients and you may find your doctor, tied to a strict schedule and unable to answer the list of questions you have compiled over the past year awaiting your physical exam. This lack of time is quite deliberate . Less time, means you will come back, or see a specialist. A well designed system to increase revenue and delay diagnosis...just enough but not too much. As in all genres, not all Doctors are created equal. Some may not be innately interested in Cutting Edge Medicine, the way you are. Costly copays impede you from scheduling separate visit for each thing you want to discuss and the doctor in charge of your family may not be the same one who can answer some of your questions. That is why you jump on the internet and surf. The problem with that, is the immense volume of streaming data! It is overwhelming! one hardly knows who to trust or where to begin! Defining what wellness means to your family, may seem like a daunting task and
getting them across the finish line, the impossible dream. In the office, via telemedicine , as an ongoing patient or for a second consult. If you request a second opinion, I will review all of your documents, particular circumstances and give you sound advice with references from the literature to help guide you to the next strategic choice. I can help your employees truly engage in wellness. You shall find that I think" outside the box " on a lot of issues , and lack political restraints curtailing so many employed Doctors from speaking freely on concerning matters stirring in Doctors Lounges and usually considered "TABOO" to share outside or "restricted" locations. Change can only come from the masses demanding it and that requires them to understand and publicly acknowledge the landscape.

04/13/2024

Please read!!! Esp my California patients!

The California Department of Public Health is issuing this Health Advisory to notify health care providers, laboratories and public health departments that a woman in Sacramento developed severe lead poisoning and died in March 2024 after using a hemorrhoid ointment from Vietnam called, Cao Bôi Trĩ Cây Thầu Dầu. The woman purchased the product on Facebook and a relative in Vietnam shipped it to the U.S. Testing of the product found that it contained 4% lead (39,000 ppm), a highly dangerous amount of lead. If healthcare providers have patients that have used this hemorrhoid ointment, urge them to stop using it and order a venous blood lead level (BLL) test immediately. Contact California Poison Control at 1-800-222-1222 for clinical guidance on lead poisoning. See Health-Based Guidelines for BLL in Adults for specific recommendations based on the patient's BLL results.

This is an excellent article on potential etiologies of POTS.
02/23/2024

This is an excellent article on potential etiologies of POTS.

Background— Orthostatic intolerance is characterized by postural tachycardia syndrome (POTS) with exaggerated tachycardia, orthostatic symptoms, and “pooling” (which comprises acrocyanosis and depend

Climate Change requires us to stop fracking, stop oil use and change to clear energy.Massachusetts can lead the way.Plea...
01/31/2024

Climate Change requires us to stop fracking, stop oil use and change to clear energy.
Massachusetts can lead the way.

Please try to join the waterways hearing today!

Oral arguments for the Waterways hearing with the Mass Department of Enabling Polluters (DEP) will begin today, January 31 at 10 AM on the DEP YouTube channel. You can access the channel here. https://www.youtube.com/

A quick primer on the Hearing:
In May of 2019, The DEP granted Enbridge the Chapter 91 Waterways permit. This caused Coastal Zone Management to issue the final permit necessary for construction to begin.
In May of 2022, Superior Court Justice Leighton vacated that permit and remanded it back to the DEP.

In July of 2022, DEP Adjudicator Jane Rothchild concluded that, in fact, the DEP had erred in granting this important permit.
DEP Commissioner Suuberg asked for 45 days to review Rothchild's decision--the first time that Suuberg did this throughout our long history of hearings, including air quality and wet lands. Each time that Rothchild ruled against us, Suuberg signed off on her decision with seven days, never questioning her judgement.

In August of 2022, Suuberg said he "needed more information," and remanded the decision back to the DEP.
Subsequently, our new adjudicator Salvatore Giorlandino gave the permit back to Enbridge, ignoring both Justice Leighton and Jane Rothchild.

In October of 2023, adjudicator Giorlandino heard arguments from the FRRACS, Enbridge, and the DEP.

As always, thank you for your support and your activism!

Share your videos with friends, family, and the world

01/10/2024

Volume / Profit driven Healthcare has negatively impacted patients everywhere. We must have legislation in place to protect patients. Educating patients on the political issues that will move the needle back to patient protection, and away from protecting the profits of Insurance companies is key.

CMS has yet to update the prior authorization rule. Once CMS does this, the for profit insurance companies will need to follow suit.

The Washington Post (1/9, Sausser) reports that CMS “is weighing a proposed rule that could help millions” of Medicare Advantage patients by requiring “some insurers to automate their prior authorization processes, respond to expedited prior authorization requests within 72 hours and standard requests within seven calendar days, and provide more information when they issue denials.” However, the agency “closed the public comment period on the rule 10 months ago and has said nothing since then about when, or if, it will be finalized.” AMA President Jesse M. Ehrenfeld, MD, MPH, told KFF Health News on Monday that he hopes the proposed rule would “move the needle a little bit” – but cautioned that it may not be enough. “I think we’re going to have to have regulatory relief from Congress,” said Dr. Ehrenfeld.

Editor’s Note: Overused prior authorization processes cause care delays, patient harm and practice hassles. Click here to learn how the AMA is leading the charge to fix prior authorization.

California is often warning about important matters long before Massachusetts. This is worth reading.
12/13/2023

California is often warning about important matters long before Massachusetts. This is worth reading.

The California Department of Public Health is dedicated to optimizing the health and well-being of Californians

09/18/2023

COVID 19 vaccine recommendation

Subject:
2023-2024 COVID-19 mRNA Vaccines


On Monday, September 11, the US Food and Drug Administration (FDA) granted emergency use authorization to the 2023-24 COVID-19 mRNA vaccines.

These updated mRNA vaccines contain a monovalent (single strain) Omicron XBB.1.5 component. All previous formulations of COVID-19 mRNA vaccines are no longer authorized for use.

On Tuesday, September 12, the Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP) recommended vaccination with the 2023-24 COVID-19 vaccine for all persons 6 months of age or older, followed by approval by the CDC Director. The updated mRNA vaccines will begin to ship from manufactures in the next few days and should be available to order (may include single-dose vials and prefilled syringes).

Key points to remember:
· The 2023-24 (monovalent, XBB.1.5) COVID-19 vaccines are the only FDA authorized/approved mRNA vaccines (Pfizer-BioNTech and Moderna) for vaccination against COVID-19 for individuals 6 months of age and older.
What actions to take now:
Updated mRNA COVID-19 vaccine recommendations will be available soon at https://www.cdc.gov/vaccines/covid-19/clinical-considerations/covid-19-vaccines-us.html:
· Everyone aged 5 years and older is recommended to receive 1 dose of 2023-2024 mRNA COVID-19 vaccine.

· Children aged 6 months-4 years should complete a multi-dose series (2 doses of Moderna or 3 doses of Pfizer-BioNTech mRNA COVID-19 vaccine) with at least 1 dose of the 2023-2024 COVID-19 vaccine.

· People who are moderately to severely immunocompromised should complete a 3-dose initial series with at least 1 dose of the 2023-2024 COVID-19 vaccine and receive 1 or more additional 2023-2024 COVID-19 vaccine doses.

Please note that a 2023-24 XBB version of the Novavax protein-based COVID-19 vaccine is currently under review for emergency use authorization by the FDA for individuals aged 12 and older.

07/22/2023

Imagine how great the world could be if wewere always helping mother nature and not hurting her.

https://15427.portal.athenahealth.comPlease use this link to request appointments.
06/28/2023

https://15427.portal.athenahealth.com
Please use this link to request appointments.

Welcome to the Hingham Medical Care Inc. Patient Portal!We are pleased you have chosen to use the Patient Portal to communicate in a secure and confidential manner with your care team.Taking just a few minutes to register will give you access to valuable information and services provided in a secure...

This will be an interesting meeting to watch. The FDA released its recommendation for another round of vaccines before a...
04/06/2022

This will be an interesting meeting to watch. The FDA released its recommendation for another round of vaccines before a meeting with the advisory panel.

On the agenda of the FDA's advisory panel on vaccines today: boosters and the possibility of updating the vaccines to better match circulating SARS-CoV-2 strains.

Planning ahead for both small and big things in life is the best way to get things done efficiently.Let’s work together ...
03/03/2022

Planning ahead for both small and big things in life is the best way to get things done efficiently.
Let’s work together to make sure we save the earth for the next generation.
Join the call to leave 1/3 of the earth’s surface untouched.

Up to one million species could be gone from our planet, many within decades! But an ambitious new plan to protect half the planet would stop the extinction and heal our home. Join the urgent call to protect our planet before it falls silent.

You deserve a few minutes of time every week to learn something new about your body.Your loved ones will appreciate the ...
11/18/2021

You deserve a few minutes of time every week to learn something new about your body.
Your loved ones will appreciate the help .

COVID-19 mRNA vaccines deliver directions to make a protein that educates our immune system, so it will neutralize the virus in future encounters. The mRNA-c...

Understanding how our brains work .
08/11/2021

Understanding how our brains work .

📢SUBSCRIBE and click the BELL to get notified when new videos are uploaded. 💲 Unlimited CEUs $59 based on these videos at allceus.com for social work, coun...

Antibody protection after Covid looks promising!
05/29/2021

Antibody protection after Covid looks promising!

People who recover from mild COVID-19 have bone-marrow cells that can churn out antibodies for decades, although viral variants could dampen some of the protection they offer.

Good news about antibodies if you’ve had Covid.It looks like your bone marrow will protect you for quite a long time.
05/29/2021

Good news about antibodies if you’ve had Covid.
It looks like your bone marrow will protect you for quite a long time.

People who recover from mild COVID-19 have bone-marrow cells that can churn out antibodies for decades, although viral variants could dampen some of the protection they offer.

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Tuesday 7am - 5pm
Wednesday 7am - 7pm
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