Underlying the negative update is growth in Medicare spending for physician services. During 2005, spending for physician services increased by 18%, with a growth in the volume and intensity of physician ser-vices of 7.5 percentage points and 8.5% growth in total physician spending (3).
1 Wash your Bike Frame and Wheels. 2  Go from top to bottom, front to back, using a diluted soap or a dedicated product and the soft bristled brush. 3  Use the brush to scrub the braking surfaces of your rims. 4  Rinse your Bike, being careful not to shoot high pressure water at bearing packs or shock seals.5  Dry the Bike.f you have a suspended bike, try not to spray water at the seals where the shock pistons move. 1  Clean your Drivetrain. 2  Wet your Bike. 3  Wash your Bike Frame and Wheels. 4  Rinse your Bike, being careful not to shoot high pressure water at bearing packs or shock seals. 5  Dry the Bike. 6  Lubricate.
Do-It-Yourself Bike Tune-Up: A 5-Step Checklist. Learn how to tune up your bike to save time and money. 1. Clean the chain. Most wet chain lubes double as excellent degreasers. Cover the chain in the lube, grip the lower segment of the chain with a towel and pedal backward. Keep scrubbing until the chain sparkles. RELATED: Your Bike Race-Ready Checklist.