Johns Hopkins Makes Cancer Discovery

A team of researchers at Johns Hopkins discover the biochemical mechanism that tells cancer cells to break off from the primary tumor and spread throughout the body.

A process known as metastasiS.

That word scares the bejeebers out of patients diagnosed with cancer.  90% of cancer deaths are caused when cancer metastasizes.

Anything that helps prevent that from happening is a tremendous breakthrough in medicine.

                      [Photo Credit:  Amy Davis / Baltimore Sun]

Hasini Jayatilaka, left, a post-doctoral fellow and Denis Wirtz, professor of chemical and biomedical engineering, who work together at the Institute of NanoBioTechnology at Johns Hopkins University, discuss their discovery.

 

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BALTIMOREHasini Jayatilaka was a sophomore at the Johns Hopkins University working in a lab studying cancer cells when she noticed that when the cells become too densely packed, some would break off and start spreading.

She wasn’t sure what to make of it, until she attended an academic conference and heard a speaker talking about bacterial cells behaving the same way. Yet when she went through the academic literature to see if anyone had written about similar behavior in cancer cells, she found nothing.

Seven years later, the theory Jayatilaka developed early in college is now a bona fide discovery that offers significant promise for cancer treatment.

Jayatilaka and a team at Johns Hopkins discovered the biochemical mechanism that tells cancer cells to break off from the primary tumor and spread throughout the body, a process called metastasis. Some 90 percent of cancer deaths are caused when cancer metastasizes.

The team also found that two existing, FDA-approved drugs can slow metastasis significantly.

“A female patient with breast cancer doesn’t succumb to the disease just because she has a mass on her breast; she succumbs to the disease because (when) it spreads either to the lungs, the liver, the brain, it becomes untreatable,” said Jayatilaka, who earned her doctorate in chemical and biomolecular engineering this spring in addition to her earlier undergraduate degree at Hopkins.

“There are really no therapeutics out there right now that directly target the spread of cancer. So what we came up with through our studies was this drug cocktail that could potentially inhibit the spread of cancer.”

The study was published online May 26 in the journal Nature Communications. The next step for the team is to test the effectiveness of the drugs in human subjects.

Typically, cancer research and treatment has focused on shrinking the primary tumor through chemotherapy or other methods. But, the team said, by attacking the deadly process of metastasis, more patients could survive.

“It’s not this primary tumor that’s going to kill you typically,” said Denis Wirtz, Johns Hopkins’ vice provost for research and director of its Physical Sciences-Oncology Center, who was a senior author on the paper.

Jayatilaka began by studying how cancer cells behave and communicate with each other, using a three-dimensional model that mimics human tissue rather than looking at them in a petri dish.

Many researchers believe metastasis happens after the primary tumor reaches a certain size, but Jayatilaka found it was the tumor’s density that determined when it would metastasize.

“If you look at the human population, once we become too dense in an area, we move out to the suburbs or wherever, and we decide to set up shop there,” Jayatilaka said. “I think the cancer cells are doing the same thing.”

When the tumor reaches a certain density, the study found, it releases two proteins called Interleukin 6 and Interleukin 8, signaling to cancer cells that things had grown too crowded and it was time to break off and head into other parts of the body.

Previously, Wirtz said, the act of a tumor growing and the act of cancer cells spreading were thought to be very separate activities, because that’s how it appeared by studying cancer cells in a petri dish, rather than the 3-D model the Hopkins team used.

Many researchers study only cancer cell growth or its spread, and don’t communicate with each other often, he said.

Once the cancer cells start to sense the presence of too many other cancer cells around them, they start secreting the Interleukin proteins, Wirtz said. If those proteins are added to a tumor that hasn’t yet metastasized, that process would begin, he said.

The team then tested two drugs known to work on the Interleukin receptors to see if they would block or slow metastasis in mice.

They found that using the two drugs together would block the signals from the Interleukin proteins that told the cancer cells to break off and spread, slowing – though not completely stopping – metastasis.

The drugs the team used were Tocilizumab, a rheumatoid arthritis treatment, and Reparixin, which is being evaluated for cancer treatment.

The drugs bind to the Interleukin receptors and block their signals, slowing metastasis.

Though metastasis was not completely stopped, Jayatilaka said, the mice given the drug cocktail fared well and survived through the experiment.

She said adding another, yet-to-be-determined drug or tweaking the dose might stop metastasis entirely.

Contrary to the hair loss, nausea and other negative side effects patients undergoing chemotherapy suffer, Wirtz said the side effects from the drugs used in the study would be minimal.

Anirban Maitra, co-director of a pancreatic cancer research center at the MD Anderson Cancer Center at the University of Texas, cautioned that clinical trials in humans are needed to prove the theory.

“There’s a risk that something that looks so great in an animal model won’t pan out in a human,” he said.

But Maitra said the study looked promising, in particular because the researchers had used drugs already on the market. It can take a decade to identify a drug that would perform similarly and get it approved, and many similar observations don’t advance because of the time and expense it can take to get drug approval, he said.

Muhammad Zaman, a professor and cancer expert at Boston University, called the Hopkins discovery “exciting.”

“This paper gives you a very specific target to design drugs against,” he said. “That’s really quite spectacular from the point of view of drug design and creating therapies.”

Zaman said it was important for cancer researchers to use engineering to better understand cancer, as the Hopkins team did.

“This really brings cancer and engineering together in a very unique way, and it really takes an approach that is quantitative and rigorous,” he said. “We have to think of cancer as a complex system, not just a disease.”

Wirtz predicted a future where cancer would be fought with a mix of chemotherapy to shrink the primary tumor and drug cocktails like the one the Hopkins team developed to ensure it would not metastasize. He compared such a treatment to how HIV/AIDS is treated today.

“We’re not going to cure cancer with one therapy or even two therapies; it’s going to be drug cocktails,” Wirtz said. “That’s what saved the day with HIV/AIDS.”

Immunotherapy, which uses the body’s immune system to fight cancer, also could play a role in a combined method, Wirtz added.

“We’re, in research, sometimes incentivized to look at one pathway at a time, one type of cancer at a time,” Wirtz said. “I think oncology has started realizing we’re going to need more than one approach.”

MORE INFORMATION:

http://www.spokesman.com/stories/2017/jun/20/researchers-say-theyve-unlocked-key-to-cancer-meta/

VIDEO LINK:  

http://www.baltimoresun.com/health/93637026-132.html

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Maria Dorfner is the founder of NewsMD Communications and Healthy Within Network. This is her blog.  Contact: maria.dorfner@yahoo.com


Maria Shriver Creates 1st Coloring Book for Alzheimer’s Patients

Maria has created the first coloring book for Alzheimer’s patients and their caregivers.  And we’re excited about it.  I’ve known Maria Shriver since the ’80s and even had an opportunity to fill-in for her during technical rehearsals on an NBC show called Main Street. She and Bryant Gumbel hosted it.  She’s an incredibly intelligent, affable and warm person. So, I’m delighted to share this news with you.

 

Maria with her dad, Sargent Shriver, diagnosed with Alzheimer’s in 2003
[Photo Credit:  Laurence L. Levin]

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The project was inspired by Shriver’s quest to find ways to be close to her father, Sargent Shriver, diagnosed with Alzheimer’s disease in 2003.  He passed away in 2011.

“When I would go to visit my dad as his disease progressed, I had fewer and fewer things that I could do with him,” Shriver told NBC’s TODAY.

I could take a walk with him, but a lot of times he didn’t want to walk. I played puzzles with him and sometimes drew on a piece of paper.”

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Images in Maria Shriver’s book were developed through visits to the nursing home.  They include upbeat, positive, fun, hopeful images for stress-relief.

It also includes tips for caregivers culled from conversations with doctors and families.

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Dr. Richard Isaacson, director of the Alzheimer’s Prevention Clinic at Weill Cornell Medicine/NewYork-Presbyterian Hospital says the coloring book can help start a conversation and help families do an activity together.

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Isaacson tells TODAY, “The person with Alzheimer’s may not be able to communicate his or her thoughts as well as they used to or may not remember what happened to the conversation 10 minutes ago, but they’re able to express themselves through art — through drawing.”

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Dr. Isaacson continues, “Some patients with Alzheimer’s like to move and can’t sit still… coloring is a great way to refocus negative energy and do something more calm.”

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June is Alzheimer’s and Brain Awareness Month. More than 5M Americans live with it–one in 8 people age 65 and older, according to the Alzheimer’s Association.

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Maria Shriver says this coloring book is a labor of love, “I’m really hopeful this is filling a void and a need and will change people’s lives,” she says, noting she would have liked to have shared it with her dad.

“I think it would have brought laughter. It would have enabled us to do something together.”

We think so too.  Thank you, Maria Shriver.
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Visit NBC TODAY for more on Maria Shriver’s story:
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Links to Purchase Maria’s book at end of article.
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Consequently, a year ago, I was interviewed by Cable Neuhaus in the Saturday Evening Post about the health benefits of adults coloring. He saw my positive FB posts about it.

I told Neuhaus I never stopped coloring, but thought it was an oddball habit of mine.

Years ago, while working at The Crayola Experience in Easton, PA I observed parents enjoy coloring as much as kids and posted about it on FB. They looked so relaxed.

I thought they’re in the moment –essentially what meditation is all about. Makes sense.

Shortly thereafter, adult coloring books began to appear.

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See out Norman Rockwell content!

Coloring Books for Grown-ups

In Issue:

If, as some say, you can judge an entire society by the way it treats its most vulnerable, then I’d argue it is equally fair to measure a nation by the way its citizens fritter away their spare time.

Lately, Americans are frittering like mad in a couple of surprising ways: on outdoor courts playing a game called pickleball, and in coloring books.

Let’s begin with the coloring books, which are meant for adults. The craze began more than a year ago. Color me skeptical, even now, but the wild enthusiasm for this hobby shows no signs of fading. Several of the books sit atop our national best-seller lists. (Johanna Basford’s Secret Garden was the first of the blockbusters, but dozens have followed.) Who, exactly, is buying these — and why?

An admission: When I heard about this fad, my initial thought was unashamedly elitist. What kind of latte-fueled exurbanite would exchange nightly yoga classes for the joylessness of coloring? Maybe someone with no life to speak of? Okay, big mistake. Huge. Turns out that adult coloring books are a raging success across nearly every shade and stratum of the American landscape, from pastures to plains to the towers of Manhattan.

Take, as an example, Maria Dorfner, a native New Yorker who freelance produces at networks. “It calms and centers my mind,” Dorfner, an avid colorer, told me. “Adults need to learn to be more in the moment, like kids with crayons.”

Asked about a Psychology Today story that contended coloring cannot possibly constitute a spiritual experience, despite claims to the contrary by the hobby’s millions of evangelists, Dorfner says, “They’re just wrong about that.” Backing her up is a widely shared perception that coloring does indeed both soothe and heal the mind. (And let’s please agree that the illustrators of these exquisitely drawn books are artists; the color-inners are not.)

“Adults need to learn to be more in the moment, like kids with crayons,” one avid colorer says.

So, what we have here in our go-go digital age is an analog diversion for stressed-out grown-ups. One sits and colors and dreams, and the day’s tiny troubles appear to vanish.

At the other end of the spectrum is a (slightly) more physically demanding pastime, the game of pickleball. Imagine tennis played with wiffle balls and paddles on a diminutive court — Ping-Pong on a grander scale. The sport has rapidly attracted participants coast to coast, mainly among oldsters: The thrill of victory never flags, but the viability of older knees often does, alas.

This helps explain why pickleball, which has been around for a while, exploded in popularity only recently, as our aging population surged. The USA Pickleball Association reports it witnessed an 84 percent membership increase in the last two years alone and now boasts more than 400,000 active players. An Oregon documentarian is developing a movie about its rise.

Steve Brodsky, a 61-year-old Floridian, captured the excitement perfectly: “Pickleball is for older folks who’ve got the fire in the belly,” he told me. “Guys like me can feel, ‘Wow, I’ve still got it!’”

Hot on pickleball’s heels is a variation on that game called POP Tennis, a rebranded version of what we once knew as paddle tennis. Backed by a fresh infusion of cash from Hollywood agent Ken Lindner (Matt Lauer and Lester Holt are among his clients), the U.S. POP Tennis Association is currently rolling out a national tour. It’s aimed at picking up where pickleball leaves off. The appeal of POP Tennis, Lindner told me, is that “anyone can play, young or old. If you can walk, you can hit the ball immediately.”

What conclusions can be drawn from these trends? Well, whether we choose a pencil or a paddle, and whatever our age, Americans seldom let time go to waste. It’s in our character to be restless; it’s a trait that’s long served us well.

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Don’t forget to pick up a copy of Maria Shriver’s book. Links to purchasing it here:

Barnes and Noble:

https://www.barnesandnoble.com/w/color-your-mind-maria-shriver/1126249685

Amazon:

https://www.amazon.com/Color-Your-Mind-Coloring-Alzheimers/dp/1944515488

If you’re an Alzheimer’s caregiver and you pick up the book, please let me know if and how it’s helped. I’d love to hear and share your story.  Email: maria.dorfner@yahoo.com
Subject line:  Caregiver Story: Color Your Mind book

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Thank you Maria Shriver for helping Alzheimer’s patients and caregivers!

mariadorfnerheadshot2   Maria Dorfner is the founder NewsMD Communications and Healthy Within Network.  This is her blog.   Contact: maria.dorfner@yahoo.com

Breakthrough: Mi-Eye2 Diagnoses Joint Injuries With Tiny Camera

TRICE MEDICAL closes $19.3M in Series C financing for their tiny needle-based camera to analyze joint injuries and expedite orthopedic diagnosis without the need for an MRI.

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Mi-Eye2 is a hand-held imaging scope which received FDA-clearance.  It enables doctors to diagnose a sports-related injury in the office, without an MRI.

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It consists of a hypodermic needle with a small camera tethered to a Microsoft surface tablet that shows high-definition pictures.

 

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Jeffrey O’Donnell, Sr. who is President and CEO of Trice Medical says this latest round of financing is a “significant milestone” and will help expand the company’s U.S. market.

Check out CBS2’s Dr. Max Gomez report:

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CBS 2’s DR. MAX GOMEZ: If you’ve ever injured your knee it can be hard to tell exactly what’s causing the pain, so the doctor usually sends you for an expensive MRI and maybe an arthroscopy in the O.R. to take a look inside. But what if you could do a scope in the doctor’s office cheaper and safer.

Lemouchi Soufinae injured his knee in a car accident two years ago. Since then he hasn’t been able to play his beloved soccer, because of the pain in his knee.

“I can’t walk more than three blocks, have to lay down, have trouble sleeping at night, lot of strong pain,” he said.

DR. MAX GOMEZ: Two MRIs later, it still wasn’t completely clear what was causing his knee pain.

Lemouchi, Liz Meris has been having severe knee pain. “I couldn’t kneel or straighten without pain, can’t get out of car, swelling in back of knee, hurts to walk, feels unstable,” she said.

DR. MAX GOMEZ: Worse yet, Liz is claustrophobic in an MRI.

“I hate em, I’m claustrophobic. I’m out, I’m in, I’m out again,” she said.

DR. MAX GOMEZ:  The next is usually a trip into the operation room to look around by sticking a scope in the knee. It’s expensive and requires anesthesia. Why not do that in the office, under a local anesthesia?

Thanks to a tiny scope with a hi-def camera on the tip, doctors can do in the office what once took a trip to the O.R.

“It’s a huge game changer, been trying to do for 10 to 15 years, clarity and resolution are now tremendous,” Dr. James Gladstone, Mt. Sinai Health System said.

DR. MAX GOMEZ:  Using only a local anesthesia, Dr. Gladstone inserts the MI-Eye-2™ into Liz’s knee. She was actually watching the same thing Dr. Gladstone was seeing.

It allows him to check and see what and where there’s damage inside the knee.

“Almost as good as O.R. scope, and in many ways better than MRI because it can give you direct visualization,” Dr. Gladstone said.

DR. MAX GOMEZ:  Better yet, if the damage is minimal it saves the patient a trip to the O.R. for a conventional scope, and here’s the best part; it costs under $500 to do this in the doctor’s office as opposed to the $1,500 or $2,000 for an MRI and thousands more for an O.R. scope.

Almost any joint that you can scope can be done with the MI-Eye™: shoulder, wrist, ankle, elbow.

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FOR MORE INFORMATION on THE INNOVATIVE MI-EYE2 VISIT:

http://www.tricemedical.com

 

Also, check out Dr. Max Gomez’s new book available for preorder on Amazon:

“Cells Are the New Cure”

by Robin Smith, MD + Max Gomez, Ph,D; Foreword by Sanjay Gupta, MD of CNN

https://www.amazon.com/Cells-Are-New-Drugs-Bre…/…/1944648801

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Maria Dorfner, a 33 year veteran of broadcast news is the founder of this blog.

Contact:  maria.dorfner@yahoo.com

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Future Health: New Device To Detect Early-Stage Colon Cancer

DANIELA SEMEDO reports on a European project, which aims to develop an innovative endoscope device that can detect and diagnose colorectal cancer in its early stages.

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Called PICCOLO, the project is funded under the European Union’s Horizon 2020 program. It’s tackling one of the world’s predominant cancers by using new optical technologies that identify precancerous polyps and early colon cancers.

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Colorectal cancer represents around one-tenth of all cancers worldwide, and nearly 95 percent of these cases are adenocarcinomas, which typically start as a tissue growth called a polyp.

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Early and accurate diagnosis and precise intervention can increase cure rates to up to 90 percent.

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A colonoscopy is currently the method used to screen for colon cancer. But while up to 40 percent of patients who undergo colonoscopy present one or more polyps, almost 30 percent of these polyps are not detected.

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Of the polyps detected by colonoscopy, 29 to 42 percent are generally hyperplastic and will not develop into cancer. The remainder are neoplastic polyps, representing colorectal cancer in its earliest stages.

There is an urgent need for new diagnostic techniques that are equipped with enough sensitivity and specificity to allow in situ assessment, safe characterization, and resection of lesions during clinical practice interventions.

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The multidisciplinary PICCOLO team proposes a new compact, hybrid, and multimodal photonics endoscope based on Optical C, a medical imaging technique that uses light to capture micrometer-resolution, three-dimensional images from within optical scattering media.

Artzai Picon of Tecnalia Research & Innovation says, “We hope that PICCOLO will provide major benefits over traditional colonoscopy. Firstly, by developing an advanced endoscope, using both optical coherence tomography (OCT) and multi-photon tomography (MPT), we will provide high-resolution structural and functional imaging, giving details of the changes occurring at the cellular level comparable to those obtained using traditional histological techniques.”

“Furthermore, when multiple polyps are detected in a patient, the current gold standard procedure is to remove all of them, followed by microscopic tissue analysis,” he said. “Removal of hyperplastic polyps, which carry no malignant potential, and the subsequent costly histopathological analysis, might be avoided through the use of the PICCOLO endoscope probe, which could allow image-based diagnosis without the need for tissue biopsies.”

Researchers behind the project believe the new device may not only add to colon cancer detection, but could also be applied to diseases in other organs of the body.

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Investigators expect their first prototype to be fully developed by the end of 2018 and plan to start testing the device in clinical studies in 2020.

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DANIELA SEMEDO, Colon Cancer News
https://coloncancernewstoday.com/2017/06/08/bristol-myers-squibb-novartis-to-test-mekinist-opdivo-combination-in-advanced-colorectal-cancer/

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http://www.fightcolorectalcancer.org

 

Maria Dorfner is the founder of NewsMD: What’s Hot in Health, a division of Healthy Within Network.  Have a story to share with healthcare consumers and media?

Contact: maria.dorfner@yahoo.com

 

It’s World Blood Donor Day

Someone needs blood every 2 seconds.

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On average, 6.8M people in the U.S. donate blood each year. 38% are eligible, but less than 10% donate.

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One in 7 people entering a hospital needs blood.  One day, that may be you.

Your donation can save up to 3 lives.

Every year, on 14 June, countries around the world celebrate World Blood Donor Day (WBDD). The event serves to raise awareness of the need for safe blood and blood products and to thank blood donors for their life-saving gifts of blood.

 

Q: Why should I donate blood?

A: Safe blood saves lives and improves health.

Q: Who benefits from my blood donation(s)?

Blood transfusion is needed for:

women with complications of pregnancy, such as ectopic pregnancies and haemorrhage before, during or after childbirth;

children with severe anaemia often resulting from malaria or malnutrition;

people with severe trauma following man-made and natural disasters;

and many complex medical and surgical procedures and concern patients.

It is also needed for regular transfusions for people with conditions such as thalassaemia and sickle cell disease and is used to make products such as clotting factors for people with haemophilia.

Q: Why do I need to donate again if I already did?

There is a constant need for regular blood supply because blood can be stored for only a limited time before use. Regular blood donations by a sufficient number of healthy people are needed to ensure that safe blood will be available whenever and wherever it is needed.

Blood is the most precious gift that anyone can give to another person — the gift of life. A decision to donate your blood can save a life, or even several if your blood is separated into its components — red cells, platelets and plasma — which can be used individually for patients with specific conditions.

Q: How often can I donate?  

Every 3 months.

Q: What can I do to help?

What can you do? Give blood. Give now. Give often.

Blood is an important resource, both for planned treatments and urgent interventions. It can help patients suffering from life-threatening conditions live longer and with a higher quality of life, and supports complex medical and surgical procedures.

Blood is also vital for treating the wounded during emergencies of all kinds (natural disasters, accidents, armed con icts, etc.) and has an essential, life-saving role in maternal and perinatal care.

A blood service that gives patients access to safe blood and blood products in suf cient quantity is a key component of an effective health system.

Ensuring safe and sufficient blood supplies requires the development of a nationally coordinated blood transfusion service based on voluntary non-remunerated blood donations. However, in many countries, blood services face the challenge of making suf cient blood available, while also ensuring its quality and safety.

The lives and health of millions of people are affected by emergencies every year.

In the last decade, disasters have caused more than 1 million deaths, with more than 250 million people being affected by emergencies every year.

Natural disasters such as earthquakes, oods and storms create considerable needs for emergency health care, while at the same time, often destroying vital health facilities as well. Man-made disasters such as road accidents and armed con icts also generate substantial health care demands and the need for front-line treatment.

Blood transfusion is an essential component of emergency health care.

Emergencies increase the demand for blood transfusion and make its delivery challenging and complex.

Adequate supply of blood during emergencies requires a well- organized blood service, and this can only be ensured by engaging the entire community and a blood donor population committed to voluntary unpaid blood donation throughout the year.

Every single person can play in helping others in emergency situations, by giving the valuable gift of blood.

It is important to give blood regularly, so that the blood stock is sufficient before an emergency arises. The World Health Organization’s goal is to:

  •  encourage all people to strengthen the emergency preparedness of health services in their community by donating blood;
  •    engage authorities in the establishment of effective national blood donor programmes with the capacity to respond promptly to the increase in blood demand during emergencies;
  •    promote the inclusion of blood transfusion services in national emergency preparedness and response activities;
  •   build wider public awareness of the need for committed, year-round blood donation, in order to maintain adequate supplies and achieve a national self-sufficiency of blood;
  • celebrate and thank individuals who donate blood regularly and to encourage young people to become new donors as well;
  •    promote international collaboration and to ensure worldwide dissemination of and consensus on the principles of voluntary non-remunerated donation, while increasing blood safety and availability.
  • The host country for the global event of World Blood Donor Day 2017 is Viet Nam through its National Institute of Haematology and Blood Transfusion (NIHBT).
  • The Global event will be held in Hanoi on 14 June 2017
  • More visit: http://www.who.int/campaigns/world-blood-donor-day/2017/en/

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Take a break today. Give blood. It only takes 15 minutes.

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Reduce Your Risk of Lyme Disease

LYME DISEASE IS GRADUALLY RISING ACROSS THE U.S.

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THE ILLNESS IS SPREAD WHEN BACTERIA IS TRANSMITTED THROUGH A TICK BITE.

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TIME SPENT OUTDOORS INCREASES THE CHANCES OF BEING BITTEN BY A TICK BUT CLEVELAND CLINIC’S DOCTOR ALAN TAEGE (TAY-GEE) SAYS THERE ARE STEPS YOU CAN TAKE TO REDUCE THAT RISK.

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CG: Dr. Alan Taege /Cleveland Clinic “You can protect yourself. Use the insect repellent, particularly those with DEET, D-E-E-T, when you go out to work in your yard, camping, hiking, whatever you’re doing, put it on, because it can be very effective.” [:16]

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IF YOU’RE GOING TO BE CAMPING, DOCTOR TAEGE SAYS YOU CAN ALSO USE AN ADDITIONAL CHEMICAL ON CLOTHING, TENTS AND CAMPING EQUIPMENT CALLED PERMETHRIN (PER-METH-ER-IN) TO KEEP TICKS AWAY.

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ACCORDING TO DOCTOR TAEGE, IT’S A GOOD IDEA TO TUCK PANT LEGS INTO SOCKS OR BOOTS. THIS MAKES IT HARDER FOR TICKS TO GET ONTO YOUR SKIN.

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HE ALSO RECOMMENDS WEARING LIGHT-COLORED CLOTHING.  IT WILL BE EASIER TO SPOT AND SWAT A  DARK-COLORED TICK ON A SLEEVE OR PANT LEG.

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HE SAYS THE AVERAGE TICK HAS TO BE ATTACHED FOR SEVERAL HOURS BEFORE IT CAN CAUSE ILLNESS.  REMOVING THEM QUICK IS VITALLY IMPORTANT.

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CG: Dr. Alan Taege /Cleveland Clinic “When you come in from any of those activities where you’ve exposed yourself to ticks you should do a tick check to try to be sure that you haven’t collected any of the little creatures on your body.” [:12]

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[MEDIA:  Pathfire#: 10808 “Preventing Lyme Disease” June 14, 2017 Sound Bites/VO]

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GAME CHANGER: NEW SMART HEART MONITOR

 

Super excited to tell you about a new smart heart monitor you can use at home. It will help 28 million heart disease patients in the U.S. keep track of their heart.

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Keep track from the comfort of their home at any time. And it’s just been FDA approved.

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Meet Eko DUO.  The first handheld mobile, wireless, EHR-connected stethoscope, which connects to your smart phone.

It allows you to amplify, visualize and record crystal clear heart and lung sounds.

Imagine not needing to wait for your next followup appointment to transmit a concern to your physician. It works under the supervision or prescription from a physician.

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Eko Duo is set to help millions of heart disease patients who are often discharged with little more than an info packet and instructions to monitor their weight.

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Now patients can be sent home from the hospital with a direct link back to their physician, helping reduce readmissions and false alarms.

“The goal is to bring hospital-quality care to the home.”
Connor Landgraf, CEO and co-founder, Eko DUO

The device wirelessly pairs with Eko’s secure, HIPAA-compliant app, enabling remote monitoring and diagnosis by a clinician or specialist.

It works with the Eko app on any iPhone, iPad, Windows PC or Android device.

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Eko DUO can also be used by clinicians as an enhanced stethoscope for in-clinic cardiac screenings, enabling physicians to quickly diagnose and monitor patients.

Clinicians can use it bedside or remotely to quickly spot heart abnormalities including arrhythmias, heart murmurs, and valvular heart diseases.

I interviewed Ami Bhatt, M.D., a Cardiologist at Massachusetts General Hospital and Director of Outpatient Cardiology and the Adult Congenital Heart Disease Program at Massachusetts General Hospital and she believes Eko DUO will improve outcomes through early intervention.

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Dr. Bhatt says, “Cardiology programs are looking for ways to deliver hospital-quality healthcare at home.  The ability to capture digital heart sounds and an ECG expands our portfolio of mechanisms to remotely monitor the heart – and brings diagnosis and opportunities for early intervention even further upstream.” 

Heart disease can strike people of all ages.

I spoke with Stacy Bingham, a registered nurse from Oregon with 5 children, who knows this firsthand. She and her husband have no prior history of heart disease in their family, yet 3 of her 5 children end up needing heart transplants.

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When Stacy noticed her oldest child, Sierra acting tired with a loss of appetite for a few weeks, she never suspected the cause was an underlying heart condition.

“I noticed her face and eyes were swollen. She complained her stomach hurt.”

That’s when Stacy and her husband took her to a family practitioner.

“The doctor told us it’s probably a flu bug and sent us home. When her condition worsened she had an x-ray.”

X-ray results revealed Sierra’s heart was enlarged.  Dilated cardio myopathy. She later learned two of her other children also had heart problems.

“If they had not finally found Sierra’s heart condition, she may not have survived. We live in a really rural part of Eastern Oregon and we now have three kids with heart transplants that need to be monitored for life.”

Today, Stacy’s family takes nothing for granted, especially innovations that help.

“If this device can be used at home and we can rule out scary things and know when it’s not something we need to rush to a hospital for that would be wonderful.” –Stacy Bingham

James Young also knows how life can change in a heartbeat.

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Young was just 40-years-old when he first experienced symptoms of heart failure. Symptoms he ignored until they were severe and his sister insisted on it.

“I was coughing in mornings and throughout the day. I thought it was simply allergies. I vomited phlegm some mornings and still didn’t see a doctor.”

But the coughing became more painful. While shoveling, it stopped him in his tracks.

“I was outside shoveling snow when I turn behind me and  see a trail of blood.”

His sister noticed he didn’t look well and insisted he go see a physician.

“That’s when I was diagnosed with congestive heart failure. I was shocked.”

James felt anxiety, depression and uncertainty about his future at this time. Young believes Eko DUO will not only help alleviate false alarms and unnecessary hospital readmissions, but needless worrying as well.

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“Eko DUO would have given me assurance the doctor knew where I stood daily. If there were any issues outstanding needing to be addressed immediately. It gives the doctor an opportunity to respond expeditiously to those concerns.”

Today, James is doing great and is a national spokesperson and heart failure Ambassador for the American Heart Association.

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“I went from a 25% functioning heart to being an avid runner and cycler. I’ve taken on a new lease in life. As a community advocate I can help inspire others and give them hope.”

Ami Bhatt, M.D says that hope also translates to much needed continuous care rather than outpatient care.

“Robust toolkits for caring for patients in the community will hopefully lead to more appropriate healthcare utilization through continuous rather than episodic outpatient care.”

HERE’S HOW EKO WAS DEVELOPED:

Eko’s co-founder & CEO, Connor Landgraf, is also a heart disease patient.

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Connor navigated countless cardiology visits, screenings and referrals.

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In 2013, during his senior year as at the University of California at Berkeley, Connor attended a panel discussion at UC San Francisco on technological shortcomings facing modern medical practices.

One technical gap cardiologists claimed stood out beyond the rest: the stethoscope.

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So Conner and his co-founders welcomed the stethoscope, a two-century old tool, into the 21st-century.

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Photo: Connor and his co-founders, Jason Bellet and Tyler Crouch

 

The newly FDA approved Eko DUO brings that to the next level.
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To learn more about this remarkable 21st Century technology we love visit:  http://www.ekodevices.com

 

 

Factoids:

  • According to the CDC, heart disease is the leading cause of death in the U.S.
    The American Heart Associations says the U.S. currently spends over $26 billion annually on heart failure hospitalization. 25% of heart failure patients are readmitted within 30 days — 50% are readmitted in 6 months with hospitals now being penalized for high readmission rates.
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  • Fact: 83% of parents experience anxiety surrounding their child’s referral to a pediatric cardiologist for an innocent murmur.
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  • Fact: Average cash price for an echocardiogram is $2,275 and even with insurance, patients can expect to pay 10 to 30% of this cost.
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  • Fact: For a pediatric subspecialist such as a pediatric cardiologist, patients must wait between 5 weeks and 3 months to get an appointment.
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  • Fact: Internal medicine residents misdiagnose more than 75% of cardiac events.
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  • Fact: 70% of all pediatric cardiac referrals for murmurs are unnecessary.
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  • Fact: Average PCP needs to coordinate care with 99 other physicians working across 53 practices.
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  • Fact: Only 50% of initial referrals are accompanied by information from the PCP.
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  • Fact: Patients in rural communities must travel an average of 56 miles to see a specialist.
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  • Fact: About 46.2 million people, or 15% of the U.S. population, reside in rural counties.

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Eko DUO.  A real game changer for heart patients worldwide.

http://www.ekodevices.com

 

 

Sleep Apnea Treatment Reduces Drowsy Driving

SLEEP APNEA AFFECTS AT LEAST TWENTY-FIVE MILLION ADULTS IN THE U-S.

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THE CONDITION CAUSES THE UPPER AIRWAY TO COLLAPSE FREQUENTLY WHILE SLEEPING, ROBBING SUFFERERS OF A GOOD NIGHT’S SLEEP AND LEADING TO DAYTIME SLEEPINESS AND DROWSY DRIVING.
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NOW, NEW CLEVELAND CLINIC RESEARCH SUPPORTS A GROWING BODY OF EVIDENCE THAT SHOWS TREATING SLEEP APNEA WITH A C-PAP (SEE-PAP) MACHINE REDUCES SLEEPINESS BEHIND THE WHEEL.

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CG: Dr. Harneet Walia /Cleveland Clinic “There was a significant reduction in the drowsy driving episodes and this reduction was more pronounced in patients who were CPAP adherent. This is a very important finding because drowsy driving poses a very important public health risk.” [:14]

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RESEARCHERS ANALYZED SELF-REPORTED QUESTIONNAIRES FROM NEARLY TWO THOUSAND PEOPLE WITH SLEEP APNEA. THEY ASSESSED DROWSY DRIVING INCIDENTS BEFORE AND AFTER PARTICIPANTS USED A C-PAP MACHINE.

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C-PAP STANDS FOR CONTINUOUS POSITIVE AIRWAY PRESSURE AND IS WORN AT NIGHT WHEN SOMEONE IS SLEEPING.

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IT’S DESIGNED TO INCREASE AIR PRESSURE IN THE THROAT TO PREVENT THE AIRWAY FROM COLLAPSING AND THEREFORE RESULT IN A BETTER NIGHT’S SLEEP.

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RESULTS SHOW A SIGNIFICANT IMPROVEMENT IN REPORTED ACCIDENTS AND NEAR-MISS-ACCIDENTS AFTER USING A C-PAP MACHINE.  FOLKS WHO USED IT REGULARLY AND COMPLIED WITH TREATMENT GUIDELINES SAW THE GREATEST IMPROVEMENT.

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IN ADDITION TO DROWSY DRIVING AND DAYTIME SLEEPINESS, DOCTOR WALIA (WALL-EE-UH) SAYS SLEEP APNEA CAN ALSO HAVE CARDIOVASCULAR CONSEQUENCES, SO IT’S IMPORTANT TO BE PROPERLY DIAGNOSED AND TREATED.

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CG: Dr. Harneed Walia /Cleveland Clinic “If you think you have obstructive sleep apnea, or you have signs of obstructive sleep apnea such as loud snoring, having pauses in breathing, or you feel excessively tired throughout the day please seek medical attention.” [:14]

DOCTOR WALIA SAYS SLEEP APNEA CAN BE EASILY DETECTED DURING AN OVERNIGHT SLEEP STUDY AND THAT USING A C-PAP MACHINE IS OFTEN THE FIRST LINE OF TREATMENT. COMPLETE RESULTS WERE PRESENTED AT THE AMERICAN ACADEMY OF SLEEP MEDICINE IN BOSTON.

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For more information please visit: ccnewsservice@ccf.org

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Media:  

See June 6, 2017 Sound Bites/Voice Over Pathfire#: 10803

 

Health Benefits of Drinking Water

 

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Here’s what you need to know about the benefits of drinking plenty of water.

By Dr. Nina Radcliff

ANALYSIS/OPINION:

You may know that water makes up about two-thirds of who we are – but did you know it influences 100 percent of the processes in our body?

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Yes, we are made of about 70 percent water!

But did you know that our muscles and kidneys are about 75 percent water?

Lungs about 83 percent.

Brain cells about 85 percent?

And even our bones are approximately 30 percent.

That probably explains why we feel better when we drink enough of it, everyday.

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Because of water’s abundant and varied functions in our body, it is a vital nutrient. Our body uses water in all its cells, organs, and tissues to help regulate its temperature and maintain other bodily functions.

It is also used to lubricate the joints, protect the spinal cord and other sensitive tissues, and assist the passage of food through the intestines.

The excellent ability of water to dissolve so many substances allows our cells to use valuable nutrients, minerals, and chemicals in biological processes.

In fact, to function properly, all the cells and organs of our body need water.

Every day, on an average, our body loses about 2 quarts of water through breathing, sweating, digestion – and it’s E-S-S-E-N-T-I-A-L that we rehydrate by drinking fluids and eating foods that contain high water content (soups, tomatoes, oranges).

Keeping hydrated has a huge impact on our overall health.

However, despite how crucial water is, a significant number of people fail to consume recommended levels of fluids each day.

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To understand how water is helping us – here are some great reasons why we should be hydrating with clean, natural water right now:

Your Kidneys. Water is essential for the kidneys to function. Every day, the kidneys filter around 120-150 quarts of fluid. Of these, approximately 1-2 quarts are excreted in the form of urine, and 198 are recovered by the bloodstream. When dehydrated, our kidneys resort to desperate measures in order to conserve water—meaning, decreasing urine output. However, this can also result in the buildup of waste products, electrolyte imbalances, and, if severe, acute kidney failure. And, as we start seeing temperatures rise, so too the incidence of miserable kidney stones. When properly hydrated, we maintain good urine flow and this prevents the build-up of minerals within our kidneys that can form stones.

 

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Calories. Water is void of calories, the original and healthiest zero-calorie drink. As we know, our weight is dependent on the balance of calories consumed versus burned. And, when we take in more than we use as fuel, we gain weight. Too many drinks that we commonly reach for are laden with calories (and added sugar). The average can of soda contains approximately 140 calories; a glass of wine 140 calories; and 12-ounces of unsweetened apple juice 170 calories. And, if you think you are safe with a “diet” drink that gets its sweetness from artificial sweeteners and lacks calories, think again. Research shows that they are linked to weight gain. So, the next time we want to quench our thirst, consider reaching for a glass of no-calorie water.

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Combats Dehydration-Driven Sugar Cravings. H2O is essential to a number of our body’s chemical processes, including the ability to release and tap into energy stores. Glycogen is primarily found in the liver and is our main storage form of glucose. However, when we are dehydrated, our liver cannot release glycogen into the blood stream where it can be utilized as fuel. Consequently, our body sends signals to our brain that it needs to consume something sweet—STAT! So the next time you are craving for a cookie, pastry, or something with sugar, it may not be your sweet tooth you are trying to satisfy, but, instead, your thirst.

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Combat Headaches. Headaches are one of the first signs of dehydration and there are two possible theories for this. First, is that when we do not have enough water, our blood volume decreases, and in order to prevent inadequate blood and oxygen flow to our brain, the brain’s blood vessels compensate by dilating. This causes “crowding” and pain. The other theory is that dehydration results in electrolyte imbalance and stimulates the nerves in our brain to send pain signals.

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Keeps us looking young. Our skin cells can either maintain the form of a grape or a raisin, depending on our hydration. When we are properly hydrated, they are like a grape. And, when dehydrated, our cells are shriveled up and can make wrinkles we have appear more prominent. Drinking water can keep our fountain of youth from drying up.

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Healthy Digestion. When dehydrated, our body resorts to extreme measures to conserve water. This includes “pulling” or “absorbing” water from stool before it exits our digestive tract. The result is hardening and decreased transit time of “poop”—also known as constipation.

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Stroke and Survival After Stroke. In studies by leading centers including one out of Johns Hopkins University, researchers found that nearly half of patients who presented with a stroke due to a clot were dehydrated. And, too, they did worse in the long run.

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Concentration and Energy. Approximately 80 percent to 85 percent of our brain’s weight comes from water. So it is no surprise that when our water levels are low, our brain function is affected—chemical production that signals between brain cells and nerve transmission that is responsible for thinking, movement, and memory. And when you are feeling sluggish, like your energy has been zapped or tired – this, too, is a sign of dehydration and time to reach for some clean, natural water.

Too many are living in a mildly dehydrated state—impacting their health with various irritations like headaches, joint pain, low energy, digestive issues…the list goes on. I consider H20 one of the essential building blocks of good health. Clean, natural water is important for all of us, every day!

And do check the source of your water. One of the best waters you can drink is filtered water. And don’t wait until you are thirsty to drink water as that generally means you have waited too long and are probably already dehydrated.

An age-old question is how much water is enough? The answer is not as simple as we often hear. The recommended amount of water that should be drunk everyday varies from person to person depending on factors such as level of activity, weight, diet and surrounding temperature.

According to the Institute of Medicine (IOM), an estimated adequate intake for men is approximately 13 cups a day. For women, an adequate intake is around 9 cups.

And while we have often heard the directive: “Drink eight 8-ounce glasses of water a day” (and it is close to the IOM’s recommendation for women), drinking “8 by 8” is an easy-to-remember amount that can help people on the right track in terms of water consumption.

Take time – and take note – to ensure you are getting enough. One guideline is to drink water in the morning, when you wake and too, 30 minutes before meals and about an hour or two after meals (aim not to drink excessive amounts after 7 p.m. as it may interfere with your sleep).

If you find in your day you have had very little water, I encourage you to set a timer or a smartphone reminder. The goal is to be properly hydrated, everyday – it can make a world of difference in your overall health.

Make a commitment today!!

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Today’s Fitness Tip from Mayo Clinic:

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The American College of Sports Medicine recommends drinking 2 to 3 cups of water two to three hours before your workout, and and at least 1/2 to 1 cup of water every 15 to 20 minutes during your workout.  Continue to hydrate after your workout to replenish lost fluid.

Remember, balance is key:

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Happy Hydrated Mother’s Day weekend everyone!

 

Expert Newborn Screenings A Heartbeat Away!

jimmy-kimmel-baby-billy2-1This week, Jimmy Kimmel shared the emotional story of his beautiful newborn son’s heart surgery.  He and his wife Molly welcomed their second child, William “Billy” Kimmel.

At three days old, Billy had successful open heart surgery at Children’s Hospital Los Angeles and is now home with his family.  On his show, Jimmy opened up about his son’s birth and health complications. He also underscored the need for the accurate and timely screening of congenital heart disease (CHD).

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Essential to early CHD diagnosis is the detection of a murmur using a stethoscope during a newborn’s first physical exam.

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But routine neonatal examination without specialist consults fail to detect more than half of babies with heart disease.

Approximately 160 infants pass away from undetected Congenital Heart Defects each year in the United States.

William “Billy” Kimmel, who is absolutely adorable below is one of the lucky ones; looks like he’s already laughing at Dad’s jokes too.

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Billy thankfully had the condition detected early, but many children with CHD get discharged with undetected or misdiagnosed conditions.

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After the events of this week, expecting parents have every right to question if their child is being screened appropriately or if clinicians known to misinterpret heart sounds are interpreting their child’s heart sounds accurately.

Kimmel’s story is really a wake-up call that we need more nurses like the wonderful ones who treated his baby boy.

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Now, there’s a device that will make sure congenital heart screenings more effective for infants.

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And it’s not just infants. Over 1.3 million adults live with congenital heart disease in the U.S, which now surpasses the number of children with congenital heart disease.

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Three entrepreneurs are well on their way to making sure accurate screenings are a heartbeat away. Their innovation paves the way for a new era of cardiac screenings.

They want to do what Shazam did for music, only for heartbeats.

Their new device called Eko [pronounced like Echo, as in a heart echo] offers the potential to dramatically improve the efficacy of newborn screenings, especially for newborns far from a pediatric cardiology center.

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The San Francisco based digital medical device company, launched Eko, an FDA-cleared digital stethoscope that enables ANY clinician, regardless of their training level, to secure a virtual pediatric cardiology opinion on heart sounds recorded with their FDA-cleared digital stethoscope.

It was a pleasure interviewing one of the founders, Jason Bellet.

Bellet says, “The silver lining in Jimmy Kimmel’s story is that the congenital heart failure was detected early through a murmur using a stethoscope and could be treated, but very often these murmurs go undiagnosed and undetected and infants leave the hospital with potentially life threatening situations.” [:27]

“Eko Devices would enable nurses and clinicians to get Cardiologist’s second opinion to immediately decrease the number of missed cases.” [:12]

Bellet is the co-founder and a brilliant former student from the University of Berkley.  He graduated in 2014 and founded Eko Devices with two fellow students, Connor Landgraf and Tyler Crouch out of the Start-up accelerator at Berkley.

The three founders successfully pitched their idea and raised $5M to bring it to market quickly and bring it to as many clinicians as they can.  It received FDA approval in September of 2015.

QUESTION: WHAT IS EKO?

ANSWER:  It’s basically a Smart Stethoscope that can bring the sounds to a trained ear immediately.

The vision is to bring machine learning and physician support tools to every clinicians stethoscope to make their screening process as easy as Shazaming a song.

QUESTION:  HOW DID YOU COME UP WITH THE IDEA FOR EKO?

ANSWER:  The idea stemmed from the fact that we realized the stethoscope is used as the primary screening tool for cardiac health, including for newborn babies.

But, it’s extremely outdated and ultimately leading to misdiagnosis and lack of cardiac conditions because you hear the heart sounds, but don’t understand what you’re hearing.

Cardiologists are the ones who can differentiate what is normal and what is not.

So, what we wanted to do was make it easy for clinicians to modernize their own stethoscopes to bring it into the modern era and send concerning or confusing heart sounds immediately to cardiologists in real time using this platform or capture it to send it to a specialist.

QUESTION:  There are other digital stethoscopes out there. Why is this one unique?

Bellet says, “Our digital stethoscope is the first to allow clinicians to stream sounds wirelessly from the stethoscope to a smartphone and to a cardiologist anywhere in the world.”  [:15]

QUESTION: Is it HIPPA compliant?

ANSWER:  It’s the ONLY digital stethoscope on the market that has built a HIPPA compliant software platform to stream heart sounds from any clinician to any specialist anywhere in the world.

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QUESTION: THAT’S GROUNDBREAKING. WHERE IS IT CURRENTLY BEING USED?

ANSWER:  Eko is now used at over 700 institutions across the country and has been adopted by pediatric cardiology programs.

QUESTION: WHO NEEDS EKO?

The technology is applicable in many aspects of patient care, but especially in newborns.

QUESTION:  WHAT IS YOUR ULTIMATE GOAL WITH EKO?

ANSWER: The ultimate goal is bringing it even one step further.  Our idea is have machine learning tied directly into the stethoscope itself, so one day clinicians can be as accurate as cardiologists in their initial interpretation of what they hear.

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Next, I spoke with renown adult congenital heart disease specialist Ami Bhatt, M.D. F.A.C.C. who says identifying congenital heart disease in the community can be challenging at any age whether we are trying to identify a high risk newborn like Jimmy Kimmel’s or catching congenital heart disease in a school age student or adulthood.

Ami Bhatt, M.D. F.A.C.C.  is director of outpatient cardiology at the Massachusetts General Hospital in Boston as well as a renown adult congenital heart disease specialist.  She innovates with the Healthcare Transformation Lab, serves as a scientific advisor for Eko Devises and runs a telemedicine practice.  She can be reached at mghachd@partners.org

Bhatt says,  “Because congenital heart disease is relatively rare it’s difficult for clinicians to identify it. The use of digital stethoscopes and other telemedicine technology which can connect the patient and caregiver in the community with experts at academic centers can improve initial diagnosis AND longterm followup.”

QUESTION:  WHAT HAPPENS WHEN KIDS WITH CONGENITAL HEART DISEASE AGE?

ANSWER:   Two things. One, as kids with congenital heart disease age, we know there are complications that may arise. Technologies like digital stethoscopes and the use of algorithms can help monitor their progression and track changes in disease BEFORE they progress too far.

And two, lack of follow-up is a persistent problem with children with congenital heart disease become adults. One of the main drivers is the challenge of access to subspecialty care.

Additionally, distance from medical centers, along with the time it takes and sometimes the cost of being away from work and family drives young adults to ignore their own healthcare needs.

The advent of digital health in congenital heart disease care empowers the patient to engage in a partnership to their health without taking away from their ability to live a full and active life.

QUESTION:  DO YOU THINK TECHNOLOGY HELPS OR HINDERS DOCTOR-PATIENT RELATIONS?

ANSWER: As the delivery of healthcare changes, caregivers are desperate to return to the ideal  doctor patient relationship, which is based on a human connection. As we build digital technology, and use machine learning to support our physicians at at time when there are so many diagnosis to be made, it allows us to concentrate on a shared patient and provider centered experience.

QUESTION:  HOW DOES AN ADULT KNOW WHEN TO GET THEIR HEART CHECKED?

ANSWER: If they had heart disease or heart surgery as a child, they should check in with their cardiologist to find out if they need any longterm care.

QUESTION: HOW DO THEY FIND A SPECIALIST?

There are advocacy websites, such http://www.ACHAheart.org which report self-identified Specialists in congenital heart disease or they can call a major center like Massachusetts General who can find a local center that can partner in their care.

QUESTION: HOW CAN THEY FIND OUT WHO USES THE EKO DEVICE?

ANSWER: If they want to find a specialist using the Eko Device people can contact Massachusetts General http://www.massgeneral.org\adultcongenitalheart for more information and ask about centers near them. They can also contact any hospital and ask for their telemedicine department and inquire if they use Eko.

QUESTION: HOW DO CLINICANS FIND EKO IF THEY’RE INTERESTED IN USING IT?

ANSWER:  Clinicians are able to access the device by going to the Eko Devices website at http://www.ekodevices.com and then if they’re interested in testing it they can purchase a unit directly from the website and send it back if they don’t like it. But that’s a rarity as the success rate has been high with over 5,000 clinicians across the country using it.

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This truly is a hot technology that will save kids like Jimmy’s, as well as those who aren’t at top hospitals in the country.

Billy will have another open-heart surgery within six months to repair the hole, and Our thoughts, well wishes and prayers are with him and his family.

“As a cardiologist, we sometimes worry about technology interfering with the doctor patient relationship. However, in these cases, it is technology that brings us to meet the patient where they live. Technology is finally bringing us home.” 

-Ami Bhatt, M.D. F.A.C.C.

If you haven’t seen Jimmy Kimmel’s story see it on Emmy-award-winning @GMA:

WATCH: @jimmykimmel shares emotional news about newborn son’s emergency heart surgery; son now at home recovering. http://abcn.ws/2pSPakE

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QUICK FACTS:

According to the CDC, 40,000 babies in the U.S. are born each year with congenital heart disease.

Recent studies estimate approximately 160 infants or 1 in 25,000 live births die per year from unrecognized CHD.

The reported sensitivity for detection of a pathologic heart murmur in newborns ranges from 80.5 to 94.9 percent among pediatric cardiologists, with specificity ranging from 25 to 92 percent.

A study in the American Journal of Medicine discovered internal medicine residents misdiagnose as many as 75% of murmurs with a stethoscope.

Routine neonatal examination fails to detect more than half of babies with heart disease; examination at 6 weeks misses one third.

A normal examination does not exclude heart disease.

Babies with murmurs at neonatal or 6 week examinations should be referred for early pediatric cardiological evaluation which will result either in a definitive diagnosis of congenital heart disease or in authoritative reassurance of normal cardiac anatomy and function.

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Take care of your heart everyone!

 

For more on Eko visit: http://www.ekodevices.com

UPDATES:

Good Morning America
ABC NEWS
May 9, 2017
Jimmy Kimmel returns to TV with update on his son’s health, defends his call for children’s health care coverage

One week after Jimmy Kimmel revealed that his son, Billy, had been born with a heart defect, the comedian returned to host his late night show with an emotional update on his son’s health and a defense of his foray into the country’s heated debate on health care.

The “Jimmy Kimmel Live!” also thanked his fans for their “humbling outpouring of support” and said that he and his wire “very grateful” for the multitude of donations made to the Children’s Hospital of Los Angeles, where his son was treated.

“First I want to tell you because so many people have asked: Our son Billy is doing very well,” Kimmel said. “He’s eating. He is getting bigger. He is sleeping well. He can read now — which they say is unusual [for a child his age].”

Kimmel, 49, revealed last Monday that his son underwent surgery on his heart three days after he was born, and will require another procedure when he’s a little bigger in three to six months.

During his monologue, Kimmel asked all politicians to come together to ensure healthcare for all Americans, especially those who have pre-existing health conditions.

Though there were many who supported Kimmel’s point of view, he noted that there were many others who called him an “out of touch Hollywood elitist.” To those critics, the late night host offered a sarcastic apology.

“I’d like to apologize for saying that children in America should have health care,” he joked. “It was insensitive – it was offensive – and I hope you can find it in your heart to forgive me.”

To further the conversation, he interviewed Bill Cassidy, a Republican senator from Louisiana who last week tweeted that there should be a “Kimmel Test” for any healthcare bill passed.

The Jimmy Kimmel Test, he noted, would be in place to ensure that any healthcare plan would adequately cover pre-existing conditions “but in a fiscally conservative way that lowers cost.”

“I happen to like [it] a lot,” Kimmel said. “He is a doctor – a gastroenterologist. He is married to a retired doctor — his wife Laura, was a surgeon. And he co-founded the Greater Baton Rouge Community Clinic, which provides free dental care and health care to the working uninsured. So obviously – this is someone who cares about people’s health.”