Thứ Tư, 30 tháng 4, 2025
Why am I learning about microfilm storage in my HIM class?
We're being tested on roll microfilm, microfiche, and jacket microfilm. Didn't everyone stop using this 20 years ago???
I made paper from my dead dad's medical bills
Tariffs and the Looming Healthcare Crisis: A Supply Chain on the Brink
Thứ Ba, 29 tháng 4, 2025
Virta health being forced by employers and insurances
Making a 3rd party group get into your healthcare which should be between your MD and you only.
NPR News: Bodega cats aren't just cute; some in N.Y. also consider them working animals
Kitty lovers started a petition to reclassify cats as necessary to tackle rodents at New York City bodegas.
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NPR News: DOGE employees gain accounts on classified networks holding nuclear secrets
Two DOGE employees have access to a network used to transmit classified nuclear weapons data and a separate network used by the Department of Defense, sources tell NPR.
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I apparently cannot afford to see now
Thứ Hai, 28 tháng 4, 2025
Why is American healthcare so expensive compared to the EU?
Serious question because I just don't get it. In the EU, healthcare is way cheaper, and insurance usually covers almost everything. You don't worry about surprise bills, and even private insurance is relatively affordable. Meanwhile, in the US, it feels like just walking into an ER can bankrupt you.
Why is it like this? Is it all because of insurance companies? Government policies? Corporate greed? Or is there something else I'm missing that actually justifies the insane prices?
I honestly want to hear from Americans too — do you feel trapped by the system, or do you think it's better in some way? Maybe there's something about the US healthcare system that Europeans like me don't understand?
Really curious to hear different perspectives because from the outside, it just looks... crazy.
Is it against HIPAA to ask my mother's doctor if her condition allows her to do certain activities? Or if they are aware of certain conditions she has?
My mother has a heart condition (forgot what it is called) and she has always been quite a physically weak woman, since childhood. She also has some physical discomfort that I keep telling her to bring up with a doctor or visit a doctor for but she won't listen (back and shoulder pain). She's nearing 60.
I want to accompany her to her doctor visits or ask her for that info so I can help her but she won't allow me. For reference, we are Chinese and it's a thing in our culture to just lie and not talk about medical info like that so as to not worry family. Here's a film for reference) if you want to see how it's like. I keep telling her to make a physical therapy appointment but she's too stubborn. "It's a waste of money!" even though I will pay for it. "It's too far" and it's only a 10 minute drive. Stuff like that. She's been to acupuncture and cupping but I don't believe in that traditional chinese medicine stuff and clearly it hasn't worked.
I want to call her doctors she has had for a decade plus who are familiar with me and my name (I'm in some of her forms) to ask if she is able to do basic stretching and weightlifting (I'm talking like 2.5 or 5lb dumbbells, very basic and light) and if her condition would allow for it, and I can help her with it. And to push her to do physical therapy as well and keep her accountable with the exercises her therapist would give her. I'm moving away from living with them soon so I won't be able to help with lifting, and overall I want her to be more physically fit so she can be less dependent on me and my dad and so I can move away without having to worry about that stuff. She gets winded going up 2 flights of stairs, can can't even lift 10lb or so, and yeah her back and shoulder discomfort.
So I want to ask two things to her doctors:
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With my mother's current condition, is she physically capable of basic weightlifting, stretching, and cardio that I help oversee?
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Has my mother mentioned her back and shoulder discomfort? Can you help persuade my mother to visit a physical therapist for that?
Do these questions violate HIPAA?
Looking for stories involving Medicaid
Hi!
I've been working with an organization that is working on behalf of patient's in advocacy within the healthcare field, especially with the current climate. Specifically, I have been tasked with collecting stories involved with medicaid, as our organization aims to supplement policy change proposals with real stories from real people.
I have been asking far and wide to my local/online communities and people I know personally, however I know there are tons of stories out there!! We have been currently looking for individuals with stories involving medicaid (importance of medicaid for coverage, struggles with medicaid, and also impacts if you don't have it).
If you have a story you are interested in sharing or know of someone who might, please feel free to PM me! Or if you have any questions or are interested in learning a bit more in general, feel free to reach out too! Thank you:)
Chủ Nhật, 27 tháng 4, 2025
Seeing Red: Is RFK Jr.'s Dye Ban Just a Colorful Distraction?
NPR News: A vanished kingdom comes alive in the songs of griots and a new archaeological dig
The legendary west African kingdom of Kaabu has long been memorialized in the songs and stories of griots. That's inspired archaeologists to excavate the kingdom's capital.
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Smart Healthy Village for Children
Imagine a Smart Healthy Village for Children — an interactive national initiative to fight childhood obesity through real-life experiences!
Kids would learn healthy habits via smart grocery stores (AR shopping), family cooking workshops, and step-count challenges using smart bands. Could this innovative idea shape a healthier future for our children? https://x.com/tobagi1/status/1915821649779183867
Thứ Bảy, 26 tháng 4, 2025
More than 400 nonprofit hospitals chase down patients eligible for free care
The Healthcare Crisis is the Key to a New Populist Left
Weird experience with Anthem in CA
I have anthem provided by my startup company in california. I have sore stomach and my doctor ordered endoscopy. Because it's sedated, I need a medical transportation or someone to pick me up. I talked with representative of anthem and they said the transportation is covered only a certain case. I asked them I'll pay anyway but can they provide me a list of medical transportation providers, then he says no because I'm not covered.
So, I asked them if my endoscopy would be covered by anthem. I gave them the building address of the department of that medical center. It looks like the medical center itself was registered as in-network but since they have many buildings they didn't have the exact building address of outpatient department, so he said my endoscopy wouldn't be covered.
Later on, I got another notification that my doctor submitted pre-approval for my endoscopy and it got denied. I checked the letter and it says the outpatient is in-network but endoscopy should be done when there's a problem with bowl movement, from the doctor's note I don't have a problem with bowl movement, so it's not medically necessary.
At this point, I got an impression that they want to deny my endoscopy in any way possible, looking for an excuse to avoid it. My stomach is sore, why should it be related to bowl movement?
Thứ Sáu, 25 tháng 4, 2025
Mr. Cig was the Mr. Peanut of the cigarette industry!
System Down?
Our EMR is down. Has been down since Monday at 3pm. Predicted to be up "maybe" this Monday. I'm hearing other EMRs outside of our hospital system is down. Anyone here hearing about massive EMR systems going down?
Measles Cases in Texas Rise to 624, State Health Department Says.
Thứ Năm, 24 tháng 4, 2025
Health insurance for student
Our family of 4 lives in TX and have a HMO marketplace plan for 2025. Our son will be going to school in Maryland as a freshman in fall 2025. The school offers a PPO plan for students. Can we drop him from the TX HMO plan and just have him enrolled in the school’s PPO plan? Will that plan cover him while he comes home(TX) for holidays? Please advise.
NPR News: NIH autism study will pull from private medical records
The National Institutes of Health plans to pool information from private sources like pharmacies and smartwatches.
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Drugmakers stockpile inventory in the US, seeking to get ahead of Trump tariffs
Trump looking at cutting US drug prices to international levels, sources say
Thứ Tư, 23 tháng 4, 2025
Clinics begin closing as Trump admin continues freeze on family planning funds
Do healthcare workers really need to be passionate for working?
I don't know why my advisor in college said you must need to have passion in order to work in healthcare like nursing. You just can't go for the money. But I thought healthcare jobs pay good however it's stressful at the same time. Maybe I guess it's rewarding. I just heard that go in healthcare because those sorta jobs never experience layoffs. You get good benefits and pay. I mean are there jobs in healthcare that isn't patient interactions like nursing
With the advancement of AI, what does the future of healthcare look like? Links to articles would also be appreciated
Been thinking about death recently, and was wondering how much lives could be preserved in the coming years due to healthcare advancements. What diseases could we cure?
Exploring Practical Biohacking for Everyday Health
Thứ Ba, 22 tháng 4, 2025
Advice for someone who has to meet two deductibles in one year?
Hi everyone. I met my deductible in Feb. It was $3k with BCBS. Things happened, and now husband is finding a new job. I will be doomed to meet another deductible. Does anyone have any advice? I don’t know what I expect you guys to say, but maybe you know something we don’t!
MyChart never updating, claiming we're past due and threatening to send to collections
Anyone else having issues with MyChart not being up-to-date with the billing information for the longest time? And the insurance information?
Billing shows we're past due with about four bills past due. Only thing is, we've paid all those bills through the insurance claims site already, months ago. These bills are settled. The warning on MyChart is threatening to send it to collections. Excuse me?!
Also, MyChart recently started showing the insurance deductible and OOP progress bar. My mom reached both back in February. Both show NO progress whatsoever. They're both at $0.
Does MyChart not communicate often with the insurance companies often?
Judge blocks new Wyoming abortion laws, clearing way for Casper clinic to resume services
Thứ Hai, 21 tháng 4, 2025
NPR News: This is what living on Mars could do to the human body
As global warming continues and space technology improves, there is more and more talk about the growing possibility of a sci-fi future in which humans become a multiplanetary species. Specifically, that we could live on Mars. Biologist Kelly Weinersmith and cartoonist Zach Weinersmith have spent four years researching what life on Mars would look like if we did it anytime soon. In their book A City On Mars, they get into all sorts of questions: How would we have babies in space? How would we have enough food? They join host Regina G. Barber and explain why it might be best to stay on Earth. Check out Kelly and Zach Weinersmith's book A City On Mars. Have another space story you want us to cover on a future episode? Email us at shortwave@npr.org — we'd love to hear from you!
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The concept of specialist medicine highlights just how misinformed contemporary medicine is with regards to disease/conditions and as a consequence limits the ability to provide effective treatment and care
The human body is a complex machine comprised of multi organ system working in unison to maintain function and homeostasis.
In effect, any injury, disease or condition impacting one organ system can manifest and harm other organs. So basically disease don't always have a single organ point of origin or manifestation.
Here lies the issue with contemporary medicine and it's concept of specialist medicine.
For example we have psychiatrists, who are specialists in mental healthcare. Certain mental health issues and conditions can originate in the gut. Since psychiatrists don't specialize in the digestive system, how can such a specialist provide effective care and treatment for all patients if they don't address certain root causes in mental health like gut health?
The same way hormones play a role in regulating behavior and mood. This is endocrinology, outside the specialty of psychiatry. Again, the psychiatrist is not capable of providing appropriate and effective care in such circumstances where the root cause are hormonal issues.
Another example is immunology. Again, immune function is shaped by both nutrition and gut health. These are outside the scope of the speciality of immunology. So in circumstances where immune system issues originate in the gut, the immunologist will be incapable of addressing and treating the root cause.
One last example is cardiology. I will myself as an example. I had ongoing chronic issues with palpitations and exercise intolerance. The cardiologist performed tests but was incapable of identifying the root cause. Ultimately it was a deficiency of essential minerals like magnesium and not once did the specialist cardiologist allude to the fact it could be due to a deficiency.
This concept of specialist medicine requires a complete overhaul as it's not up to standard to comprehend and effectively treat disease and conditions which have multiple origins in the body.
On my personal experience as a cancer patient in a country w/ Universal Healthcare:
Hello all!
So, a little context; I'm a 35 year old English and Japanese teacher from Brazil, and I've been diagnosed with testicular cancer recently. I'll leave the details aside for now and cut to the point, I have been through surgery last Wednesday, and since I now have a whole month to wait for further information on my personal progress, I have put a lot of thought onto how grateful I am for how speedy and efficient the whole process have been up to here, since I'm doing everything through the Universal Heathcare System (SUS is the acronym here in Brazil).
Recent anxiety regarding the possibility of metastasis has made me more eager to share my thoughts on this matter (amongst others), especially since not many people talk about the Brazilian healthcare system in English; so I decided to make a YouTube video on the topic, and thought of gathering questions/ ask for the topics y'all are most interested about, especially from people in the US, where I know how critical the current state of affairs is.
So I'd appreciate very much if you ask me any questions at all, and comment on your assumptions/ things you'd like to know more about a place with such a system. Personal questions are also okay, but I might refrain from answering at my own discretion.
Some extra info to help with context:
- I have not paid for any medicine / exam / surgery (aside from taxes; feel free to ask about that side as well if interested, but I'm no expert)
- Government owned Healthcare Units are located in every neighbourhood and open Mon-Fri, but bigger 24h ones are located in key areas throughout the cities for emergencies; more serious/delicate cases (such as cancer) are dealt by outsourcing to private hospitals. I have been treating my cancer in one of the best hospitals in the region, and the only difference I had from a patient with private health insurance was that I had to share my hospital room with another person instead of having a private suite for the post-op.
- Upon confirming the possibility of cancer, I was referred to the oncologist with urgency, and scheduling took about a month. After the triage consultation I waited for 8 days for an opening with the oncologist surgeon, where they immediately scheduled the surgery for nine days later. All my exams and appointments needed where handled within the week. The speedy process shocked me beyond words (our system was not exactly famous for being efficient when I was growing up), and that's when I decided I'd share my experience with it.
- The system is far from perfect, and I'm very open to talking about its failures as well. One personal anecdote here, but if the first doctor I went to about the matter had been thorough enough to put their gloves and touch me, I'd have known about the cancer half a year earlier, and that might be the difference between what stage I am right now (which I still don't know).
Again, any and all questions/thoughts are welcome! Thanks for reading, and happy Easter/Passover for those who celebrate it!
Hiring for Pharmaceutical Data Manager
Chủ Nhật, 20 tháng 4, 2025
NPR News: Destroying endangered species' habitat wouldn't count as 'harm' under proposed rule
The Trump administration is reinterpreting a key word in the Endangered Species Act that could have big consequences for species at risk.
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What plan is best given my situation?
Has anyone worked for Maxim Healthcare?
Hey everyone, I am (well I’ve already been begged to) be a home healthcare nurse with Maxim and I was wondering if anyone here has worked with them? I’ve been in constant texts and emails and their on boarding process to become a homehealth nurse and have had a phone interview and the hiring manager is SUPER excited to have me as a part of their team! I was just wondering if anyone has worked with them? I’m looking to be a transitional nurse so that would be 12 hour shifts during the days, and I absolutely love being a nurse. I would thrive in those situations I love helping people, I just want to know how the Maxim Healthcare system works and what I should look out for? Do they mind overtime if I pick up an additional 12 or 8 hour shift during the week? Do they pay for gas or food I may need to get? I’ve never been a home healthcare nurse so does this include walking patients dogs and cooking and cleaning and being a maid as well? Regardless, I’m super excited I just want to hear some stories of anyone who has done it! Thank you so much!
Out of Pocket Max ($7,500 per year)
I'm likely leaving my job and want to buy private healthcare insurance. For the plan I am interested in, the out-of-pocket max is $7,500 per year. I can definitely afford that if I can plan for it knowing my out-of-pocket max will NEVER exceed $7,500 under the worst case scenario. That is, spending $7,500 per year on health care is something I CAN do if I absolutely had to.
However, I've heard stories that it's never that simple, and that if I did get hit by a bus or experience chronic illness, I'd end up paying much more than the $7,500 and probably eventually go bankrupt.
My question is, can I reliably depend on the $7,500 out of pocket max per year, or is that unrealistic and in the case of a catastrophe, all bets are off and I'd probably need to pay out much more per year?
Just seeking anyone with experience with healthcare on how realistic the out-of-pocket max really is for a company like Blue Cross.
Thanks!
Thứ Bảy, 19 tháng 4, 2025
Value Based Care Discussion Topics
Hi all - I’ve been spending a little bit of time looking into Reddit forums to get a sense for the depth, breadth, and quality of discussion on value based care. I’m actually very surprised to see a very limited amount of discussion across various subs. I started looking into this, because I think it’s a fairly opaque topic and unless you work in the industry or approach it through an academic program, you are unlikely to really get exposed to it.
Is there an interest/demand for more discussion on this topic and subtopics? If yes, what would folks be interested in?
I’d like to generate more conversation around this and am interested in hearing what folks would feel is valuable. For background, I’m an executive in the value-based care space with experience spanning payor and provider models ranging from fully mature organizations to early-stage, investor backed companies delivering emerging models of care. I have a general interest in bringing discussion on these topics out of the inside baseball of the industry and more into the public square.
Like it? Hate it? Apathetic? All perspectives are welcome.
NPR News: Nearly 300 scientists apply for French academic program amid Trump cuts in U.S.
Nearly 300 U.S.-based researchers have applied to one program that promises "scientific refugee status" for those fleeing Trump's academic funding rollbacks.
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What would happen to a person if they never slept for 2 years straight?
What are your tips on passing the CHC exam?
Thứ Sáu, 18 tháng 4, 2025
Taking a mental health leave from work is an option most people don't know about
HHS funding slashed by 30 percent in budget proposal
Meditech Magic vs Expanse
Hi all! I’m a registrar at my hospital and we’re switching from Magic to Expanse in October. I was wondering what everyone’s experience with Expanse was? Do you like it? If you switched from magic, which do you prefer? Thanks!
Thứ Năm, 17 tháng 4, 2025
NPR News: The FDA warns patients about counterfeit Ozempic that may be in circulation
The agency and Novo Nordisk, which makes Ozempic, said Monday that they had learned about "several hundred units" of the drug that made it onto the market outside the company's approved supply chain.
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Precision Medicine: In Silico Innovations Reshaping Healthcare
Republican Speaker Mike Johnson talking about Medicaid: "What we've talked about is returning work requirements ... you return the dignity of work to young men who need to be out working instead of playing video games all day. We have a lot of fraud, waste, and abuse in Medicaid."
Thứ Tư, 16 tháng 4, 2025
Advice on patient loneliness and isolation
I actively visited the PCU during my grandpa’s last several days alive. Even though it was hard, I felt happy for him knowing that he had so many friends and family visiting him all day - even overnight there was always at least 2 family members with him. I noticed that some o the patients in nearby rooms were alone, sometimes in a darkly lit room. The lady next door would be shouting in the middle of the night, sounding distressed, speaking gibberish, or yelp “help me”. It hurt me knowing not all patients on the floor were getting the proper emotional support they should be getting, especially in that physical state.
It’s what encouraged me to start a project to design a product to combat the issue of loneliness or isolation for patients (not subjected to just PCU patients,, could be other demographics). Perhaps pitch it somewhere after my project is complete.
Nurses, healthcare staffs, or people who have similar patient experiences, how often do you notice patients being alone? Do they seem lonely/want emotional support? If so, what are some things that can change? What are some things you'd like to be changed? What are some things that prevent this change?
NPR News: A colossal squid is filmed in its natural habitat for the first time
Colossal squid are known to be elusive and likely avoid the bright and loud research equipment used underwater.
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Does it cause headache?
Hospitals targeted for ransom pay by stealthy new malware called ResolverRAT
Thứ Ba, 15 tháng 4, 2025
Months after CEO's killing, an intruder is arrested near UnitedHealthcare headquarters in Minnesota
Ozempic for kids? Canadian doctors encouraged to offer drugs to teens
NPR News: Millions watch as underwater camera documents daily life on a Miami coral reef
For five years, the Coral City Camera has given viewers a live look at aquatic reef life near Miami. It's documented the declining conditions and shown a surprising vitality among some coral species.
Read more on NPR
Thứ Hai, 14 tháng 4, 2025
NPR News: How the Trump administration is impacting the First Amendment rights of scientists
Morning Edition's First Amendment series looks at the cost of speaking out or staying silent in the scientific community, amid pressure from colleagues or officials in Washington.
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Newer CNA/Attendance Advice?
NPR News: A bug that jets pee? These comics illustrate nature's real-life superpowers
Did you know there's an insect that can fling its pee 40 times faster than a cheetah accelerates? We did — thanks to a comic from the Bhamla Lab at the Georgia Institute of Technology. Since 2020, principal investigator Saad Bhamla has been leading the charge to make science more accessible by publishing comics alongside every paper his lab publishes. Today, he introduces Emily to two of the most popular characters — Sheriff Sharpshooter and Captain Cicada — and shares why a comic about butt-flicking insects is a valuable way to take science beyond the lab. Want to hear more about nature's superpowers? Send us an email at shortwave@npr.org. Listen to every episode of Short Wave sponsor-free and support our work at NPR by signing up for Short Wave+ at plus.npr.org/shortwave.
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NPR News: A breakthrough in tracking biodiversity
Scientists have found a way to sample DNA out of the air on a nationwide scale -- making it possible to one day track the health and well being of species around the globe.
Read more on NPR
Chủ Nhật, 13 tháng 4, 2025
Good Publications to Submit To? Re: Medicaid
Hey all,
I spent 30-50 hours writing a letter about my experiences with Medicaid as a chronically ill person. I spent a small fee to hire someone to help edit it down for me, from the original 15 pages, to 7 pages, and to remove run-on sentences and unnecessary passages, and I think it turned out really well. I put my whole heart into the letter, and I worked way beyond my comfort zone to make the letter carry a special authenticity, candor, warmth. I originally wrote the piece for an open call for public comments regarding Medicaid that a major magazine put out, and I have submitted the letter to their disability reporter.
However, I feel that it would be a good idea to submit to a few more publications, considering the amount of work and care that went into this letter, as a method of illustrating the significant and crucial impact Medicaid has on the day to day lives of disabled and ill folks (and low income folks too).
So, I wanted to ask you all if you had any suggestions of additional publications that may be worth submitting to, especially magazines that make a special effort to elevate or amplify the voices of disabled folks, and shine a light on issues specific to them? I have already submitted the letter as a personal op-ed to my local paper.
So...any ideas?? Thank you!
Endoscope vendor selection — how much say do clinical teams actually have?
Hi all,
I’ve been curious about how hospitals actually make decisions when selecting endoscopy vendors — especially with the rise of single-use scopes from companies like Ambu or Verathon.
In practice, how much influence do clinical teams (e.g., respiratory therapists, anesthesiologists, ICU staff) have in vendor choice compared to supply chain or procurement?
Also wondering:
- Are infection control concerns pushing more hospitals toward disposable scopes?
- Do facilities evaluate scope performance based on outcomes or mainly on cost/reprocessing efficiency?
- Is there usually a standardization push across departments, or do teams use different brands?
Would love to hear how this plays out in different types of hospitals — academic centers, community hospitals, or outpatient settings.
Just looking to understand how decisions really happen behind the scenes.