10 Things to Know Before Trying the Paleo Diet

BRITTANY RISHER | August 5, 2018

article image
While you may never want to live like a caveman (Who regularly lives in fear of animal attacks?), many people aim to eat like one and follow the Paleo diet. The gist is you only eat what cavemen did, which to proponents means no grains, legumes, dairy or sugar and lots of meat, coconut, vegetables and fruit. A lot of the beliefs about why you should eat this way have been debunked by research, but there may be some benefits to going Paleo. Before you make the change, consider what registered dietitians have to say.

Spotlight

www.americanradiology.com

American Radiology Services, LLC is a recognized leader in the delivery of medical imaging services. Beginning operations on February 1, 1997, the company was primarily formed by the combination of four large physician groups (Johns Hopkins Imaging, LLC; Diagnostic Radiology Associates, P.A.; Schultze, Snider & Associates, P.A.; and Calvert Radiology Associates). ARS operates in sixteen fixed site diagnostic imaging centers located throughout Maryland and Delaware.

OTHER ARTICLES

Setting Expectations in a Complex Healthcare System

Article | February 18, 2020

Over the past few weeks, I have written various posts on the experiences I have had with people whom I am working with as a Nurse Advocate. Each person came with unique issues related to their health. One patient had a suspected deep vein thrombosis, one was diagnosed with a reoccurrence of lung cancer, and the third person had a GI bleed with multiple co-morbidities that took months to identify and get under control. My role was to support them by helping them navigate the complex healthcare system by breaking through barriers each faced. These included getting appointments in a reasonable time frame, researching specialists who had the expertise to diagnose and treat them (and who were in their managed care network), working through the complexities of authorizations, payment, and reimbursement issues that accompanied each visit.

Read More

The healthcare industry disruption nobody saw coming

Article | February 18, 2020

Almost all conversations about healthcare disruption focused on new entrants into the industry transforming parts of the traditional service model and taking market share. Politically, most of the conversation centered around whether we would dismantle the ACA, build it back up or move to Medicare for All. Despite all the noise about disruptors, politics and consumerism, I felt like incremental change was the most likely scenario. Although the industry had been changing – digital experiences and telehealth for instance – a revolutionary, wholesale change to our industry seemed far off to me. The odds of the system being truly disrupted – something like Medicare for All happening within the next decade – felt highly unlikely. And where are we know? It truly feels like there are forces brewing that could result in radical transformation and a complete, ground up rethinking of our entire system. As the COVID-19 crisis has unfolded, it has raised many serious questions that we’ll need to grapple with over the next 12 to 18 months. Where we land on these issues will have a profound effect on what healthcare in this country becomes for the rest of our lives.

Read More

COVID-19: How do we get out of this quagmire?

Article | February 18, 2020

The COVID-19 virus (C19) pandemic is turning out to be the event of the century. Even World War seems timid in comparison. We are in the 4th month of the virus (in non-China countries) and have gone past the lockdown in many places. Isn’t it time we re-think the approach? What if there is another wave of C19 coming soon? What if C19 is the first of many such events in the future? Before we get into analysis and solution design, summarizing the C19 quirks: While a large section of the affected population is asymptomatic, for some it can be lethal There isn’t clarity on all the ways C19 spreads It’s known to affect the lungs, heart, and kidneys in patients with weak immunity It has been hard to identify a definitive pattern of the virus. Some observations in managing the C19 situation are: With no vaccine in sight, the end of this epidemic looks months or years away Health care personnel in hospitals need additional protection to treat patients Lockdowns lead to severe economic hardship and its repeated application can be damaging Quarantining people has an economic cost, especially in the weaker sections of society If one takes a step back to re-think about this, we are primarily solving 2 problems: Minimise deaths: Minimise the death of C19 and non-C19 patients in this period Maximise economic growth: The GDP output/growth should equal or higher than pre-C19 levels One needs to achieve the 2 goals in an environment of rising number of C19 cases. Minimise deaths An approach that can be applied to achieve this is: Data driven health care capacity planning Build a health repository of all the citizens with details like pre-existing diseases, comorbidity, health status, etc. The repository needs to be updated quarterly to account for patient data changes This health repository data is combined with the C19 profile (disease susceptibility) and/or other seasonal diseases to determine the healthcare capacity (medicines, doctors, etc.) needed The healthcare capacity deficit/excess needs to be analysed in categories (beds, equipment, medicine, personnel, etc.) and regions (city, state, etc.) and actions taken accordingly Regular capacity management will ensure patients aren’t deprived of timely treatment. In addition, such planning helps in the equitable distribution of healthcare across regions and optimising health care costs. Healthcare sector is better prepared to scale-up/down their operations Based on the analysis citizens can be informed about their probability of needing hospitalisation on contracting C19. Citizens with a higher health risk on C19 infection should be personally trained on prevention and tips to manage the disease on occurrence The diagram below explains the process Mechanism to increase hospital capacity without cost escalation Due to the nature of C19, health personnel are prone to infection and their safety is a big issue. There is also a shortage of hospitable beds available. Even non-C19 patients aren’t getting the required treatment because health personnel seek it as a risk. This resulted in, healthcare costs going up and availability reducing. To mitigate such issues, hospital layouts may need to be altered (as shown in the diagram below). The altered layout improves hospital capacity and availability of health care personnel. It also reduces the need for the arduous C19 protection procedures. Such procedures reduce the patient treatment capacity and puts a toll on hospital management. Over a period, the number of recovered C19 persons are going to increase significantly. We need to start tapping into their services to reduce the burden on the system. The hospitals need to be divided into 3 zones. The hospital zoning illustration shown below explains how this could be done. In the diagram, patients are shown in green and health care personnel are in light red. **Assumption: Infected and recovered C19 patients are immune to the disease. This is not clearly established Better enforcement of social factors The other reason for high number of infections in countries like India is a glaring disregard in following C19 rules in public places and the laxity in enforcement. Enforcement covers 2 parts, tracking incidents of violation and penalising the behaviour. Government should use modern mechanisms like crowd sourcing to track incidents and ride on the growing public fear to ensure penalty enforcement succeeds. The C19 pandemic has exposed governance limitations in not just following C19 rules, but also in other areas of public safety like road travel, sanitation, dietary habits, etc. Maximise economic growth The earlier lockdown has strained the economy. Adequate measures need to be taken to get the economy back on track. Some of the areas that need to be addressed are: One needs to evaluate the development needs of the country in different categories like growth impetus factors (e.g. building roads, electricity capacity increase), social factors (e.g. waste water treatment plants, health care capacity), and environmental factors (e.g. solar energy generation, EV charging stations). Governments need to accelerate funding in such projects so that that large numbers of unemployed people are hired and trained. Besides giving an immediate boost to the ailing economy such projects have a future payback. The governments should not get bogged down by the huge fiscal deficit such measures can create. Such a mechanism to get money out in the economy is far than better measures like QE (Quantitative Easing) or free money transfer into people’s bank accounts Certain items like smartphone, internet, masks, etc. have become critical (for work, education, critical government announcements). It’s essential to subsidise or reduce taxes so that these items are affordable and accessible to everyone without a financial impact The government shouldn’t put too many C19 related controls on service offerings (e.g. shops, schools, restaurants, cabs). Putting many controls increases the cost of the service which neither the seller not buyer is willing or able to pay. Where controls are put, the Govt should bear the costs or reduce taxes or figure out a mechanism so that the cost can be absorbed. An event like the C19 pandemic is a great opportunity to rationalise development imbalances in the country. Government funding should be channelized more to under-developed regions. This drives growth in regions that need it most. It also prevents excess migration that has resulted in uncontrolled and bad urbanisation that has made C19 management hard (guidelines like social distance are impossible to follow) Post-C19 lockdown, the business environment (need for sanitizers, masks, home furniture) has changed. To make people employable in new flourishing businesses there could be a need to re-skill people. Such an initiative can be taken up by the public/private sector The number of C19 infected asymptomatic patients is going to keep increasing. Building an economy around them (existing, recovered C19 patients) may not be a far-fetched idea. E.g. jobs for C19 infected daily wage earners, C19 infected taxi drivers to transport C19 patients, etc. In the last 100 years, mankind has conquered the destructive aspects of many a disease and natural mishap (hurricanes, floods, etc.). Human lives lost in such events has dramatically dropped over the years and our preparedness has never been this good. Nature seems to have caught up with mankind’s big strides in science and technology. C19 has been hard to reign in with no breakthrough yet. The C19 pandemic is here to stay for the near future. The more we accept this reality and change ourselves to live with it amidst us, the faster we can return to a new normal. A quote from Edward Jenner (inventor of Small Pox) seems apt in the situation – “The deviation of man from the state in which he was originally placed by nature seems to have proved to him a prolific source of diseases”.

Read More

The Data Behind: Helping Healthcare Get Better

Article | February 18, 2020

Healthcare is experiencing a digital transformation, shifting how the medical ecosystem operates and the way that care is delivered. And all of this change comes down to one little word: data. In 2013, the healthcare industry produced 153 exabytes of data; in 2020, that volume is estimated to increase over 15-fold to 2,314 exabytes. It’s projected that healthcare data is expanding faster than in manufacturing, financial services, and media. That’s right — we produce more data at the doctor’s office annually than we do swiping our credit cards or surfing Netflix. It follows that unlocking the power of all that data is the key to transforming the future of healthcare with quality and precision in mind, across clinical, financial, and operational processes. As Big Data continues to expand, what are some of the major trends that data leaders in the healthcare industry are addressing in 2020 and beyond? In this piece, we explore the data that impacts decision-making within the healthcare industry, and how this data helps practices tackle the challenges facing the communities that they serve.

Read More

Spotlight

www.americanradiology.com

American Radiology Services, LLC is a recognized leader in the delivery of medical imaging services. Beginning operations on February 1, 1997, the company was primarily formed by the combination of four large physician groups (Johns Hopkins Imaging, LLC; Diagnostic Radiology Associates, P.A.; Schultze, Snider & Associates, P.A.; and Calvert Radiology Associates). ARS operates in sixteen fixed site diagnostic imaging centers located throughout Maryland and Delaware.

Events