Monarch butterflies fly the longest two-way migration of any insect species. Ecologist Sonia Altizer shares how these intrepid butterflies make the journey — and how it's being threatened.
Read more on NPR
What can I do to increase my chances of even just getting back a reply?
This is the page.
Here's the particular para that has me intrigued:
Special situations
At risk for hepatitis A virus infection: 2-dose series HepA or 3-dose series HepA-HepB as above
Chronic liver disease (e.g., persons with hepatitis B, hepatitis C, cirrhosis, fatty liver disease, alcoholic liver disease, autoimmune hepatitis, alanine aminotransferase [ALT] or aspartate aminotransferase [AST] level greater than twice the upper limit of normal)
HIV infection
Men who have sex with men
Why has the CDC singled out gay men? Why didn't they say "all sexually active people"?
Hi guys,
today I went for my routine blood donation. I donate blood every 8.10 weeks, and upon doctor checkup, she told me that I have low hemoglobin (just bellow the limit). She asked me whether I have any symptoms of anemia to which I replied NO.
I am a healthy (hopefully) 22 y/o male, I workout 4x a week and I also deliver food on my bike (9h per week of intense cycling). I eat fairly healthy for a student and I eat 5 times per day.
She told me to simply wait another 2 months because I might be doing it too often and then to come again and if it would be low again, I should see a doctor.
I think that I probably have some sort of cancer because I read that more than 9 types of cancer cause anemia, and anemia usually occurs in women.
have any of you ever experienced a sudden low hemoglobin lvls? And should I take her advice and simply wait till my next blood donation or would it be better to go asap?
When i had covid 2 week ago (now I'm fine), my left ear became extremely clogged , idk know if it's coincidence or not and I'm really worried cause lost like 80 percent of my left ear's hearing, would go to doctor but I'm still in qurintean, idk know what to do, the feeling in my left ear is that i sens a difference in air pressure and like lots of people this happened to me before, but i still have it in 2 weeks, and i tried different methods, and i don't think this is a Corona virus symptom, would be glad if i can get any help (this happened to me for the first time andi don't have any medical background as far as i know and I'm male 21)
say someone has had some pain on the bottom right corner of their stomach off and on since December. It will usually go away in minutes but sometimes it will stay for a while. Should that person go to the doctor or just not do anything about it?
I’m not sure if this is the correct place for this but hopefully someone can shed a little light. My father (54 y/o) was laid off from his job with American Airlines about 3ish years ago due mostly to his field more or less becoming outdated from what i gathered (telecomm) to be honest I don’t know exactly what he did. However he has been unable to find work due to his age and he has had 4-5 major back surgeries which seemingly have done nothing but make it progressively worse.
after being denied disability for years which I thought was insane because he is so clearly someone who needs it while you hear of people all the time who so clearly don’t. He finally started receiving checks about a month or two ago which only came after hiring a lawyer. They truly could not have come any sooner for him as he has burned through literally everything he had put back.
Unfortunately about 5 days ago he began having chest pains. Being uninsured the hospital seemed out of reach. I didn’t know a thing about it until he called me last night saying he needed a ride. It was clear immediately he thought something was wrong (clearly something was) turns out he had gone about 4-5 days after a severe heart attack with zero medical attention due simply to being uninsured which infuriates me beyond belief. Maybe this would have been the case even if he came right away. But perhaps not. He’s now due to have quadruple bypass surgery tomorrow on top of some sort of emergency surgery concerning his kidneys.
He had mentioned sometime last night to a nurse that his disability doesn’t become active until June 1 which I don’t understand because he’s already started receiving checks. Is there a part of disability that covers hospital visits?
The main reason for this post is to get some idea of what this is going to do to him financially. I’m well aware that this bill is going to be astronomical in every sense of the word and he has literally zero chance of ever getting out from under this. Does anyone have any unfortunate experience with something like this or know of any programs that could possibly help? I’ve literally been awake for over 48 hours stressing over this.
By increasing patient engagement, clinics can reduce operating expenses and sonically improve patient outcomes. About 125,000 patients die annually in the US due to medication non-adherence. But this statistics can be improved with the help of technology.
When patients are directly involved in tracking their medical data, they become mindful of any changes in their current condition, which will make them more compliant and eager to participate in treatment options selection.
Keeping this and other benefits in mind, clinics around the world adopt various technologies to improve communication between patients and doctors, provide helpful information at the right time, and monitor patients’ wellbeing.
Here you will find information about off-the-shelf, CMS-based, and custom-build software solutions, their key features, and deployment costs.
Tailbone pain that triggers when sitting only within 20 min after sitting.
Not associated with tingling or numbness.
Pain center point is exactly at the tailbone and Sacrum area.
Walking, stretching, or standing reliefs the pain instantly.
MRIs and Xrays for tailbone area all normal.
Minor bulging discs between L4, L5, and S1.
The most annoying thing is the the tailbone pain.
Any advice?
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The past couple of months I've been working with my primary care doctor to figure out why I've been feeling unwell. After some blood panels, urine sample, and a CT she's thinking it could be an endocrine issue. The earliest appointment I could find is mid July. Why does there seem to always be such a long wait time for a specialist? She also wants me to see a rheumatologist in case that's the issue and that one I booked in March and it's not until mid May. I'm in NJ if that helps. Just want to know if it's unique to the area I'm in or if it's common. Thank you!
We're looking for a family insurance plan now that our employer provided insurance will be coming to an end. I thought I'd be able to buy something comparable off the open market. But using healthcare.gov, all it shows is a bunch of in-network HMOs. I want to have a plan that offers out-of-network coverage as well.
So are these plans just not part of healthcare.gov or what? Is there some way to buy them directly? What do?
My heartbeat sometimes slows really down, gets very fast or really weird even though I may not be doing anything. It happens every once in a while and I feel very dizzy or lightheaded when it happens. I've gone to the doctor and had a Holter monitor for three days but I never got any answers. Does anyone know what this could be?
Of course they can become a doctor, but what is the chance that they’ll actually get hired? Will the patients even respect them? What kind of jobs can they do? Do you think that they shouldn’t do it? Why get help from someone who has a disability? Limited but not impossible? What jobs are most likely out of the question, like because they would need to stand for the procedure or something? Thoughts, experiences, or examples will gladly be appreciated!
—Not part of the question, you can skip to end—
Asking this question because my dad is wheelchair-bound. He already has his doctorate degree, but because of life reasons and “trusting the wrong people” as he mentioned one time, he left it to expire. He would need to retake the test again to get his licenses back.
Not sure what postions he can actually work at though. He originally wanted to be a surgeon, but ig now realistically he can just be a professor maybe. I already recommend lab research but he said he would be contaminating the sample and equipment every time he wanted to move to get something.
Sooo what are you’re thoughts? What can they actually do in the medical world really?
Find out which types of health care workers employers are having the hardest time hiring.
This week, the American Staffing Association (using CareerBuilder's Hiring Indicator) released a list of the top 10 hard-to-fill jobs in 2021. Of those, seven are related to health care:
I'm currently on a "it's not health insurance, it's a cost sharing" plan, meaning that the program supposedly kicks in after I have spent X amount of my own personal money on medical expenses.
I have a very high "deductible" (I pay about $88/month, and my bills don't get covered until I've spent $10,000 in medical expenses). I'm in my mid 20s, don't go to the doctor much at all, rarely get sick/eat well/am in good physical health for my height and age. But I might consider going to the doctor a little more often (which will be important the older I get) if my costs were actually covered, as I hopefully won't need to get anywhere close to $10k in medical bills anytime soon absent some emergency.
I feel like there have to be other options out there for a similar monthly price point that offer more than "spend $10k and then maybe we'll help cover some of your costs." But I really don't know.
Related: are there any specific federal government plans that might fit this criteria? If I get a government job down the road that would be good to know about.
So I was covered under 26 under a parent's coverage, then they lost their job, so I enrolled under my employer's plan, which has open enrollment in the fall.
The parent just got a new job with coverage. I've only been on my employer's for a month or so. Can I drop it and be covered under the parent's when their coverage starts? Or do I have to wait until my open enrollment? Would my parent need to enroll for the full family plan coverage until fall as well (aka I'd be under two plans until I can drop my personal coverage in the fall?)
We just recently booked an MRI for my significant other to check for brain tumors. The booking is 3.5 weeks away. We are in the U.S., what is the average time people usually wait to get an MRI after a doctor ordering one?
The OECD provides comparative data on healthcare prices and volume consumed.
Prices in the health sector | Health at a Glance 2019 : OECD Indicators
Countries with the most expensive healthcare: Switzerland, Iceland, and Norway.
Countries who consume the most healthcare: the US (by a considerable margin), Germany, and Australia.
The year 2021 was a rough year, especially for the healthcare industry. For healthcare providers COVID-19 made a radical shift in the type of care and type of patients that are commonly visiting healthcare providers. Elective procedures and routine health checkups have largely been deferred because of the global pandemic. Former revenue centers have become major cost centers. As operating costs of facilities and skilled staff has remained largely unchanged while patient demand has rapidly declined.
With an influx of COVID-19 patients this has stressed the traditional working model of most hospital systems as high rates of exposure have resulted in high rates of COVID-19 infections among both frontline healthcare providers and support staff. This disruption of the working model has created both financial pressures and staffing challenges for healthcare providers and we anticipate this will drive most of the AI focus in this space.
To account for the local impact of the COVID-19 pandemic, hospital systems have begun using forecasting techniques and disease-severity modeling to predict the influx of COVID-19 patients and even to anticipate the level of care needed for patients. Aside from COVID-19 specific AI use cases to account for challenges in staffing. This could include forecasting staffing needs, predicting skilled provider absences given the high COVID-19 infection rates among providers and a focus on staffing retention to avoid burnout and attribute.
Every year businesses across all industries try to understand where the market is moving. The year 2020 was no exception and perhaps requires this type of forward thinking more than ever. Even though 2020 was unpredictable to say the least, those in the health benefits industry have an opportunity to take its challenges and turn them into positives for the coming years.
Consumer engagement gap will continue to shrink healthcare expenses and become more like retirement where the responsibility falls on the consumer. The challenge is that 88% of consumers don’t know how to best save and spend on their healthcare and that hasn’t changed much over the past 5-10 years. The premise of healthcare consumers will feel empowered to make better choices that lead to improved health outcomes and decrease costs. Although, for this strategy to work, consumers need the right education, tools, and technology. With more people working from home and the healthcare system forced to change how it delivers care due to COVID-19, we have seen administrators invest in tools and technology like never before. Also, consumers are more focused on their health care and more willing to use technology.
Rise in more flexible coverage and ICHRAs. Employer-sponsored insurance is a tradition left over from the World War 2 days and the job market has significantly changed since then. Decoupling jobs from healthcare coverage can make sense given the realities of today’s workforce and many consumers agree. A recent survey found that 41% of consumers think that health insurance should be decoupled from employment. This practice has benefits for both employers and consumers, so it is truly a win/win. Individual coverage health reimbursement arrangement (ICHRA) is also becoming popular. This is a plan that will allow employers to designate a set dollar amount for employees at the start of the year that they can use to get a healthcare plan of their choosing in the marketplace or to pay for out-of-pocket healthcare costs.Some experts and clinicians have given their prediction to help everyone plan and prepare for a better year and beyond 2021. Here is what they have found.
Data use and artificial intelligence will be more important as ever. Healthcare data – everything from electronic medical records to socio-economic data became even more critical in 2020. Data interoperability and artificial intelligence will be the main focuses in 2021 and beyond, according to John Langton, PhD, Director of Applied Data Science, Wolters Kluwer, Health and Karen Kobelski, Vice President and General Manager of Clinical Surveillance Compliance & Data Solutions, Wolters Kluwer, Health.
Read the full article here: https://www.softwaretoolsreview.com/post/what-healthcare-will-look-like-in-2021-and-beyond
I live with my dad and our bathroom and toilet were really dirty. He bought bleach and I mixed it with vinegar without knowing the effects. Ignorance is death..... The stench is horrid. I tried coming back to finish the work three times(I think). But my symptoms got worse. Heavy chest,coughing and difficulty breathing. Nearly 2hrs later these symptoms have reduced(by 50 to 70%: the cough is gone) but am feeling a soreness in my lungs. Am also feeling weak and I have no means to go to the hospital. During this time,i went online and googled what I had done...my god! Am I going to die. Damn, why am I so stupid.
Hey everyone! Not 100% sure if this is allowed but didn't seem to see anything that would suggest it wasn't in the sidebar rules.
I recently graduated with a psychology degree and have been floundering with what I want to do with my life. Long story short, I think I want to do something in healthcare but I'm not positive what. Obviously shadowing and stuff hasn't been feasible with COVID, although I may try again now with things getting better.
I'm wondering what kinds of jobs I may be able to get that would expose me to the different healthcare careers. I was thinking maybe medical assisting? Or some kind of tech job like a rehab tech in an inpatient rehab facility or something. I'm know there is lots out there so thought I'd reach out and see what people working in the field thought could be a good path.
Thanks!
Last night I finished my application on CoveredCA and chose the plan I wanted. Seems like my first payment didn't go through when it came time to pay now to start my coverage. It stated that my plan will start on the first day of the following month, May 1st. Will I be charged on the 1st or was there some glitch or issue that didn't allow for the payment to process? [Question - Insurance]
Hello,
Apologies for the long winded story in advance, but I am lost at what to do.
My dad (based in California) was diagnosed with COVID a few months ago. After undergoing intubation and a trachesotomy, he finally left the ICU after being in there for almost 2 months. He is now at a skilled facility to assist with his respiratory functions and hopefully get him moved onto a trach collar. The have found out he has diaphragm paralysis which they believe will be temporary, but in the meantime his insurance informed us his next step to a sub acute care facility will not be covered. We are trying to get him service connected with the VA in the interim, but we feel that time is approaching quickly for him to move out of this facility. I do not know why they are pushing so hard to get him out of there, but my dad has a long way to go and it seems that we are limited on our options for coverage.
My questions are:
- Has anyone had experience with a private insurance company that covers subacute care? I can not find anything online. I am aware the premiums may be high, but its probably better than having to worry about the whole bill. Looking for recommendations of a good private insurance company that may help with subacute care, long term care, or if needed at home rehab/nursing.
- Does anyone have experience with Medi-Cal? I am quite ignorant when it comes to understanding Medi-Cal and have heard nothing but bad things about him needing to “live under a poverty line”, or “needing to release his assets”. Can anyone chime in on this? He is under 65 years of age.
- Lastly, I am looking for general advice. Seeing what people may have done in similar situations. Is paying out of pocket even an option while we wait for the VA to evaluate my dad?
I am lost and am looking for direction. I want the best for him but dont even know where to begin.
I'm transitioning in my career and have a few potential opportunities for a full-time admin role. What are some realistic expectations for a Director of Operations for an Urgent Care under the umbrella of a hospital? I would be overseeing at least two urgent cares with 15 providers (max of 4 urgent cares and 25 providers). I am in the Charlotte, NC region for context, with 6 years of clinical work experience, and 1-year of administrative work experience.
Being a clinician, it's easy to figure out what your salary range is. However, I am finding it more difficult to get an idea of what fair market value is for these types of positions. I've tried google, but the ranges vary quite a bit so I thought I would see if anyone here has some insight. Thank you in advance!
Hello!
I was stung with an unknown needle at the dental office I work at and had blood drawn at the ER 3 days ago. I've been calling them everyday since but my results still weren't available at medical records. The person at medical records finally gave me the number for the lab, and when I called them they said my sample was processed a while ago. I don't know why medical records didn't have the results but anyway.
Since it was an urgent matter, I asked if my results could be sent to me. I said I would provide any information they needed and fax over a consent form. They said they can't release the results to me and that my doctor has to request them. This is the weirdest thing I ever heard. I moved to the US 10 years ago and everyday I am more astonished by the unnecessary hoops the system makes you jump through just to receive care.
Is this the norm? How can I not access my own blood results? Where is the transparency? I am already furious that it took me 3 days to find out my sample was processed when I came in as an emergency. I was told I had 72 hours to start taking PEP and yet I haven't been able to get any information and my 72 hours is almost up. I am now waiting for my primary physician to get a chance to look at my results, but he's pretty busy so I don't know when he'll get back to me.
If this is the norm, I'm just gonna let it be. But if it's not, I feel like I need to talk to someone at the hospital and figure out why I wasn't able to get my results for 70 hours.
As a Canadian citizen, I always see these ridiculous medical bill posts. But I’m wondering how much of that you ACTUALLY pay. I get that being uninsured runs the risk of crippling debt and 100% payment, but for someone who has insurance, is it that bad? How much of that million dollar surgery are you actually paying for?
Since 2006, the u.s. federal government has mandated, incentivized and pushed for health information network infrastructure, including EMRs in practitioners' offices and state HIE / HINs. Now, the infrastructure seems to be 'fully operational' but I believe we forgot one important thing: nobody told the public.
All your health information is now available to any medical practioner with the stroke of their keyboard: medical history, labs, prescriptions, everything... Yes, your information is shared and available whether you want it disclosed or not. Doctor to doctor... Anyone who sees you for a medical concern can see your activity. Even my optometrist was able to print out medical history and Rx history without my consent. ...and "no" it is not a HIPAA violation for them to do so.
The Feds (ONC) advised that "no patient shall ever be surprised that their information is being shared". Most states and territories, when legislation was created to allow the creation of Health Information Technology infrastructure, included the duty to "educate the public" about HIEs.
I recently conducted a poll of 100 people to see if they were aware of the existence of the HIN. Not one person was aware. Zero.
All these years and it seems as if we are hiding behind our NPP's statement of being able to share patient information for "health care operations".
When Google's Project Nightingale surfaced two years ago, there was public outrage about privacy intrusion, but that was quickly quieted down and swept under the rug. Why? Politicians' demands for a formal inquiry seemed to go away as quick as their demands for answers arose...
Surescripts, OnePartner, Commonwell, Carequality, PatientPing... They're all part of the system but the average person has never heard of them.
So... To disclose, or not to disclose and why?
The year 2021 was a rough year, especially for the healthcare industry. For healthcare providers, COVID-19 made a radical shift in the type of care and type of patients that are commonly visiting healthcare providers. Elective procedures and routine health checkups have largely been deferred because of the global pandemic. Former revenue centers have become major cost centers. As operating costs of facilities and skilled staff have remained largely unchanged while patient demand has rapidly declined.
With an influx of COVID-19 patients this has stressed the traditional working model of most hospital systems as high rates of exposure have resulted in high rates of COVID-19 infections among both frontline healthcare providers and support staff. This disruption of the working model has created both financial pressures and staffing challenges for healthcare providers and we anticipate this will drive most of the AI focus in this space.
Read the full article here: https://www.softwaretoolsreview.com/post/what-healthcare-will-look-like-in-2021-and-beyond
Hey there, so my sister just graduated college in the Healthcare administration field. What would be a good gift for her that she can use for her job? I know nothing so any help would be appreciated
My mom was treated for Stage IV lung cancer that had spread to her brain back in 2012. While she’s been cancer free since her surgeries, chemo and radiation, she’s unable to take care of herself at all. She’s in a lot of meds, including pain medicine for her chronic pain and nerve from a lung surgery, and she also walks very very slow (takes several minutes to get from bed to connected bathroom), needs diapers because she rarely makes it to the bathroom, and regularly chokes or falls. She’s basically been on her deathbed... but for 8 years now. It’s very difficult, physically, emotionally and financially for my family.
Because she requires constant attention, my dad hasn’t been able to work for a few years now.
They filed bankruptcy from medical bills back in 2016 and moved to a very cheap area in North Carolina. They pay bills using only my mom’s SSDI, which isn’t much.
Are there any options for home aids that insurance pays for?
What happens with people in these situations? There have to be so many people in situations like this.
Any advice / resources appreciated. I’m at a loss for how to help as I’ve already helped financially as much as I can.
I live in rural Indiana. My doctor is in Chicago, Illinois. His office is a couple hours away from me. He’s a gynecologist who specializes in fibroids. I have been diagnosed with fibroids via ultrasound, but he wants an MRI to better determine what surgery I need.
He ordered the MRI, got it approved through my insurance and the third party verification, and told me that the third party (Evicore) said I can go to Local Hospital X. I called Local Hospital X, and the scheduler said they told me that since my doctor isn’t licensed in the state, they could not schedule.
What the heck?! I’m just trying to get my MRI so I can move along to surgery. I’m so frustrated. I look pregnant, I am anemic. I need this to move.
Any advice? Anyone ever heard of this before?
I've learned through experiences with both of my parents (my mother, who recently died, and my father, who's in the hospital now). They both have regular GP's that have been treating them for years, yet they both said that when my parents went to the hospital, they could not be involved in any way.
Now, i understand the idea that when you go to the hospital, you have specialists and all that, and your GP would not be qualified in comprehensive treatment. The hospital needs to take over treatment. I get that. But i would think that the hospital would want to speak to the doctor who has likely treated the patient for years and knows their medical history better than anyone. The personal physician can ask questions about further treatment, and then be available to comfort the patient, especially if it's likely an end-of-life issue.
As i'm sure you know, elderly folks are often easily afraid and uncomfortable with new surroundings, especially if they anticipate their life is in jeopardy. Both my parents were very upset by not having a trusted doctor able be to drop by and tell them, "You're in good hands."
Does anyone know why patients' personal doctors are completely cut off from the patient when they enter the hospital? I have a feeling it wasn't always this way.
Any suggested course of action for my family situation?
So I need 100 grand in US dollars(equivalent). If the balance remains my brother gets thrown out of the hospital and he dies( he has covid ). He is in the Philippines, specifically St. Lukes and Philhealth is just gonna cover 7 grand (equivalent in US dollars). I don't know what to do. I'm in the US. Should I sue them?I don't think there is a charity fund in the hospital and if there is any I don't think it still has anything left.
I dislocated my knee and desperately need physio but I can't afford it. I live in canada and don't qualify for the ohip coverage because I'm not under 19 of over 65 (which is fucking rediculouse), WSIB denied my claim (even though I was 6 hours in to an 8 hours shift and it happened while I was bending down to pick something up while working), EI doesn't give me enough to be able to afford physio and bills/rent and I can't afford the weekly amount taken off of my pay at work to be able to afford benefits from them.
I also can't go to my family for advice or help paying for it because I just get a "well THIS is why you should have finished college. Wouldn't it be nice to be at a job that pays your benefits like MINE does?"
Does anyone have any tips on how I could maybe do physio at home? I dislocated the knee on february 26th and the muscles are still swollen and I can't straighten my leg
I didnt want to make 2 separate posts but maybe it would be ideal.
Do medical debts ever drop off? If so, how long after? (Such as all other debts seem to - CC debts, credit union debts, etc. all drop off between 3-7 years afterward generally, in my experience)
Can a family doctor assist with substance abuse issues (even lesser-known substances)? Either via advice, medication or other means?
Thank you for your time if you read this.
Florida, US
My insurance is fighting to cover any portion of the bill because it was out of state/motorcycle related. (Fractured pelvis/sacrum) I didn’t even need surgery and all I needed was physical therapy and pain medication.
I don’t know what to do. I’ve never been in this situation and I have no idea how I’m going to pay this (other than throughout the rest of my life slowly)
Is there anyway I can somehow get it lowered at least and set up some super long extended payment plan. I’ve never had a bill this high. My eyes about bulged out of my head when I opened up the bill.
Hello everyone, I am a 16 student who made this app https://apps.apple.com/us/app/medicue/id1563252653 . the goal of the app is to help people walk through auditory cueing. It’s a pretty simple. I plan to add more features (exercise tutorials, daily personal task tracker). I was inspired to make the app after seeing my grandmother suffer with Parkinsons. Unfortunately, she passed away 2 years ago. This is super simple and only my starting point and I would appreciate it if you guys could give me some feedback. Also please suggest any features you’d like to see on there. Please check it out if you get a chance. God bless all of you 😊
Description : Medicue was designed to help Parkinson's Disease patients synchronize their motor movements and smooth their gait. Although the app was designed for Parkinson's patients, it may also be beneficial to those trying to improve their gait and coordination, let that be stroke patients, Huntington's disease patients, and others. The app does so through audio cueing, which allows movement to be synchronized with sound. This rhythm allows patients to match their gait or movements with the rhythm. Our app has two different audio cueing rhythms: gravel and cueing beats. Gravel features a steady rhythm of the sound of walking on gravel, and cueing beats features a steady rhythm of the sound of beats. Both audio cueing rhythms have five different speed settings.