Withings Scales Put Data Daily at the Center of Patient Engagement
Few people want to think about their health all the time, but many of us step on a scale every morning. Antoine Robiliard, vice president of Withings Health Solutions, explores the tensions of this interaction and the potential for making positive changes in patient lives in this video. Withings’s scales measure much more than weight: some can also report BMI, body composition, and electrochemical skin conductance, which helps diagnose the neuropathies and foot ulcers that are common in people with diabetes. The Body Pro includes a cellular connection so that it can be used by people who lack WiFi connections and mob...
Source: EMR and HIPAA - January 11, 2024 Category: Information Technology Authors: Andy Oram Tags: Clinical Communication and Patient Experience Health IT Company Healthcare IT Hospital - Health System Telemedicine and Remote Monitoring Antoine Robiliard Body Pro Body Pro 2 Connected Scales diabetes Diabetic Monitoring FDA Hea Source Type: blogs

Three normal high sensitivity troponins over 4 hours with a " normal ECG "
Written byWilly FrickA 46 year old man with a history of type 2 diabetes mellitus presented to urgent care with complaint of " chest burning. " The documentation does not describe any additional details of the history. The following ECG was obtained.ECG 1What do you think?The ECG shows sinus bradycardia but is otherwise normal. There is TWI in lead III, but this can be seen in normal ECGs. No labs were obtained. The patient was given a prescription for albuterol and a referral to cardiology.Smith comment:No patient over 25 years of age with unexplained chest burning should be discharged without a troponin rule out, no matt...
Source: Dr. Smith's ECG Blog - January 5, 2024 Category: Cardiology Authors: Willy Frick Source Type: blogs

Concerning EKG with a Non-obstructive angiogram. What happened?
CONCLUSION: Given resolution of severe CP in association with the above marked improvement of ST-T wave abnormalities in virtually all leads during the less than 1 hour between the recording of ECGs #1 and #2 — this strongly suggests reopening of a " culprit " vessel (whichever vessel this was)  — regardless of the fact that " no obstructive lesion was seen " at the time the cardiac catheterization happened to be done.The more than doubling of Troponin (even though " normal limits " for Troponin were not surpassed) — is consistent with a brief OMI, with only...
Source: Dr. Smith's ECG Blog - December 19, 2023 Category: Cardiology Authors: Willy Frick Source Type: blogs

Vitamins and Wound Healing
Wound healing is a complex biological process that involves inflammation, tissue formation, and tissue remodeling. Vitamin supplements can play a role in wound healing by supporting various aspects of the body’s natural healing processes. Here are some key vitamins and minerals that are important for wound healing: Vitamin C: Vitamin C, also known as ascorbic acid, is essential for collagen synthesis, a protein that helps in the formation of skin, blood vessels, and connective tissue. Collagen is a crucial component of wound healing. Adequate vitamin C intake can promote tissue repair and reduce the risk of infectio...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - September 9, 2023 Category: Geriatrics Authors: Jeffrey M Levine Tags: Geriatric Medicine Pressure Injuries & Wound Care aging skin bedsore bedsores decubiti decubitus ulcer geriatrics gerontology Healthcare Quality Improving Medical Care Jeff Levine MD Jeffrey M Levine MD Nursing Homes pressure s Source Type: blogs

The Truth About Medicare Advantage Saving Medicare
BY GEORGE HALVORSON We know from the current annual report from the Medicare trustees that Medicare Advantage is saving Medicare, and that Medicare will be a much stronger program as Medicare Advantage continues to grow. When we look at actual numbers from that report, we see that Medicare Advantage cost Medicare $403.3bn last year. The report shows that Medicare is growing 6.7% each year in total revenue. We see that Medicare Parts A and B have expense growth that slightly exceeds 8%, and that Medicare Advantage is projected to have expense growth of 4.2% for the year. That means we’re losing money from the ...
Source: The Health Care Blog - June 21, 2023 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Health Policy George Halvorson Medicare Medicare Advantage Source Type: blogs

Fight Aging! Newsletter, May 1st 2023
In conclusion, frailty progression accelerates in males with one LTCs and females with two LTCs or more. Health providers should be aware of planning a suitable intervention once the elderly have two or more health conditions. Plasma Transfer Lowers Epigenetic Age and Mortality in Rats https://www.fightaging.org/archives/2023/04/plasma-transfer-lowers-epigenetic-age-and-mortality-in-rats/ Plasma transfer from young to old individuals has produced mixed results in animals and little to no benefit in humans where assessed rigorously. These studies were driven by the hypothesis that young plasma contains m...
Source: Fight Aging! - April 30, 2023 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Teaching Wound Care at the American College of Physicians Annual Meeting
I recently had the honor of teaching a section entitled “Wound Care for the Internist.” at the annual meeting of the American College of Physicians (ACP) in San Diego.  ACP is the largest medical specialty organization in the United States with members that include internal medicine physicians, subspecialists, and medical students.  My session was well attended by caregivers from across the healthcare continuum including hospitalists, doctors in outpatient practices, and long-term care providers.  In my introductory remarks I asked the question, “How many of you have had a lecture on wound care in medical school....
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - April 29, 2023 Category: Geriatrics Authors: Jeffrey M Levine Tags: Featured Medical Articles Geriatric Medicine Pressure Injuries & Wound Care arterial ulcer bedsores burns chronic wounds decubitus ulcer end-of-life care Jeff Levine MD medical education pressure sores pressure ulcers venous ulce Source Type: blogs

Cellular Senescence in Aging Skin
In one sense, the accumulation of senescent cells with age is the same story in every tissue. These cells secrete pro-inflammatory, disruptive signaling that actively degrades tissue structure and function. The targeted destruction of lingering senescent cells produces aspects of rapid rejuvenation in aged mice. In another sense, every tissue is different and senescence in that tissue likely worthy of at least some degree of distinct study, perhaps leading to optimized therapies for clearance of senescent cells on a tissue by tissue basis, for example. Here, find a review that looks at cellular senescence in the context of...
Source: Fight Aging! - April 25, 2023 Category: Research Authors: Reason Tags: Daily News Source Type: blogs

Smart Bandage Monitors and Treats Chronic Wounds
Researchers at the California Institute of Technology have developed a smart bandage for chronic wounds, such as those sometimes experienced by patients with diabetes. The bandage is flexible and stretchy, but contains electronic components that can monitor the wound for signs of infection, including abnormal temperature, increased uric acid levels, and changes in pH. The bandage can transmit these data to a smartphone to alert a clinician, but cleverly it can also begin to administer treatment, including releasing antibiotics that are stored on-board and applying an electrical field to the wound bed to encourage tissue he...
Source: Medgadget - March 30, 2023 Category: Medical Devices Authors: Conn Hastings Tags: Materials Medicine Surgery Caltech chronic wounds WeiGaoLab Source Type: blogs

All Three Legs of the Obamacare Stool Are Working Well – Part 2
BY GEORGE HALVORSON 2022 Medicare Advantage data gathering process change made last year just made upcoding for plans irrelevant and impossible, but the critics do not accept that it happened.  CMS just ended that upcoding debate for 2022 by completely killing the coding system for the plans, effective immediately. The plans can’t code risk levels up because the coding system was eliminated entirely for 2022. RAPS is dead. The payment approach for Medicare Advantage now has no upcoding components and the government just used their new and more accurate numbers to create the 2023 payment level for the pla...
Source: The Health Care Blog - February 17, 2023 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Health Policy Affordable Care Act Medicaid Medicare Medicare Advantage Obamacare Source Type: blogs

Medicare Advantage UpCoding Has Been Eliminated by CMS Effective 2022
By GEORGE HALVORSON Medicare Advantage now enrolls almost exactly half the people enrolled in Medicare — and has both significant fans and hardline opponents in the health care policy circles who disagree about its performance. The biggest attack point that comes from the critics deals with the issues of coding accuracy by the plans. The payment model for the program is capitation — and that capitation is based on the average cost of fee-for-service Medicare in every county. The people who designed the model believed that the country should use the average cost of fee-for-service Medicare in every county as the b...
Source: The Health Care Blog - January 23, 2023 Category: Consumer Health News Authors: matthew holt Tags: Health Policy CMS George Halvorson Medicare Advantage Source Type: blogs

We Should Channel People Into Medicare Advantage Plans Where They Won ’t Have Amputations or Go Blind (Part 2)
By GEORGE HALVORSON Former Kaiser Permanente CEO George Halvorson has written on THCB on and off over the years, most notably with his proposal for Medicare Advantage for All post-COVID. He wrote a piece in Health Affairs last year arguing with the stance of Medicare Advantage of Don Berwick and Rick Gilfillan (Here’s their piece pt1, pt2). We also published his criticism (Part 1. Part 2. Part 3) of Medpac’s analysis of Medicare Advantage.  Now Medpac is meeting again and George is wondering why they don’t seem to care about diabetic foot amputation...
Source: The Health Care Blog - September 6, 2022 Category: Consumer Health News Authors: matthew holt Tags: Medicare Uncategorized CMS George Halvorson Medicare Advantage Medicare Advantage Special Needs Plans Source Type: blogs

Medicare Advantage Saves Lives, Limbs, Sight, And Major Amounts of Money – (Part 1)
BY GEORGE HALVERSON Former Kaiser Permanente CEO George Halvorson has written on THCB on and off over the years, most notably with his proposal for Medicare Advantage for All post-COVID. He wrote a piece in Health Affairs last year arguing with the stance of Medicare Advantage of Don Berwick and Rick Gilfillan (Here’s their piece pt1, pt2). We also published his criticism (Part 1. Part 2. Part 3) of Medpac’s analysis of Medicare Advantage.  Now Medpac is meeting again and George is wondering why they don’t seem to care about diabetic foot amputations. We are publishing part one today with part two com...
Source: The Health Care Blog - September 2, 2022 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Health Policy Medicare Amputations Blindness George Halverson Medicare Advantage MedPAC Source Type: blogs

Weekly Overseas Health IT Links –20th August 2022.
Here are a few I came across last week.Note: Each link is followed by a title and few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment-----https://www.digitalhealth.net/2022/08/ai-predictive-trial-staffordshire-hn-reduce-ae-admissions/AI predictive trial in Staffordshire reduces A&E admissions by 35%A trial which looked at how existing patient data could be used to predict those most likely to need hospital care has led to a 35% reduction on average in A&E attendances across Staffordshire.Jor...
Source: Australian Health Information Technology - August 20, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

Smart Textiles Recognize Body Movements
Engineers at MIT have developed smart textiles that can detect and recognize body movements. The garments fit snugly, and contain a network of pressure sensors that can detect movement, and in conjunction with machine learning approaches, the technology can learn to recognize specific movements in wearers. The fabric contains conductive yarns and piezoresistive components that change their resistance when pressure is applied. To reduce the data noise that occurs when the fabrics jostle together during movement, the researchers used thermoforming fabrics that help to stick the knitted layers together. The garments could be ...
Source: Medgadget - July 19, 2022 Category: Medical Devices Authors: Conn Hastings Tags: Materials Medicine Rehab mit MITnews Source Type: blogs