Showing posts with label Health Care. Show all posts
Showing posts with label Health Care. Show all posts

August 4, 2016

America's Great Disappointment


So the Wall Street Journal asks today,"Why [Is] This Recovery Is So Lousy"?

They say that with Obama, "No president was ever better positioned to lead a strong recovery...no resources were spared...yet not once in the last seven years has annual economic growth ever reached [even] 3%."

But the news gets worse, in fact, "U.S. GDP grew a disappointing 1.2% in the second quarter...[and] economic growth is now tracking at a 1% rate in 2016...that makes for an average annual 2.1% rate since the end of the recession."

And that is after Obama's $836 billion stimulus and $3 trillion in Federal reserves injected into the economy!

The Great Recession may be the most disastrous economic results short of the Great Depression itself.

However, this is not the only reason Americas are disappointed with what they are getting from Washington (and we won't even talk about the candidates).

80% say we are heading in the wrong direction!  Let's repeat that again, 80% say we are heading in the wrong direction.

Harvard Business Review says it's not just the economy stupid, since we still [despite ourselves--with failing policies of enormous tax and spend and over-regulation] rank #5 on GDP per capita. 

Yet that doesn't translate into overall social progress for us.

Get this, the U.S. ranks 19th in social progress in the world--just one place above Slovena!

Why???

- We rank 26th on personal rights because of restrictions on freedoms like the right of assembly. 

- We rank 27th on personal safety because of high homicides and poor road safety.

- We rank 36th on environmental quality because of high greenhouse gases and poor water quality.

- We rank 40th on basic knowledge because of poor education and high dropout rates.

- We rank 68th on health and wellness because of suicides, obesity, cancer, and heart disease.

HBR points out that there may be individual reasons for each of these, but overall this is a bleak "troubling picture" and Trump isn't the one who painted it.

The sad fact is that one of the only things that the U.S. is ranking #1 in the world in is our national debt to everyone else...and this is being squandered. 

Think good and hard about the nation you are leaving your children and grandchildren...this is a horrible performance scorecard for America, the superpower!  ;-)

(Source of the amazing photo: Minna Blumenthal)
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September 21, 2014

Health Monitoring Ad Nauseam

So the new Apple Watch promises to monitor our every virtual health status as technology and person blend to become one.  

However, the question raised in the New York Times is whether this level of continuous monitoring is really all that necessary?

"One central rule of doctoring is that you only gather data that will affect your treatment?"

But how can more data hurt you?

- Change in measurements are often normal: For example, "blood pressure jumps up and down in response to thoughts, hydration, and stress."

- Data sometimes outstrips our ability to understand it:  So collecting more and more data may actually end up concealing the needle in the haystack, rather than culling the crucial piece of evidence we need for a diagnosis and treatment. 

- Data can sometimes belie the underlying truth: "Some patients die with 'Harvard numbers, [and in others] test results can can look bad even when the patient is fine."

- Obsessive-compulsive monitoring may actually stress us out: "If you were dieting would stepping on the scale 1,000 times a day help you lose weight?" Perhaps, the stress of monitoring every stat we generate may actually make us sick from fear and worry.  

The point is that as they say, "there can be too much of a good thing"--monitoring and checking is helpful, but not every minute of every day without some intelligent filtering and analysis. 

Perhaps, the technology will evolve to wear the monitoring is unobtrusive and where the artificial intelligence is there to more or less accurately decipher true warning signs from run of the mill changes in bodily functions, and where data is aggregated to get a holistic picture and diagnosis of the person rather than a snapshot of individual functions.

No one can live under a microscope and making ourselves sick with an endless stream of health tracking and worries is not helpful. 

However, in time, the technology will most certainly evolve to where it will be discreet, accurate, and truly lifesaving. ;-)

(Source Photo: Andy Blumenthal)
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August 14, 2013

Technology Heals

My wife took this photo today at The Drupal for Government Conference at NIH.

The man in the photo was not only participating in the conference, but also taking notes on his Apple Macbook Air. 

It is incredible how technology is helping us do our jobs and be ever more productive.

This is the vision of technology taking us beyond the natural limits we all have and face. 

I remember a few years ago when I was in the hospital for something and feeling bad about myself, and my wife brought me a laptop and said "Write!"--it was liberating and I believe helped me heal and recuperate.

I wonder if hospitals in the future will regularly provide computers and access to patients to not only keep them connected with their loved ones, but also let them have more options for entertainment, creativity, and even productivity, to the extent they can, while getting well.

Kudos to this gentleman--he is truly a role model and inspiration for us all. 

(Source Photo: Dannielle Blumenthal)
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July 29, 2013

Medical Hacks

Usually when we talk about the dangers of cyber attacks, we are concerned with the dangers of someone stealing, spying, or systematically corrupting our information systems. 

But Barnaby Jack who died last week at age 35 brought us awareness of another, more personal and perhaps dangerous hack...that of hacking medical devices.  

Barnaby, a director at computer security firm IOActive, became known first in 2010 for being able to hack at cash machine and have it dispense money. 

In 2012, he drew attention to a flaw in insulin pumps whereby someone could cause it to administer a fatal dose to its unknowing victim. 

This week, Barnaby was going to demonstrate how heart implants could be hacked, killing a man from 30 feet away. 

With advances in the miniaturization and battery life of personal medical devices and implants for monitoring and managing patients health, more and more people could be exposed to malicious or murderous cyber attacks on their body.

With the potential for RFID embedded chips for managing our personal identities to bionics for replacing or enhancing human body parts with electronic and mechanical implants, the opportunity for someone seriously messing with our physical person grows each day. 

If dangerous vulnerabilities are discovered and exploited in these devices, an enemy could go from the traditional attack on our information systems to potentially sickening, disabling, or even killing millions at the stroke of some keys. 

Imagine people keeling over in the streets as if from a surprise attack by a superior alien race or the release of a deadly chemical weapon, only it's not extraterrestrial or kinetic, but instead a malevolent cyber attack by a hostile nation or cyber terrorist group taking aim at us in a whole new and horrible way.

(Source Photo: here with attribution to Bhakua)

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July 19, 2013

With Surgical Precision


This is awesome--the iKnife ("Intelligent" knife) for cutting away cancer, can also detect the cancerous cells. 

I had previously heard about dogs being able to sniff cancers such as lung, ovarian, and skin--but never a surgical knife doing this. 

With the iKnife, a surgeon can use a electrosurgical knife to cut/burn away cancerous tissue, but even better yet, this knife sucks away the smoke containing the vaporized tissue to a mass spectrometer that analyzes the particles and is said to be 100% accurate (so far) in detecting cancerous tissue (from those that are normal).

This is critical because it can be lifesaving in guiding surgeons not to miss any of the cancer (and therefore also helps avoid repeat surgeries) as well as not removing unnecessary tissue that is not cancerous. 

Dogs can help alert us to hidden cancers within and the iKnife can help remove them with greater precision and success. 

Hopefully, with G-d's help, one day we won't need either anymore. ;-)


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July 12, 2013

Living Longer, But With Worse Quality Of Life

Watching my parents age over the years has been hard--and very painful. 

They are good people--they've worked hard all their lives (nothing was just given to them), they are devoted to serving G-d, and they are loved by their family, friends, and community. 

They have lived a good life and we are grateful for every day.

Yet as they are getting older, the body like anything physical, starts to get sick and break down. 

Both my parents have serious illnesses, and in the last two years my mom has become almost totally disabled and is moving from a rehab center to a nursing home this coming week. 

I read this week in the Wall Street Journal, what I've been watching with my own eyes...we are living "longer, but not healthier lives."

Over the last 2 decades, life expectancy has risen 3 years to 78 years, but unfortunately only 68 of those, on average, are in good health--meaning that people suffer for about ten years with various disabilities.

What is amazing is that people are being pressed to retire later in life with an increase in age to receive full social security benefits to 67 by 2022--giving the average person a healthy retirement to enjoy of just 1 year!

With the average working household having less the $3,000 in retirement savings, things are not looking too good for Americans to retire young and enjoy their healthy years either. 

Additionally, despite longer living, in the last 2 decades, the U.S. fell from 20th place to 27th place in 34 member nations of the Organization for Economic Co-operation and Development (OECD) for life expectancy and quality of life.

The leading causes of death remain heart disease, cancer, and stroke.  And disabilities are being driven by back, muscle, nerve, and joint disorders. 

Seeing with my own parents, the deteriorating quality of life and true suffering as they age, I am left questioning the real wisdom of keeping people alive, when the quality of life has so deteriorated as to leave them in pain and misery. 

While no one wants to lose their loved ones--the emptiness is devastating--at the same time, watching them endlessly and needlessly suffer is worse. 

I see my mom clutching her wheelchair, always in various states of discomfort and pain, and less and less able to help herself, in almost any way--it is tragic. 

So I ask myself is it also unnecessary and wrong? 

I call it forcing people alive. We keep people going not only with extraordinary measures, but also with day-to-day medicines and care that keeps their hearts pumping, their lungs breathing, and their brains somewhat aware. 

The patients are alive, but are in a sense dying a long and painful death, rather than a quick and painless one. 

I love my parents and mom who is suffering so much now, and I don't want to lose her, by does really caring for her mean, at some point, letting her go.

I tell my dad, "I just want mom to have peace"--no more suffering!

For the average person, 68 years of health is too short, but 10 years of disability and suffering may be too long. 

We use advances in technology and medical breakthroughs to keep people alive. But what is the cost in pain and disability, and even in cold hard dollar terms for a nation being gobbled up by deficits, longevity, and miserable disease and disability? 

People are living longer but at a significant painful price! 

Is this real compassion and empathy or a senseless fight with the Angel of Death? 

(Source Photo: here with attribution to wwwupertal)


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March 1, 2013

Now That's Robot Clean


How many of you heard the phrase as a child, "Cleanliness is next to G-dliness"?

Over the years, we've learned that germs and associated illnesses are frequently transmitted by touch and through the air.

And so we've become sensitized to the importance of things like regularly washing our hands, using antibacterial soap, and generally keeping our homes and offices as clean as they can be. (Okay, some people I know aren't so good about this--yes, you know who you are!)

The problem is that even with regular cleaning, corners, cracks, and surfaces are missed and harmful germs survive.

You can imagine that this can be especially true in places like hospitals and nursing facilities where unfortunately, there are already a lot of sick people.

Xenex Healthcare has invented an amazing robot that takes care of the problem--no, I am not taking about euthanasia (just kidding).

But really, this robot is wheeled into a room--generally after a manual cleaning that according to Bloomberg BusinessWeek (25 February 2013) often leaves 50% of the room still infected--and these germs can survive up to six months.

The Xenex robot generates a pulsing ultraviolet (UV) light from its extending head that zaps viruses and bacteria--destroying their DNA--and leaving a room 20 times cleaner!

There are 20 million hospital infection a years in America, killing about 100,000 people, and costing about $30,000 per infection, so the Xenex robot that kills up to 95% of many deadly infections and superbugs is significant. 

The robot costs around $125,000 or it can be rented for $3,700 per month--but it can disinfect dozens of rooms a day.

I'd like to see a Xenex robot for every home and office--that should do wonders for improved health care in this country. 

Oh and it makes a great gift for Howie Mandel. ;-)

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May 21, 2011

The Information Blanket

On July 4, 1976--the 200th anniversary of our free and democratic nation, something incredible was happening in Uganda--Operation Entebbe, a rescue operation to free over a hundred hostages at Entebee Airport.

This rescue operation became the basis for the movie Operation Thunderbolt, one of of my favorite movies (aside from Rocky).

The movie portrays the heroic and miraculous raid at Entebbe Airport in Uganda by the IDF to save the hostages of Air France flight 139, with 248 passengers and 12 crew (the Jews were later upon landing separated from the non-Jews and held captive, while the others were released). IDF Commandos with only a week of planning and preparation, travelled 2,500 miles in a daring operation that resulted in the rescue of the 103 hostages in a 90 minutes raid. Only three hostages and the commander of the mission, Lt Col Yonatan Netanyahu (the older brother of the Prime Minister of Israel today) were killed in the battle.

Despite, Uganda's support of the terrorists in this event 35 years ago (a long time yes, but still pretty awful), today to help innocent people of this country and others that can benefit, I write about...The Information Blanket.

BMB, an independent advertising consumer PR company launched The Information Blanket this month to fight infant mortality.

According to Fast Company (June 2011), the Blanket is targeted for a country like Uganda where "on average 77 of every 1,000 Ugandan babies will die before they reach their first birthday."

The creative director of BMB worked with UNICEF to "determine which health facts would best educate mothers and hopefully prevent infant death" and then they designed The Information Blanket with easy to read and understand information such as:

1) Vaccinations--"Get your baby vaccinated: 6, 10, 14 weeks."
2) Feeding--"Breast-feed 8-12 times a day."
3) Doctors--"Don't forget to schedule your doctor appointment."
4) Temperature--"38 degrees Celsius."
5) Growth--"Growth chart (months)."
6) Warnings--"Warning signs: unconsciousness, convulsions, fever, diarrhea, vomiting, eye discharge, poor appetite, fast breathing, dehydration."

These days, when going paperless and making everything digital is practically a mantra, I find The Information Blanket not only an effort to help people save lives, but a refreshing reminder that information can be delivered in many ways. And whether on a rock, a tree, bits and bytes, or a blanket, getting information out there to people is education, growth, and life for humanity.

Also, the role of design in effective communications and information technology is critical. Apple gets it...heck, they practically invented it. The more we incorporate good design and innovation into our communications, the more effective they have a chance to be.

(Source Photo: BMB)

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September 30, 2010

Apps for Mobile Health Care



Talking about apps for your phone…this one is amazing from MIT Media Labs.

Attach a $1-2 eyepiece (the "NETRA") to your phone and get your eye prescription in less than 2 minutes.

What's next?
I wonder if they will come out with more apps for health and wellbeing that check your vital signs such as temperature, pulse, blood pressure, respiratory rate, and more.

I can envision the smartphone becoming our personal health assistant for monitoring and alerting us to dangerous medical conditions.

This will increase our ability to get timely medical care and save lives.
This is a long way from "I've fallen and I can't get up," and that's a great thing.

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