CareSwap_CHF & Heart Disease
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The Myth of High-Protein Diets

The Myth of High-Protein Diets | CareSwap_CHF & Heart Disease | Scoop.it
Sugar isn’t the only villain. The hazards of meat are understated.
Ginny Dillon's insight:

To your health ...

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One person’s normal = another person’s heart attack?

One person’s normal = another person’s heart attack? | CareSwap_CHF & Heart Disease | Scoop.it
Much has been written about calculating your BMI (or body mass index, the relationship between your height to your weight) and what it might indicate about your
Ginny Dillon's insight:

Important to ponder! Must read actually ...

What you don’t hear much about, and what I learned yesterday, is how much the meaning of those numbers can vary between people. A healthy BMI for one person might put another person at risk for heart disease. - See more at: http://scopeblog.stanford.edu/2015/02/27/one-persons-normal-another-persons-heart-attack/?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+stanford%2Fscope+%28SCOPE%29#sthash.HzHFkqbN.dpufWhat you don’t hear much about, and what I learned yesterday, is how much the meaning of those numbers can vary between people. A healthy BMI for one person might put another person at risk for heart disease. - See more at: http://scopeblog.stanford.edu/2015/02/27/one-persons-normal-another-persons-heart-attack/?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+stanford%2Fscope+%28SCOPE%29#sthash.HzHFkqbN.dpufWhat you don’t hear much about, and what I learned yesterday, is how much the meaning of those numbers can vary between people. A healthy BMI for one person might put another person at risk for heart disease. - See more at: http://scopeblog.stanford.edu/2015/02/27/one-persons-normal-another-persons-heart-attack/?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+stanford%2Fscope+%28SCOPE%29#sthash.HzHFkqbN.dpuf
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How to help your doctor give you better care

How to help your doctor give you better care | CareSwap_CHF & Heart Disease | Scoop.it
Interested in improving your own upstreamist health care? Below, six simple ways to start.
Ginny Dillon's insight:

This is a great TED talk about getting to wellness. Guess where it starts? #patient #caregiver

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Medicare Payments Surge for Stents to Unblock Blood Vessels in Limbs

Medicare Payments Surge for Stents to Unblock Blood Vessels in Limbs | CareSwap_CHF & Heart Disease | Scoop.it
Some cardiologists are reaping huge reimbursements for operating to relieve blockages in peripheral veins and arteries, a treatment many may not need.
Ginny Dillon's insight:

Ironic ... Stents are under scrutiny:

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Patient Education

Patient Education | CareSwap_CHF & Heart Disease | Scoop.it
Ginny Dillon's insight:

Did you know that heart failure (CHF) is the leading cause of hospitalization for those 65+ ... Help is here:

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Support Network Community Home - AHA/ASA Support Network

Support Network Community Home - AHA/ASA Support Network | CareSwap_CHF & Heart Disease | Scoop.it
AHA/ASA Support Network
Ginny Dillon's insight:

What do you think? American Heart Association has an online community for patients. #stroke #chf #heart #epatient

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Data for health

Last week I was part of the first community meeting for Data for Health, a program sponsored by the Robert Wood Johnson Foundation. It was held in Philadelphia on October 30 (an absolutely beautifu...
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Do you track any of your own health parameters? Here's a great discussion about the trend.

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Three Wearables that Could Change Afib Screening

Three Wearables that Could Change Afib Screening | CareSwap_CHF & Heart Disease | Scoop.it
They're durable, low-profile, and accurate.
Ginny Dillon's insight:

Wear it, catch it. #Afib that is. Three Wearables that Could Change Afib Screenin

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The Case of the Disappearing Heart Stent - Scrubbing In

The Case of the Disappearing Heart Stent - Scrubbing In | CareSwap_CHF & Heart Disease | Scoop.it
A dissolving heart stent device could become the new recommended approach for treating heart disease, and Baylor researchers are among the first to implant it.
Ginny Dillon's insight:

Here's where medical technology is heading with regards to Stent alternatives for treating heart disease. #careswap #epatient

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Trans fats to be phased out, FDA says

Trans fats to be phased out, FDA says | CareSwap_CHF & Heart Disease | Scoop.it
The heart-clogging ingredient commonly used in processed foods such as frozen pizza remains a “significant public health concern,” the agency says.
Ginny Dillon's insight:

Progress on the food front! Trans fats raise (bad) LDL and lower (good) HDL increasing incedence of heat disease.

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Medical Bills Are the Biggest Cause of US Bankruptcies: Study

Medical Bills Are the Biggest Cause of US Bankruptcies: Study | CareSwap_CHF & Heart Disease | Scoop.it
Rising medical bills are likely to force many people to file for bankruptcy—making it the single biggest cause of such filings, according to new data from NerdWallet. Even those with health insurance are buckling under mounting bills.
Ginny Dillon's insight:

No other country. Just the US.

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Heart Stents Still Overused, Experts Say

Heart Stents Still Overused, Experts Say | CareSwap_CHF & Heart Disease | Scoop.it
Some experts say that part of the problem is simply that many patients, and even some doctors, incorrectly regard coronary artery disease as a plumbing problem.
Ginny Dillon's insight:

Bottom line _ talk with your doctor.

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Former President George W. Bush's Heart Procedure Raises Questions for Many on Risk of Heart Disease - Scrubbing In

Former President George W. Bush's Heart Procedure Raises Questions for Many on Risk of Heart Disease - Scrubbing In | CareSwap_CHF & Heart Disease | Scoop.it
Former President Geoge W. Bush recently discovered he might have a blocked artery in his heart.
Ginny Dillon's insight:

Huge wake up call for us all. Why former President George W. Bush? What is a stent and why this procedure? Many other questions ...

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Why did this image of a crying doctor go viral? Here's why.

Why did this image of a crying doctor go viral? Here's why. | CareSwap_CHF & Heart Disease | Scoop.it
Outside of a hospital, an ER doctor grieves the loss of his patient. He's a true hero.
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HBP Patient Guide / 1

Understanding and Managing
High Blood Pressure
Check.
Change.
Control.
Ginny Dillon's insight:

Here's an interactive Patient Guide from AHA/ASA. Understand and Manage High Blood Pressure. Know your numbers. Learn so much more.

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Patient Voices

Patient Voices | CareSwap_CHF & Heart Disease | Scoop.it
What is it like to live with a chronic disease, mental illness or confusing condition? In Patient Voices, we feature first person accounts of the challenges patients face as they cope with various health issues.
Ginny Dillon's insight:

A diagnosis of a chronic disease, mental illness or condition can change one’s life in many ways. Patient Voices (New York Times)  features first person accounts of the changes, challenges and rewards patients face as they cope with various health issues.

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Complexities of Choosing an End Game for Dementia

Complexities of Choosing an End Game for Dementia | CareSwap_CHF & Heart Disease | Scoop.it
Some wonder if a directive to hasten death by withholding “ordinary means of nutrition and hydration” should apply to a person who can’t remember it.
Ginny Dillon's insight:

Hard issue to work through:

 

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The Green House Effect: Homes for the Elderly to Thrive

The Green House Effect: Homes for the Elderly to Thrive | CareSwap_CHF & Heart Disease | Scoop.it
The common belief is that nursing homes are depressing places where old people go to die. But the Green House project offers cheerful, homelike facilities that are respectful of the needs and wants of elderly Americans.
Ginny Dillon's insight:

Senior living worthy of respect ...

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Ginny Dillon's curator insight, January 31, 2015 12:53 PM

The Green House Project = respectful living for seniors:

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ePatients and Trends Changing Health Care

ePatients and Trends Changing Health Care | CareSwap_CHF & Heart Disease | Scoop.it

The concept of the ePatient - someone who is equipped, enabled and empowered by digital technology and social networks to make better decisions about their health care (and that of their loved ones) - is no longer a novelty. We have become increasingly familiar with the term and its leading proponents over the past few years.  What is perhaps more novel is the idea that the ePatient of the future will be the norm rather than the exception.

New technologies will enable all of us to monitor our health and gather sophisticated data which in turn will empower us to interact with our healthcare providers in a partnership.  Forced to increasingly take responsibility for our own care in a complex system, digitally savvy health consumers will combine information from doctors, the Web, electronic medical records and other sources to “hack” the health system to educate ourselves, navigate loopholes and ultimately get better, lower cost and faster care.

How this will come about is the subject of a new book by Rohit Bhargava (author of Likeonomics: The Unexpected Truth Behind Earning Trust, Influencing Behavior, and Inspiring Action) and healthcare futurist Fard Johnmar.  Featuring original research and stories of healthcare innovators from across the world, ePatient 2015: 15 Surprising Trends Changing Health Care acts as a guide to the rapid changes taking place in health. It shares 15 trends that are poised to fundamentally change the way health and medical care is delivered and received in the near future.

I recently interviewed Fard Johnmar on the main themes presented in the book. I started by asking him what he thinks is the biggest challenge facing health care today? 

F.J. This is a tough question.  Especially because there are so many issues facing healthcare globally. Many people would point to rising health costs — especially in the United States — and lack of access to high-quality care as being significant problems.  I agree with this assessment.  Yet, there are two under-reported, but equally as important issues in healthcare: a lack of personalization and the profound isolation that people who fall ill face — whether they have mental or physical illnesses.  In many parts of the world, particularly in Western countries, individuality and autonomy is highly prized.  Yet, people entering health systems are often transformed from individual actors to cogs in the medical machine.  Sometimes this is necessary, as standards of care allow doctors to treat patients based on sound science and medical practice.  But it also has negative consequences, especially in cases where personalizing therapy is highly beneficial. In terms of social isolation, this is an even more significant problem.  As familial and cultural support structures have eroded and the cultural stigma associated with being sick in public continues, people facing illness sometime find themselves with few allies. Fortunately, people in the global health industry recognize these issues and are developing — and using — a range of innovations designed to drive greater personalization and help patients forge connections with others facing illness and those seeking to support them. 

Q.  In your book you identify 15 trends that you observe in health care today. These are propelled by three overarching themes – can you tell us a little more about these themes?

The themes you referred to are Health HyperEfficency, the Personalized Health Movement and Digital Peer-to-Peer Healthcare.  As we mapped out the trends described in the book, we found they naturally aligned with three reactions to problems facing health care, which I noted above:  

Ever-increasing health costsLimited social supportGeneric, or non-personalized medicine  

Health HyperEfficency refers to a range of technologies and techniques which promise — via greater computing power, better human-machine interfaces and other innovations — to help us reduce health spending.  Of particular interest is our growing ability to predict whether and how people will get sick in the future.  If we can work with people to stave off illness, this will reduce costs significantly while improving health and wellbeing.   

The Personalized Health Movement refers to the use of innovations in the analog and digital realm, from genomics to food advocacy, that will help people do everything from receive medications tailored to their genetic profile to taking more control of the food they put into their bodies every day.  It’s all about providing people with tools that enable them to receive high-quality, but individualized care. 

Digital Peer-to-Peer Healthcare is inspired by a concept promoted by my friend Susannah Fox of the Pew Research Center: that we are living in an era where we have the ability to forge human to human connections in ways that were not possible in the past. 

Q. Can you explain to us what you mean by the term "carehacking"?

As we looked at how people were using technologies and tools available to them to better understand their bodies, we realized that a great term to describe this activity would be carehacking.  Traditionally, health systems have been like impenetrable black boxes, where people had little understanding of their treatments, the data collected from their bodies and more.  In some respects, you could almost describe the situation as akin to modern computer programs, where most people have no understanding about what’s behind the magic taking place on the screen. Decades past, many using personal computers had to understand how to manipulate, or hack them, them at code level, to make things happen. We’re now seeing people learn a lot more about the “programs,” data and interactions that make health systems tick.  They are using this knowledge to hack the system to do everything from navigate the evolving health insurance landscape to help doctors manage their cancer care. 

Q. As we collect more health data it is raising many new privacy and security concerns. Are patients sufficiently aware of the issues surrounding the ethics and privacy of their health data being collected and analysed by app developers, websites and insurers? How can they protect themselves?  

No, people are not aware of the scope of health data being collected about them, how vulnerable it is to attack and the consequences of health data breeches. At this stage, knowledge is the best protection — especially as it relates to sharing health data via the social Web and mobile devices.  

Q. As more of us turn to wearable computers to monitor our health, and the data becomes more sophisticated, are we in danger of becoming overwhelmed or immobilized by all the information we gather?

Absolutely.  In fact, the issue of health data overload is certainly not a new one.  Just ask anyone who has turned to Dr. Google to learn about their symptoms or a new diagnosis. Sifting through millions of irrelevant search results is no picnic.  What’s changing is that innovators are producing a range of tools and technologies that provide people with much more access to highly sophisticated health data.  While the flood of information is increasing exponentially, we’re not seeing enough serious efforts to help people not only make sense of this data, but turn it into action.  Non-actionable health data is worse than useless.  

Q How will all of this affect doctor/patient relationships? Are health care providers ready for the patient of the future?

During the dawn of the Internet age, physicians were caught off guard by the rise of the patient Googler.  Today, some doctors are still not comfortable with the fact that patients research their health conditions online and ask many questions based on what they have learned. Today, innovators, entrepreneurs and others are busy introducing innovations that have the potential to upend doctor-patient relations in ways we could only imagine during the Internet era.  As I discussed in this recent essay published on KevinMD, many doctors are simply not prepared for the next generation of technology-empowered patients.  

Q While the digital future is an exciting one, it is not without pitfalls. What potential problems lie ahead for us if we don’t pay heed to them now?  

If I could pick one issue we need to address it would be this: The need to move from health knowledge to health wisdom.  As humans, it’s in our nature to race ahead with little heed to the consequences associated with the innovations we develop.  For example, we can see this happening in the area of genetics.  We’re gathering more data about the link (or lack thereof) between our genetic code and disease.  We’re providing this information to the public, but paying less attention to helping people make sense of this information and — more importantly — make better decisions based on genetic data.  Engaging in paternalistic efforts to prevent people from accessing medical knowledge is certainly a bad idea.  But, providing people with information is only the first step. We need to help people become wiser health data consumers and do more to ensure they make sound decisions based on information they access and receive.

 


Via Plus91
Ginny Dillon's insight:

Great information re epatient movement! I see a potential hurdle / challenge in the area of HIPPA, Privacy and Online Security. We're not there yet ... better solutions needed.

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Ginny Dillon's curator insight, September 19, 2014 11:27 PM

Educated, Engaged, Empowered patients!

ryan ceynar's curator insight, December 13, 2014 8:09 PM

Does having electronic technology hinder professional ethics?

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Doctors Making Housecalls: Better, Cheaper Care at Home?

Doctors Making Housecalls: Better, Cheaper Care at Home? | CareSwap_CHF & Heart Disease | Scoop.it
'Like any medical practice, it's not easy. But it is fulfilling.'
Ginny Dillon's insight:

Return of the Housecall. For some this is welcome.

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Assurant joins Healthcare Cost Institute effort on price transparency

Assurant joins Healthcare Cost Institute effort on price transparency | CareSwap_CHF & Heart Disease | Scoop.it
Assurant Health will join three other insurance heavyweights -- Aetna, Humana and UnitedHealthcare -- in working with the Healthcare Cost Institute in developing consumer-geared tools for healthcare pricing and quality transparency
Ginny Dillon's insight:

This could potentially prevent stroke or even be a life saver if you have a cardiac arrhythmia known as afib!

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‘Intensive' exercise may benefit heart failure patients: MedlinePlus

‘Intensive' exercise may benefit heart failure patients: MedlinePlus | CareSwap_CHF & Heart Disease | Scoop.it
‘Intensive' exercise may benefit heart failure patients
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Harvard Health and Orca Health launch heart-focused iBook series

Harvard Health and Orca Health launch heart-focused iBook series | CareSwap_CHF & Heart Disease | Scoop.it
The ability of today's electronic books to display videos, images explained by a spoken voice, animations, interactive tools, and quizzes gives doctors new ways of explaining things.
Ginny Dillon's insight:

Harvard Health Publications has a great e-newsletter for patients too!

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Home | Quitter In You | American Lung Association

Home | Quitter In You | American Lung Association | CareSwap_CHF & Heart Disease | Scoop.it
The American Lung Association supports the quitter in you, and we're here for you every step of the way with tools, tips and support. The important thing is to keep trying to quit, until you quit for good.
Ginny Dillon's insight:

Quit smoking or help someone you love quit. #heart

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Baylor Heart and Vascular Hospital - Living Healthy - Know Your Numbers

Baylor Heart and Vascular Hospital - Living Healthy - Know Your Numbers | CareSwap_CHF & Heart Disease | Scoop.it
Ginny Dillon's insight:

You can have Heart Disease and not even know it. THis is why it's important to "know your numbers"

 

Blood Pressure

Cholesterol

HDL /LDL

Triglycerides

Fastind Glucose Hemoglobim A1C

Body Mass Index (BMI)

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