408-854-1883 starts at $30 per hr home care

https://www.cdc.gov/mmwr/volumes/65/wr/mm6539a9.htm?s_cid=mm6539a9_e

Lead and Cancer

Several studies in lab animals have found that exposure to lead compounds (by swallowing or other means) can cause cancer. Kidney tumors have been linked withlead most strongly, but tumors of the brain, lung, and some other organs have also been linked to lead in different studies.

A state judge in Hinds County courthouse in Jackson, Miss. will decide whether Mississippi Attorney General Jim Hood — aided by a phalanx of private plaintiffs’ attorneys — can proceed with a suit against opioid manufacturers in which the companies stand accused of promoting the drugs by allegedly systematically understating their health risks and exaggerating their benefits, violating state law.

The potential exists for a mega-case like the one that ultimately brought Big Tobacco to heel. At a minimum, pretrial discovery might force drug companies to do something they have heretofore fiercely resisted: produce their internal records, including any that show discrepancies between what they told doctors, regulators and the public about opioids, and what they knew or suspected privately.

---

The United States Substance Abuse and Mental Health Services (SAMHSA) have discovered that next to marijuana, the nonmedical usage of prescription painkillers is the second most common form of illegal drug use. In 2007, SAMSHA reported that 5.2 million individuals – 21% of people over the age of twelve – used a prescription painkiller for nonmedical purposes. The US DEA believes that estimate to be closer to 7 million individuals.

In 2006, the Drug Abuse Warning Network (DAWN) reported that about 324,000 emergency room visits involved painkillers.

---

Brain Chemistry: It’s been suggested that certain individuals are born lacking in the neurotransmitter dopamine, which controls feelings of pleasure. These individuals may turn to opiate narcotics to stimulate the release of dopamine into the body, producing feelings of joy and happiness.

---

Effects of Opiate Abuse

The long-term effects of opiate abuse will vary tremendously based upon the length of time an individual uses opiates, the type of opiate abused, and the frequency of use. Common effects of opiate abuse include:

• Liver disease
• Dehydration
• Abscesses of the skin
• Infection of cardiac valves
• Pneumonia
• Cirrhosis
• Cardiac dysrhythmias
• Increased respiratory infections
• Anxiety
• Irritability
• Addiction
• Suicidal thoughts and behaviors
• Failed attempts to cut down on the drug use
• Overdose
• Seizures
• Stroke
• Heart attack
• Coma
• Death

Journal,

I wish to be a Certified Nurse Midwife but will take me 3 yrs as full time student which I can do perhaps 6yrs from now when my two children are done with college and I have save up enough money to be a full time student.

For now, I can learn more courses related to Data Science and other technical courses at coursera.org part time and online.

Striving to learn always.

Connie

We humans do not produce magnesium on our own. Magnesium and other minerals can only be obtained from the earth. Their biological role is multifaceted. Minerals help to maintain the pH of the body and are necessary for proper nerve conduction, contracting and relaxing muscles, and tissue growth.

Many people are unaware of the negative effect soda drinking has on mineral intake, mineral absorption and assimilation within the body. In middle-aged adults, consumption of one soda a day is associated with a 48% higher prevalence and incidence of multiple metabolic risk factors linked to magnesium deficiency, such as diabetes, obesity, and higher resting blood pressure. Carbonated soda consumption is negatively associated with achieving adequate calcium and magnesium in children aged 6 years and older. Consuming just 8 ounces of carbonated soda decreases the likelihood of achieving recommended calcium intake for children by 40%.

In this piece we will be discussing the different components of soda that contribute to magnesium depletion in the body.

What are the mechanisms behind soda drinking and magnesium loss?

 Phosphorous in Soda Depletes Minerals 

Do you enjoy that “tangy” flavor in soda? The “tang” comes from phosphoric acid added by soda manufacturers. Phosphorous itself is a necessary mineral. You need some phosphorous in your diet to support bone structure, create and store energy in the body, transmit genetic material, and regulate the body’s pH levels. Phosphoric acid is phosphorous that has undergone a modification process to become more chemically stable. Companies add phosphoric acid to many soft drinks to make the flavor more enhanced and give it that tanginess that we enjoy. However, high phosphorous levels in soda can lead to reduced body storage of minerals.

Excessive intake of phosphorous actually blocks mineral absorption in the body. Too much phosphorous binds with minerals in your blood, thus rendering them unavailable to your body’s functions. Your body, sensing it doesn’t have enough calcium or magnesium in the blood, takes it from your bones. Since phosphorous intake is increased when drinking most carbonated beverages, this depletes your body of both calcium and magnesium.

It’s not just sugary soft drinks that produce this negative effect. Phosphoric acid is also found in diet sodas. One 12 ounce cola contains approximately 40 mg of phosphoric acid!

Sugar in Sweetened Soda Robs the Body of Nutrients, and Displaces Nutrient-Dense Foods 

For every molecule of sugar we eat our bodies need 54 molecules of magnesium to be able to process that sugar. Therefore consuming sugar-laden soda depletes our body of this necessary nutrient. There are approximately 39 grams of sugar in one 12 ounce can of sweetened cola.

But beyond the fact that magnesium is depleted through simply processing the sugar we consume, an additional factor contributes to reduced intake. It is suspected that the role of soft drinks in mineral deficiency and reduced bone mineral density may be partially due to the fact that these soft drinks are displacing foods that would offer a source of minerals.

According to Loren Cordain, author of “Origins and evolution of the Western diet: health implications for the 21st century”, published in The American Journal of Clinical Nutrition,

“Standard American diets high in sugar and processed grains are both void of necessary micronutrients and deplete micronutrients. Refined sugars such as those found in soft drinks do not contain any vitamins or minerals. Therefore consuming these beverages reduces the nutrients in the diet.”

Sugar in soda replaces the calories and nutrients we could get from eating more nutrient-dense and mineral rich real foods, such as bone broths and grass-fed liver.

Aspartame in Diet Soda Interferes with the Actions of Magnesium 

Think you are making a better decision by avoiding sugar and drinking diet soda? If so, it’s time to think again!

Diet soda has also been shown to reduce magnesium, and may be associated with increased risk of heart attack and stroke, related to magnesium deficiency. The most commonly used sweetener in diet soda is aspartame, which is a source of aspartic acid. Aspartic acid interferes with the actions of magnesium, thus chronic aspartame consumption may lead to magnesium depletion. In studies, consumption of diet soda has been linked to numerous disorders associated with magnesium deficiency such as diabetes, heart disease, hypertension, and osteoporosis.

Caffeine in Soda Reduces Both Calcium and Magnesium 

Do you enjoy soda for the caffeine “buzz”? Many soft drinks now contain excessive amounts of caffeine, and some claim to give you more energy.

One 12-ounce soda contains approximately 30-60 mg of caffeine. Urinary calcium and magnesium excretion and intestinal calcium secretion were correlated with caffeine consumption in metabolic studies on premenopausal women. For every 150 mg of caffeine ingested, approximately 5 mg of calcium is lost. This effect occurs even hours after the consumption of caffeine.

Caffeine also inhibits the amount of calcium that is absorbed through the intestinal tract and depletes the amount retained by the bones. In another study, female college students were either given decaffeinated or caffeinated beverages after fasting for 10 hours. Urine samples after three hours revealed significant excretion of calcium, magnesium and sodium after caffeine intake. Thus limiting caffeine intake is crucial when trying to maintain adequate minerals.

As you can see, soda drinking depletes minerals in the body in several ways, and replaces calories from more nutrient dense sources. The best way to stay hydrated by far is drinking real filtered water. If you are craving flavor or bite, try adding some lemon or lime juice to your water!

http://maapgh.com/3/post/2015/04/magnesium-deficiency-soda.html

DRG Definition https://data.cms.gov/Medicare/Inpatient-Prospective-Payment-System-IPPS-Provider/97k6-zzx3#column-menu	Hospital Referral Region	Total Discharges Number	Ave. Covered Charges $	Ave. Total Pay $	Ave. Medicare Pay $
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	NY – Manhattan	3383	53114	19024	14880
885 – PSYCHOSES	CA – San Diego	1696	33469	8193	7420
897 – ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC	MA – Worcester	1571	4227	4968	4285
885 – PSYCHOSES	IL – Chicago	1487	20178	8166	7369
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	MA – Boston	1464	23190	13934	12857
392 – ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC	FL – Orlando	1344	24037	4728	3525
885 – PSYCHOSES	FL – Miami	1328	25631	6737	6004
885 – PSYCHOSES	IL – Chicago	1264	9269	7259	6592
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	FL – Orlando	1186	62625	13853	10633
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	MI – Royal Oak	1173	26867	15141	13119
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	MN – Rochester	1124	27703	16836	14280
885 – PSYCHOSES	FL – Miami	1116	23002	7521	6854
885 – PSYCHOSES	FL – Miami	1113	22075	7109	6407
885 – PSYCHOSES	CA – Los Angeles	1050	11548	9057	8469
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	FL – Fort Myers	1032	40478	12135	10505
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	DE – Wilmington	1031	31699	15631	12896
885 – PSYCHOSES	IL – Chicago	1028	9728	7721	7000
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	OK – Oklahoma City	1022	32270	11265	9357
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	NC – Charlotte	991	50359	12078	9423
312 – SYNCOPE & COLLAPSE	FL – Orlando	984	24119	4625	3487
247 – PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC	NC – Raleigh	981	69882	13768	12426
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	NC – Wilmington	970	35400	13872	12336
247 – PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC	NY – Manhattan	963	42368	21877	19183
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	KY – Louisville	960	29393	10900	9256
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	WA – Seattle	949	60466	16541	13558
247 – PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC	NY – East Long Island	923	64149	15079	11101
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	CA – Los Angeles	922	50614	13838	11548
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	NY – Bronx	903	74102	23393	22625
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	FL – Fort Myers	898	47992	12252	10324
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	CT – Hartford	895	28369	18821	16780
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	ND – Fargo/Moorhead MN	891	32338	14218	11754
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	TX – San Antonio	889	58125	12449	11398
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	NC – Asheville	886	34599	13842	11554
885 – PSYCHOSES	CA – Los Angeles	883	11601	8544	7823
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	CA – Orange County	878	52066	13136	10806
885 – PSYCHOSES	CA – Los Angeles	863	29789	10000	8969
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	IA – Des Moines	854	40039	13108	11204
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	IL – Evanston	836	50087	15342	12586
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	VA – Arlington	823	27549	11913	9533
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	AL – Huntsville	818	54777	12543	10996
885 – PSYCHOSES	CA – Los Angeles	818	19612	9493	8742
885 – PSYCHOSES	TN – Knoxville	808	8095	4881	4118
690 – KIDNEY & URINARY TRACT INFECTIONS W/O MCC	FL – Orlando	807	24224	5032	4012
885 – PSYCHOSES	MO – St. Louis	805	18798	5596	4683
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	MI – Grand Rapids	803	29261	16007	13141
885 – PSYCHOSES	TX – San Antonio	801	18528	6783	6028
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	TX – Lubbock	790	71368	13224	10205
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	VA – Norfolk	784	32944	12361	9975
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	IL – Melrose Park	782	68144	14454	10285
247 – PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC	NY – Manhattan	781	36262	21605	18451
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	FL – Ocala	779	69276	10996	9259
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	DC – Washington	778	16491	15635	13448
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	TX – San Antonio	775	75758	15581	13098
292 – HEART FAILURE & SHOCK W CC	FL – Orlando	774	31360	6587	5654
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	NJ – Morristown	772	43887	16224	13691
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	TX – Houston	768	52558	14441	12178
247 – PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC	AR – Little Rock	767	39442	10309	8797
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	TX – Houston	754	35003	12727	11707
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	FL – Jacksonville	752	50106	12113	10400
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	TX – Fort Worth	750	121140	15985	11441
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	IL – Chicago	749	58810	17560	14271
885 – PSYCHOSES	FL – St. Petersburg	745	16729	5035	4133
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	CA – Los Angeles	738	110123	18691	16157
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	VA – Newport News	738	61720	11501	9233
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	TN – Nashville	738	45029	12081	9853
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	MI – Royal Oak	736	42115	14830	13840
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	IL – Chicago	733	57102	19987	15531
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	AR – Little Rock	732	33174	10844	8895
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	NC – Raleigh	717	57312	14091	13172
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	OH – Columbus	715	31924	12767	9169
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	AZ – Tucson	710	30259	13661	11723
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	TN – Memphis	709	64976	19487	12084
885 – PSYCHOSES	IL – Melrose Park	707	18299	6777	5958
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	ME – Portland	705	28216	14131	11207
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	MI – Lansing	703	29850	13877	12387
392 – ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC	MA – Boston	700	10438	5230	4063
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	IN – Indianapolis	699	39147	12096	10161
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	MS – Jackson	693	33069	10805	8584
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	TN – Chattanooga	690	36099	11678	8997
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	NY – Manhattan	689	82605	22443	17481
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	PA – Philadelphia	689	53362	17848	14714
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	NC – Greensboro	689	25577	13758	10975
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	FL – Sarasota	688	66267	11393	9450
247 – PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC	FL – Orlando	688	59124	12817	10501
885 – PSYCHOSES	MN – St. Paul	687	37107	9544	8438
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	NC – Raleigh	686	54346	12515	9573
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	VA – Roanoke	683	53441	16008	11196
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	KY – Louisville	681	64371	13714	11918
885 – PSYCHOSES	IL – Chicago	677	13137	8192	7450
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	NJ – Hackensack	676	68997	15786	13687
287 – CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC	NC – Raleigh	674	26028	7818	6584
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	NJ – Camden	667	82918	14326	12743
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	CO – Fort Collins	667	49641	14696	10812
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	NC – Durham	666	34483	12612	11113
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	SC – Greenville	665	65553	12111	10069
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	NC – Charlotte	662	69034	12532	9691
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	IL – Springfield	659	43632	13417	10983
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	IA – Des Moines	651	33023	13348	11315
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	TX – Houston	649	39874	15556	12484
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	CA – Sacramento	645	76116	15869	14515
885 – PSYCHOSES	TX – San Antonio	644	28104	6108	4945
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	AZ – Phoenix	643	52970	12785	10020
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	KY – Lexington	642	42919	17372	15448
885 – PSYCHOSES	IN – Indianapolis	642	16239	6206	5139
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	CA – Napa	632	112725	19995	17584
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	TX – Temple	630	36374	14726	12663
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	MO – Columbia	627	26776	10269	8742
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	FL – Orlando	626	77856	14047	12187
885 – PSYCHOSES	FL – Jacksonville	622	13976	8936	8084
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	MA – Boston	618	57054	19447	17783
683 – RENAL FAILURE W CC	FL – Orlando	618	31815	6774	5584
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	GA – Atlanta	614	40007	11736	10341
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	PA – Lancaster	612	37761	13401	10815
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	OH – Columbus	611	51108	13874	11119
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	TX – Temple	608	33914	13661	12493
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	AL – Birmingham	608	33297	10845	8846
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	NY – East Long Island	607	69652	18829	17081
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	SC – Charleston	605	36121	11417	9465
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	FL – Sarasota	604	48879	12030	10164
291 – HEART FAILURE & SHOCK W MCC	FL – Orlando	603	50885	10696	8731
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	GA – Atlanta	601	28319	11174	9749
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	FL – Fort Lauderdale	599	64071	12299	10126
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	FL – Clearwater	599	57542	10144	8461
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	CA – Los Angeles	597	97071	16015	15214
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	KS – Wichita	592	51857	12721	10960
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	TX – San Antonio	590	53135	12066	11079
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	FL – Orlando	586	26710	12191	10870
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	TX – Dallas	584	47106	15538	14224
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	MO – Springfield	583	46565	12447	10539
885 – PSYCHOSES	FL – Miami	583	28283	7425	6660
247 – PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC	WV – Huntington	576	44751	12443	10771
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	OK – Tulsa	576	29145	10869	9083
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	FL – Gainesville	575	91979	12469	10145
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	MA – Springfield	575	35190	18043	15580
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	TX – Dallas	569	58854	15143	11687
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	CA – Alameda County	568	159337	17450	16355
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	NE – Lincoln	567	35704	12999	10802
292 – HEART FAILURE & SHOCK W CC	TN – Memphis	567	23769	7502	6311
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	TX – Tyler	565	49588	11474	9677
247 – PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC	MI – Saginaw	562	48062	11335	10203
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	TX – Dallas	562	43852	15310	12747
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	NJ – Paterson	560	90229	17814	17021
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	GA – Columbus	560	36253	11955	10522
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	CA – Fresno	558	45150	13117	11552
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	MI – Ann Arbor	557	37913	11349	10436
392 – ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC	MI – Royal Oak	556	16139	5415	4444
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	MI – Ann Arbor	555	36266	14035	11936
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	TX – Austin	554	83021	13438	9996
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	VA – Richmond	554	42006	11748	10820
885 – PSYCHOSES	TX – Houston	553	9132	4637	3895
190 – CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC	MA – Boston	552	17261	8693	7236
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	FL – Sarasota	551	75579	10446	9173
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	GA – Savannah	551	44689	11230	9701
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	MI – Flint	548	36698	14865	13746
885 – PSYCHOSES	KS – Wichita	548	13669	5617	4614
392 – ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC	NY – Manhattan	542	25293	8169	7212
392 – ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC	NY – Manhattan	540	22294	8435	7246
885 – PSYCHOSES	CA – Fresno	539	24182	9226	8360
885 – PSYCHOSES	CA – Los Angeles	539	23318	8730	7989
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	PA – Allentown	538	74394	14491	12865
194 – SIMPLE PNEUMONIA & PLEURISY W CC	FL – Orlando	537	33453	6542	5386
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	MI – Saginaw	536	38881	12345	11566
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	NM – Albuquerque	535	50251	14127	11790
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	FL – Clearwater	535	49370	12346	10283
690 – KIDNEY & URINARY TRACT INFECTIONS W/O MCC	DE – Wilmington	533	13029	6241	5075
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	NY – Syracuse	532	23955	14033	11130
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	MI – Detroit	532	22662	11822	10901
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	VA – Richmond	530	117477	12926	10139
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	IN – Indianapolis	529	30053	11532	9453
885 – PSYCHOSES	KS – Topeka	529	11910	5497	4408
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	MD – Baltimore	528	14847	14003	12451
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	CA – San Mateo County	524	129998	25857	24609
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	TX – Tyler	523	66561	10458	9323
247 – PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC	MI – Kalamazoo	523	61563	13972	12348
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	PA – Harrisburg	521	30259	14297	11602
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	GA – Atlanta	520	48051	12613	10330
392 – ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC	FL – Orlando	520	27629	5026	3877
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	OH – Kettering	519	56352	13608	10741
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	NV – Las Vegas	518	71894	13864	10958
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	TX – Houston	518	54729	12624	9787
191 – CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC	FL – Orlando	518	35541	6485	5308
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	MA – Boston	518	24498	13255	12297
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	MA – Boston	517	64888	19440	17621
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	NJ – Ridgewood	517	51385	14343	12755
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	MD – Baltimore	517	21086	20064	16959
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	NY – Manhattan	516	76985	25162	23206
885 – PSYCHOSES	VA – Norfolk	514	10396	5611	4866
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	TN – Knoxville	513	45564	11329	9011
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	CO – Colorado Springs	513	37997	12865	10866
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	TX – Longview	512	44399	10819	10075
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	OK – Tulsa	512	37855	11927	10676
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	MI – Detroit	512	31823	12572	11677
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	MI – Detroit	512	22283	12378	11647
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	OH – Akron	512	15465	10740	9039
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	PA – Philadelphia	511	48841	15260	11193
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	IL – Chicago	510	52646	12964	11607
897 – ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC	CA – Los Angeles	510	19917	4986	4489
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	MO – St. Louis	509	30127	11598	9479
885 – PSYCHOSES	TX – Tyler	508	38303	5463	4339
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	ID – Boise	508	35999	13538	10555
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	MI – Royal Oak	507	32521	19777	13217
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	VA – Lynchburg	507	29354	13170	10408
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	PA – Reading	506	36230	13365	12392
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	IL – Evanston	505	43858	17795	13559
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	MN – Minneapolis	503	34361	13383	10523
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	MI – Traverse City	503	25065	12172	10233
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	NH – Manchester	502	46679	13496	11630
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	NJ – Camden	501	76863	13043	10536
470 – MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	TN – Knoxville	501	44869	11800	9275
312 – SYNCOPE & COLLAPSE	NY – Manhattan	501	19863	8345	7040
871 – SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC	NJ – Ridgewood	500	76605	15331	14208
603 – CELLULITIS W/O MCC	FL – Orlando	499	24660	5657	4136
885 – PSYCHOSES	SD – Sioux Falls	497	14756	6586	5757
312 – SYNCOPE & COLLAPSE	NY – East Long Island	496	26094	6806	5714

https://www.charitynavigator.org/index.cfm?bay=search.summary&orgid=16680