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	<title>Medxcom Patient</title>
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		<title>TODAYS’ PATIENT HAS ACCESS AND SUPPORT FROM THE INTERNET</title>
		<link>http://medxpatient.com/2013/04/1152/</link>
		<comments>http://medxpatient.com/2013/04/1152/#comments</comments>
		<pubDate>Sun, 07 Apr 2013 22:18:32 +0000</pubDate>
		<dc:creator>annettenusbaum</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://medxpatient.com/?p=1152</guid>
		<description><![CDATA[i-Patient &#160; &#160; Today, the patient is able to take a more active role in the management of their healthcare, mostly  due to the effects of digitalization of medicine. Basically, the patient is aided on two main fronts; 1) Access to information, and 2) Support. ACCESS TO INFORMATION We will dedicate a page to a [...]]]></description>
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<h1>i-Patient</h1>
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<p><a href="http://internetmedicine.com/wp-content/uploads/2012/08/patientpicture.jpg"><img title="patientpicture" src="http://internetmedicine.com/wp-content/uploads/2012/08/patientpicture.jpg" alt="patient support" width="400" height="284" /></a></p>
<h2>Today, the patient is able to take a more active role in the management of their healthcare, mostly  due to the effects of digitalization of medicine.</h2>
<p>Basically, the patient is aided on two main fronts; 1) Access to information, and 2) Support.</p>
<h3><strong>ACCESS TO INFORMATION</strong></h3>
<p>We will dedicate a page to a list of specific websites for patients to obtain medical information, for this one of the biggest benefits of Internet Medicine.  With the internet, and the proliferation of health websites,  the patient of today is privy to almost an unlimited supply of medical information, and data.  Website like<a href="http://www.webmd.com/"> WebMD</a> and <a href="http://www.medpedia.com/">Medpedia</a> inform the patient about symptoms, physical findings, and possible treatments of almost any medical problem.  There are also websites certain diseases, providing much information, also, about symptoms, treatments, etc. For example, <a href="http://www.meningitis.com/">meningitis.com</a>,, <a href="http://internetmedicine.com/patient/hthat%20speci%20alize%20in%20ttp://www.hemorrhoids.org">hemorrhoids.org</a>, etc.</p>
<p>It merely is a question of being diligent about finding good informatOon, and collaborating with the healthcare provider to come up with a treatment plan.  In this scenario, the patient is no longer just a passive partner, but an active, informed participant.  There may be a slight learning curve for some patients to access this information, but most families and friends have someone who knows how to hunt information on the internet, and can be easlily retained by the patient.  Furthermore, there is also a website which simplifies the “medspeak” that doctors use, the technical language that is common.  <strong>The website<a href="http://www.medify.com/"> www.medify.com</a> takes the medical terms and puts it in laymens’ terms, so that anyone can understand the sometimes complex language that doctors use.</strong></p>
<p>The internet also allows patient access to research doctors, their reputation, board certifications, etc.</p>
<h3><strong>SUPPORT GROUPS</strong></h3>
<p>Again, we will list  on <a href="http://internetmedicine.com/patient/i-patientsupport">another page</a> in this section the various websites that function as support groups for patients.There are many, good support groups for patients on the internet.  Sites like<a href="http://www.patientslikeme.com/">PatientsLikeMe.com</a> provide a treasure trove of medical information, and allows patient to join, online, support groups according to their type of illness.  For example, patients with rheumatoid arthritis may join a group, that discusses the latest developments of medications that do not injure their stomachs.  Diabetics may be able to track the progress of Internet Medicine finally finding the Killer App of a non-invasive glucose monitoring test.  The support does not necessarily mean information gathering, but can be in the form of “We are all in this boat, how do you deal with it, mentally?”</p>
<p><a href="http://www.carepages.com//">Carepages.com</a> is yet another site, similar to PatientsLikeUs.com in providing support.  There is also a site, called <a href="http://www.caringbridge.org/">Caring Bridge</a>, which is designed to aid both the patient and the patient’s family, in providing online updates of the patient’s health status.  For example, Mr Jones, may have a brother in San Francisco, who was admitted in a diabetic coma, and it’s late in New York, so he goes online to check if his brother’s condition has stabilitzed, if he may be discharged soon.  Since this is new scenario on the medical scene, it will be interesting to see how this develops.  For example, it is possible that all the labs, and radiographic studies are put on the patients account, so that, with the right password, a family member may have access to this info, and may access from his family members’ bedside, so the hospital staff need not be bothered to fetch such info.</p>
<p>In short, the patient can chose to use the power of the internet to improve his knowledge of his illness, his possible treatments, and for support groups, if the illness is chronic</p>
<h5></h5>
<h5>Ask a doctor, amongst other features</h5>
<h5><a href="http://www.fiercemobilehealthcare.com/story/healthcare-mobile-app-records-patient-physician-conversations/2012-07-08">App records patient-physician communications</a>: Report for<a href="http://medxcom.com/">MedxCom.com </a></h5>
<h5><a href="http://medxcom.com/">Medxcom.com</a></h5>
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		<title>Health Care and Mobile Apps: Brave New Medicine</title>
		<link>http://medxpatient.com/2013/03/health-care-and-mobile-apps-brave-new-medicine/</link>
		<comments>http://medxpatient.com/2013/03/health-care-and-mobile-apps-brave-new-medicine/#comments</comments>
		<pubDate>Tue, 12 Mar 2013 17:02:10 +0000</pubDate>
		<dc:creator>annettenusbaum</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://medxpatient.com/?p=1147</guid>
		<description><![CDATA[By ANKITA RAO, Kaiser Health News February 28, 2013 Last year Dr. Michael Nusbaum introduced a mobile application in an effort to make scheduling a medical appointment as easy as sending a Facebook message to a friend, and as safe as sharing your medical information in person at the doctor’s office. The New Jersey-based surgeon said he [...]]]></description>
			<content:encoded><![CDATA[<div>By ANKITA RAO, Kaiser Health News</div>
<div>February 28, 2013</div>
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<p>Last year Dr. Michael Nusbaum introduced a mobile application in an effort to make scheduling a medical appointment as easy as sending a Facebook message to a friend, and as safe as sharing your medical information in person at the doctor’s office.</p>
<p><a href="http://www.thefiscaltimes.com/Policy-Politics/Big-Decisions/Health-Care.aspx?utm_source=Slug&amp;utm_medium=Link" target="_blank"><img src="http://www.thefiscaltimes.com/Articles/2013/02/28/~/media/Images/Inline/Slugs/Health_Care_Slug1.ashx?w=170&amp;h=113&amp;as=1" alt="" width="170" height="113" border="0" /></a>The New Jersey-based surgeon said he designed MedXCom ”to bring doctor-patient communication to the twenty-first century” by sharing medical records, prescriptions and treatments on smartphones. The app is one of hundreds that promote health and health care, but it’s one of the first designed to meet the patient privacy standards set by the Health Insurance Portability and Accountability Act. With millions of Americans having their medical information compromised, privacy and security were at the forefront of Nusbaum’s venture.</p>
<p><strong>RELATED:  </strong><a href="http://www.thefiscaltimes.com/Articles/2013/01/16/Why-a-Smartphone-Knows-Youre-Sick-Before-You-Do.aspx#page1" target="_blank"><strong>Why a Smartphone Knows You&#8217;re Sick Before You Do</strong></a><strong></strong></p>
<p>Now Nusbaum, CEO of <a href="http://medxcom.com/" target="_blank">MedXCom</a>, is building on this technology with a new app to prevent the spread of sexually transmitted diseases. And he’s hoping that MedXSafe, which targets the touchscreen-friendly 20-something generation, will prove to be more catchy than the STDs that affect a quarter of U.S. college students.</p>
<p>“Most college students are responsible enough to do it, as long as it’s not too invasive,” he said about testing and sharing STD results.</p>
<p>The app syncs STD test results from clinics onto a student’s personal mobile page. The idea is that a student can share the secure test results with a sexual partner by either showing them or using the “bump” function, a way of transferring information between phones by physically touching them.</p>
<p>“There is probably growing ease and <a href="http://www.thefiscaltimes.com/Articles/2013/01/10/How-Youre-Shaping-the-Future-Through-Big-Data.aspx#page1" target="_blank">comfort in sharing things online</a>,” said Dr. Victor Schwartz, a psychiatrist and medical director of The Jed Foundation, an organization focused on mental health college students. Having examined young people’s attitudes toward health and the use of mobile communication and social media, he said an app like MedXSafe could be a useful tool.</p>
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<p><a href="http://www.thefiscaltimes.com/Articles/2013/02/28/Health-Care-and-Mobile-Apps-Brave-New-Medicine.aspx#page1" target="_blank">Read more</a></p>
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		<title>Doctors Show uses the MedXCom Patient App to demonstrate the Safe Bumping feature.  February 7, 2013: “Safe Sex App?”</title>
		<link>http://medxpatient.com/2013/02/doctors-show-uses-the-medxcom-patient-app-to-demonstrate-the-safe-bumping-feature-february-7-2013-safe-sex-app/</link>
		<comments>http://medxpatient.com/2013/02/doctors-show-uses-the-medxcom-patient-app-to-demonstrate-the-safe-bumping-feature-february-7-2013-safe-sex-app/#comments</comments>
		<pubDate>Fri, 08 Feb 2013 15:08:10 +0000</pubDate>
		<dc:creator>annettenusbaum</dc:creator>
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		<description><![CDATA[Check out the video entitled “Safe Sex App” featuring the MedXCom Patient App on the Doctors Show  February 7, 2013. Don’t miss it! &#160;]]></description>
			<content:encoded><![CDATA[<p><strong>Check out the video entitled “Safe Sex App”</strong> featuring the MedXCom Patient App on the Doctors Show  February 7, 2013. Don’t miss it!</p>
<p><a title="Safe Sex App?" href="http://www.thedoctorstv.com/videolib/init" target="_blank"><img title="Screen shot 2013-02-07 at 10.48.49 AM" src="http://medxpatient.com/wp-content/uploads/2012/10/Screen-shot-2013-02-07-at-10.48.49-AM-300x106.png" alt="" width="300" height="106" /></a></p>
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<p><a href="http://medxpatient.com/wp-content/uploads/2012/08/Screen-shot-2013-02-07-at-11.06.27-AM.png"><img title="Screen shot 2013-02-07 at 11.06.27 AM" src="http://medxpatient.com/wp-content/uploads/2012/08/Screen-shot-2013-02-07-at-11.06.27-AM.png" alt="" width="100" height="91" /></a></p>
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		<title>MedXCom announces MedXSafe – an App to assist in the STD War</title>
		<link>http://medxpatient.com/2013/01/medxcom-announces-medxsafe-an-app-to-assist-in-the-std-war/</link>
		<comments>http://medxpatient.com/2013/01/medxcom-announces-medxsafe-an-app-to-assist-in-the-std-war/#comments</comments>
		<pubDate>Tue, 15 Jan 2013 21:39:04 +0000</pubDate>
		<dc:creator>annettenusbaum</dc:creator>
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		<guid isPermaLink="false">http://medxpatient.com/?p=1106</guid>
		<description><![CDATA[&#160; Posted by or from a variety of publications on EducationViews.org on January 15, 2013 in Health, News of the Day &#124; 0 Comment By getting testing yourself and through only having sexual relations with individuals who have also been tested… Users  “bump” phones and can share their STD FREE status • 50% of all Americans will get a sexually transmitted disease [...]]]></description>
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<h1><span class="Apple-style-span" style="font-size: 13px; font-weight: normal;">Posted by <a title="Posts by or from a variety of publications on EducationViews.org" href="http://educationviews.org/author/admin/" rel="author">or from a variety of publications on EducationViews.org</a> on January 15, 2013 in <a title="View all posts in Health" href="http://educationviews.org/category/news-of-the-day/health/" rel="category tag">Health</a>, <a title="View all posts in News of the Day" href="http://educationviews.org/category/news-of-the-day/" rel="category tag">News of the Day</a> | <a title="Comment on MedXCom announces MedXSafe – an App to assist in the STD War" href="http://educationviews.org/medxcom-announces-medxsafe-an-app-to-assist-in-the-std-war/#respond">0 Comment</a></span></h1>
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<h2><img src="http://educationviews.org/wp-content/uploads/2013/01/Kathleen-Sebelius-is-the-most-corrupt-and-arrogant-HHS-secretary-in-history.1.jpg" alt="Kathleen Sebelius is the most corrupt and arrogant HHS secretary in history." width="410" height="240" /></h2>
<h2>By getting testing yourself and through only having sexual relations with individuals who have also been tested…</h2>
<p>Users  “bump” phones and can share their STD FREE status</p>
<p>• 50% of all Americans will get a sexually transmitted disease (STD) at some point in their lives; more than 1 in 4 college students have an STD<br />
• MedXCom is a HIPAA compliant medical communication system for Patients and Doctors<br />
• MedXSafe is encrypted end-to-end and you are in charge of who can see your information</p>
<p>January 15, 2013 – Giffen Solutions Inc, a market leading electronic health communications messaging company, announced MedXSafe, a new feature to its popular MedXCom Patient platform. The App now allows people to bump phones with a potential partner and exchange contact information along with their STD FREE status – if they choose to do so.</p>
<p>Does it violate HIPAA?  “Absolutely NOT,” says Dr. Michael Nusbaum, creator of MedXCom, MedXPatient and MedXSafe.  Your doctor, college health center or local health clinic can test you for STDs and sign off on MedXSafe that you are free of STDs as of the date the tests are completed.   YOU CHOOSE TO SHARE THE INFO.  No privacy laws are broken and it never reveals if you have anything.  It only provides you with a clean bill of health as of a certain date.”</p>
<p>Is this is a good Idea?  “In our view, anything that helps the war against STDs is a good idea. There has been a relaxed attitude towards STDs lately as many people think medicine can cure all – it can’t,” said Dr. Nusbaum.  In doing this we hope to increase the discussion about STDs but we are not, in any way, condoning promiscuity.  We do, however recognize that it occurs and that it is contributing to the rapid spread of STDs.  We also stress the need to practice safe sex and encourage the use of condoms as well as an open and honest discussion of STD status between partners.”</p>
<p>How does MedXSafe Help? By getting testing yourself and through only having sexual relations with individuals who have also been tested, the spread of STDs is massively reduced but can never be eliminated short of abstinence.</p>
<p>How do I use MedXCom Patient and MedXSafe? Just download the MedXCom for Patients app on your iPhone.  If your health care provider already uses MedXCom then you’re good to go, if not then you can ask your doctor to use his/her credentials to register as a provider.  You just need to have a physical exam with appropriate testing and your doctor can document that you have been tested and are STD free at that time.  If you wish, you can then bump phones with a potential partner and exchange limited contact information including, if you wish, your STD FREE status.<br />
Can the information be falsified?  Only licensed health care providers can register as a provider to use the MedxCom system.  In addition, only licensed health care providers can test you and clear you of having STDs on MedXCom.  Any healthcare provider who knowingly falsifies medical information in a protected health care information system risks losing his or her license to practice medicine.  The MedXSafe bump exchanges an encrypted token, which can not be duplicated.  As a result, no one can create a “fake MedXSafe App” and successfully duplicate the encrypted token and “fool” a user who has the real MedXSafe App.</p>
<p>Can someone test negative and yet still have an STD?   Yes, the accuracy of STD testing is limited to current technology as well as the mechanism of spread of each disease.  Some STDs, such as HIV, have a latency period in which the individual has been exposed but has an undetectable level of the disease and thus can still test negative.  This is why we encourage regular testing prior to receiving an STD free status.  Most providers require several weeks to months of negative tests before an STD free status is granted on the system.<br />
What else does MedXCom Patient Do?  Allows you to text and message your Doctor. “In addition to MedXSafe, our system is one of only a few in which you can legally text your physician on and it is the only one in which you can also manage all your health care records. The key is the Doctors can legally answer patients through our system. Unfortunately, mobile cell phone use exploded so fast and health care systems were quick to adopt technology, but many physicians and providers are unknowingly answering patients via text message or cell phone in a non-HIPAA compliant way. This is unsafe for both the Doctor and the patient and is a HIPAA violation,” said Dr. Michael Nusbaum, founder of Giffen Solutions, Inc. “Our System allows you to securely text message your doctor or share photos and documents and know that he or she can legally answer you.  With the Giffen MedXCom app, you can now have personal, secure, HIPAA compliant voice and text communications with your doctors. There is absolutely nothing else like this on the market.”</p>
<p>MedXCom Patient is used in conjunction with MedXCom, an iPhone and Android app and web-based communications and health network platform designed to improve physician and patient interaction and enhance the quality of healthcare through innovative technologies. MedXCom Patient is HIPAA certified, with security and encryption. No personal health information ever resides on your phone.  Only you and your authorized providers will be able to view your health records and profile information. You can convert all your paper records into one convenient record, stored securely, accessible via your app and rest assured that your private data is safe. Download the FREE MedXCom Patient app today, and enjoy the convenience, flexibility, and enhanced quality of care you’ll get with your secure, one-stop health profile, along with improved communications to and from your healthcare providers.</p>
<p>Dr. Nusbaum is Chief Technical Officer and Founder of Giffen Solutions, Inc.  Dr. Nusbaum and his team at Giffen are dedicated to improving health care, communication, and compliance through innovative technology.</p>
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<p><strong>CHECK OUT:</strong></p>
<p><center>Tuesday January 15th 2013</center></p>
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<h1><a href=" http://elitedaily.com/elite/2012/smartphone-app-people-exchange-std-status-parties/" target="_blank"><img title="Elite Daily" src="http://cdn2.elitedaily.com/elite/wp-content/uploads/2012/06/elite_daily_logo1.png" alt="Elite Daily" /></a></h1>
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<div><a href=" http://elitedaily.com/elite/2012/smartphone-app-people-exchange-std-status-parties/" target="_blank"> </a></div>
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<p><center><em>The Voice of Generation-Y</em></center></div>
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		<title>MedXSafe on ABC News Medical Unit</title>
		<link>http://medxpatient.com/2012/12/medxsafe-on-abc-news-medical-unit/</link>
		<comments>http://medxpatient.com/2012/12/medxsafe-on-abc-news-medical-unit/#comments</comments>
		<pubDate>Thu, 27 Dec 2012 00:20:34 +0000</pubDate>
		<dc:creator>annettenusbaum</dc:creator>
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		<description><![CDATA[By ABC News Dec 25, 2012 7:00am ‘Bumping’ Your Way to Safer Sex With a Smartphone App Reported by Dr. Lauren Browne: Let’s face it.  Teens have sex.  Parents may choose to ignore it, and teens may choose to deny it, but almost 50 percent of American high school students are having sex, according to the U.S. [...]]]></description>
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<p>By ABC News</p>
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<h1><a href="http://abcnews.go.com/blogs/health/2012/12/25/bumping-your-way-to-safer-sex-with-a-smartphone-app/" target="_blank">‘Bumping’ Your Way to Safer Sex With a Smartphone App</a></h1>
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<p><em>Reported by Dr. Lauren Browne:</em></p>
<p><strong><em></em></strong>Let’s face it.  Teens have sex.  Parents may choose to ignore it, and teens may choose to deny it, but almost 50 percent of American high school students are having sex, according to the <a href="http://www.cdc.gov/HealthyYouth/sexualbehaviors/" target="_blank">U.S. Centers for Disease Control</a>. And each year, millions of those sexually active teens contract sexually transmitted diseases such as chlamydia, gonorrhea, syphilis, herpes and <a href="http://abcnews.go.com/Health/magic-johnsons-hiv-announcement-resonates-21-years/story?id=17618361" target="_blank">HIV</a>.</p>
<p>Now one doctor hopes to curb the spread of STDs in this tech savvy group with a smartphone app that lets users “bump” their STD status.</p>
<p>It’s called ‘safe bumping,’” said Dr. Michael Nusbaum, the New Jersey developer of <a href="http://medxpatient.com/products/medxsafe/" target="_blank">MedXSafe</a>, a feature of the new app called <a href="http://medxcom.com/">MedXCom</a>.  “If you happen to be out at a bar or a fraternity house or wherever, and you meet someone, you can then bump phones and exchange contact information and STD status.”</p>
<p>The app’s special feature, according to Nussbaum, encourages dating singles to go to the doctor for regular STD checks.  Those who screen negative can ask their doctors to document their STD-free status on the app, allowing users to share the information with whomever they choose.</p>
<p>An alarming 19 million new sexually transmitted infections occur each year, and rates of chlamydia and gonorrhea are on the rise, according to a new report released this month by the CDC.  More than 1.4 million chlamydia infections were reported in 2011, up 8 percent from the previous year.  Cases of gonorrhea were up by 4 percent, marking the second consecutive year of increases.</p>
<p>Nearly half of all infections occur in young people, between the ages of 15 to 24, a group that can be particularly devastated by the associated health effects.</p>
<p>“[Some] undetected and untreated STDs can increase a person’s risk for HIV and cause other serious health consequences, such as infertility,” said Mary McFarlane, an acting chief in the Division of STD Prevention at the CDC.  Harnessing modern social networking technology to prevent these infections may appeal to a younger tech-savvy generation.</p>
<p>MedXSafe is just one of several Internet-based programs devoted to easing confidential STD-status sharing between sexual partners.  Services like <a href="https://qpid.me/" target="_blank">Qpid.me</a>, whose slogan is Spread the Love, Nothing Else and <a href="http://www.ushouldknow.com/" target="_blank">U Should Know</a>, designed by a former college student and his girlfriend, also allow their users to check on a partner’s STD status.</p>
<p>But could these services offer a false sense of security to teens who believe that, with a simple phone bump, they have the green light to have unprotected sex?</p>
<p>“It can take months for HIV to show up on a test,” said Renee Williams, executive director of SAFE, a nonprofit organization dedicated to abstinence education.  “So you can test negative today, go out on Friday night and have sex, and then get retested later and find out that you had HIV all along.”</p>
<p>The app does nothing to prevent unplanned pregnancy, and may even encourage high-risk behaviors that young people might otherwise not have been tempted to try, said Williams.</p>
<p>Nor is the app likely to be completely reliable, said Dr. J. Joseph Speidel, director of communication at the Bixby Center for Global Reproductive Health.</p>
<p>“Does it come with a condom?” asked Dr. Richard Besser, ABC’s chief health and medical editor, who’s also a pediatrician and former acting director at the CDC.</p>
<p>But the app’s creator said it does promote regular STD testing and encourages potential partners to openly discuss safe sex practices.</p>
<p>“We’re recognizing that this behavior is going to take place no matter what we do or what we say,” said Nusbaum.  “I have friends that are nuns and I’ve run this by them, and they also agree that it’s promoting safer behaviors.”</p>
<p>Although each program promises to keep health information strictly confidential, none are immune from cyber attacks.</p>
<p>But such attacks would not expose any users who have an STD, according to Nusbaum.  MedXSafe does not allow doctors to upload information about any tests that come back positive, including HIV.  A user with an infection is simply treated for the STD and then retested.  And that user is only confirmed STD-free via the app once subsequent test results come back negative.</p>
<p>Still, it is too early to tell whether these services will become popular with teens.  Lingering social stigma surrounding STDs might make potential partners reluctant to mention such an app when out at a party.</p>
<p>“It’s a big personal step to bring up using such an app,” said Noah Bloom, creator of a smartphone app called Jiber, which uses the same “bump” technology to electronically connect new friends.  “Who really wants anything in the way of getting lucky?”</p>
<p>&nbsp;</p>
<p>Also read MedXSafe writeups on:</p>
<div>
<div>What&#8217;s Trending</div>
<div>Wednesday, December 26, 7:25 pm</div>
</div>
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<div id="nowlogo"><a href="http://now.msn.com/"><img title="msnNOW homepage" src="http://stc-now.s-msn.com/sc/i/09/e5fe76c72c36fb2257dd5a6e90cba4.jpg" alt="msnNOW homepage" width="205" height="48" /></a></div>
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<h1><a href=" http://now.msn.com/medxsafe-a-new-smarphone-app-lets-users-exchange-std-info" target="_blank">Making sure your hookup is STD-free? There&#8217;s an app for that</a></h1>
<p>&nbsp;</p>
<h1><a title="We made night life sites look cool" href="http://www.atlnightspots.com/" target="_blank"><img src="http://www.atlnightspots.com/wp-content/uploads/2012/06/Logo19.png" alt="" /></a><a title="Permanent Link to Doctor Creates Phone App For People to Share Their STD Status With Potential Mates" href="http://www.atlnightspots.com/doctor-creates-phone-app-for-people-to-share-their-std-status-with-potential-mates/" rel="bookmark" target="_blank">Doctor Creates Phone App For People to Share Their STD Status With Potential Mates</a></h1>
<p>&nbsp;</p>
<p><a href="http://abcnewsradioonline.com/health-news/tag/medxsafe" target="_blank"><img src="http://abcnewsradioonline.com/storage/layout/h12_health.png" alt="" /></a></p>
</div>
</div>
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		<title>Buying Food: &#8220;Label Reading&#8221; by Karla</title>
		<link>http://medxpatient.com/2012/12/buying-food-slow-down-and-read-the-labels-by-karla/</link>
		<comments>http://medxpatient.com/2012/12/buying-food-slow-down-and-read-the-labels-by-karla/#comments</comments>
		<pubDate>Sun, 23 Dec 2012 16:48:45 +0000</pubDate>
		<dc:creator>annettenusbaum</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://medxpatient.com/?p=1076</guid>
		<description><![CDATA[By Karla Hamal, RD MedXCom Nutritional Consultant Reading labels can allow us to be more aware of the food that we are eating. New Year&#8217;s Resolution:  slow down and take a look at the food label step by step! 1)    Start with the Serving Size.  The rest of the nutritional information applies to the serving [...]]]></description>
			<content:encoded><![CDATA[<p><strong><br />
</strong></p>
<p><strong>By Karla Hamal, RD </strong></p>
<p><strong>MedXCom Nutritional Consultant</strong></p>
<p>Reading labels can allow us to be more aware of the food that we are eating.</p>
<p><strong>New Year&#8217;s Resolution:  slow down and take a look at the food label step by step!</strong></p>
<p><a href="http://medxpatient.com/wp-content/uploads/2012/12/IMG_1239.jpg"><img class="alignnone size-thumbnail wp-image-1085" title="IMG_1239" src="http://medxpatient.com/wp-content/uploads/2012/12/IMG_1239-150x150.jpg" alt="" width="150" height="150" /></a></p>
<p>1)    <strong>Start with the Serving Size. </strong> The rest of the nutritional information applies to the serving size.  Be sure to look at the calories per serving.  If you have a package of 6 cookies and the serving size is 2 all the nutritional information applies to the 2 cookies.</p>
<p>&nbsp;</p>
<p>2)   <strong> Look at total fat</strong> then concentrate on the types of fat the serving contains.  Try and limit saturated fat, trans fat and cholesterol.  Unsaturated fats such as polyunsaturated and monounsaturated fats are better choices.  “Fat free” does not always mean calorie free as the manufacturer can add sugar to improve taste.</p>
<p>&nbsp;</p>
<p>3)    <strong>Look at the sodium per serving</strong> – the recommended daily limit for an adult is 2,300 milligrams.  This can be difficult if you are looking at a can of soup with 3 servings each serving is 780 milligrams if you eat the entire can you have exceeded your daily limit of sodium.</p>
<p>&nbsp;</p>
<p>4)    <strong>Check the carbohydrates</strong> – this category includes everything from grains to sugar.  Try to focus on whole grains, fruits these would increase your fiber content.</p>
<p>&nbsp;</p>
<p>5)   <strong> Look at the fiber content with carbohydrates, and grains</strong> this number can identify healthy carbohydrate options.  The average adult should consume 21-35grams of fiber daily, but many of us do not reach that number.  Fiber can be plentiful in oatmeal, barley, beans, grains, fruits and vegetables.</p>
<p>&nbsp;</p>
<p>The bottom of the label identifies Vitamin and mineral content.  These percentages are based on a 2,000 calorie diet.</p>
<p>&nbsp;</p>
<p>Ingredients are listed in order of quantity.  The first item on the label is the top ingredient as the label goes on each of these items decrease in volume.  Try and limit sugars items such as<em> glucose, fructose, dextrose and galactose. </em> Look for natural and healthy ingredients foods that you are familiar with whole wheat, oats, or other natural products.</p>
<p>&nbsp;</p>
<p><strong><strong>What does Natural mean or Organic?  </strong>Other items on the front of a package may be confusing. </strong></p>
<p><strong>All Natural</strong> does not mean much.  The FDA (Food and Drug Administration) does not define this statement so food manufactures can use this statement as long as the food item does not contain added colors, artificial flavors, or synthetic substances.  Unfortunately that means it can contain preservatives, high fructose corn syrup and sugar.<strong> </strong></p>
<p><strong>Multigrain – </strong>Look for the words whole grain or 100% whole wheat; multigrain can be a confusing word and does not necessarily mean that it is made with the whole grain.  Look for fiber on the label to ensure you are getting the healthiest portion of the grain.</p>
<p><strong>No sugar added –</strong> Foods including fruit, milk, cereals and vegetables can naturally contain sugar so no added sugar may still contain ingredients such as maltodextrin or simple sugars.  No added sugar does not mean that the product is sugar or carbohydrate free.</p>
<p><strong>Sugar free –</strong> This like fat free does not mean the product has fewer calories.  These products can contain more calories than the regular version.  Sugar free products must contain less than 0.5 grams of sugars per serving, but they may still contain calories from other sources.  Many contain sugar alcohols – mannitol, xylitol, or sorbitol.  These products can induce stomach upset so be cautious.</p>
<p><strong>Zero Trans fats –</strong> Products that say no trans fat can actually contain less than 0.5 grams per serving.  If the consumer is eating 3 servings he/she may be consuming 1.4 grams of trans fats – bad for the heart.  Look for hydrogenated oils and shortening on the label to identify trans fats.</p>
<p><strong>Free Range products –</strong> These can be confusing because the U.S. Department of Agriculture does not define a requirement for the amount, duration and quality of outdoor access.  Instead of running out in a field the animal may just have exposure to the outdoors.</p>
<p><strong>Fat Free –</strong> Many fat free items may have more calories than the low fat or full fat items.  Many of these items can be loaded with sugar.</p>
<p><strong>Light –</strong> To be considered light a products’ fat content has to be 50% less than the amount found in a comparable product.  These labels can confuse the customer depending on how much fat the original product contained.</p>
<p><strong>Real Fruit –</strong> this has caused many problems in the past because the real fruit contained in the product many not be the one on the label.  It may be flavored with another fruit and artificial flavors.  Strawberry flavored items may contain pear juice flavored to taste like strawberries.  What is the real fruit contained?</p>
<p><strong>Lightly sweetened -</strong> this is a new term that has come up because the FDA has begun regulating terms like reduced sugar, no added sugar and sugar free. Lightly sweetened is the manufacturers term for how much sugar, beware.</p>
<p><strong>Cholesterol free –</strong> doesn’t mean no cholesterol – scratching your head?  Cholesterol-free products must contain less than 2 mg per serving while low-cholesterol products contain 20mg or less per serving.  Foods that say reduced or less cholesterol must have at least 25% less than comparable products.</p>
<p><strong>Organic –</strong> The USDA has now identified that a label that says organic must have 95% or more of ingredients that were grown or processed without synthetic fertilizers or pesticides.  Made with organic ingredients must contain 70% of all ingredients that meet the standard.  Organic products may still contain high levels of sugar, fat and calories and still be organic.</p>
<p>&nbsp;</p>
<p>Label reading has become a bit of a confused issue as food manufacturers daily try to convince consumers that their products are healthier.  Sometimes the methods that evolve become confused and the consumer may not truly understand the products they are consuming.</p>
<p>Start reading labels and becoming familiar with items that you prefer to consume.  Eat more fiber, consume less sugar and look for items on the ingredients list that are healthy.</p>
<p>Start with healthy preparation, use products from your produce department, lean meats and fish and use unsaturated fats (olive and canola oil) prepare healthy food and use less processed foods to enjoy a well balanced diet.</p>
<p><strong>Happy Holidays!</strong></p>
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		<title>Healthy Holiday Ideas by Karla</title>
		<link>http://medxpatient.com/2012/11/healthy-holiday-ideas-by-karla/</link>
		<comments>http://medxpatient.com/2012/11/healthy-holiday-ideas-by-karla/#comments</comments>
		<pubDate>Fri, 23 Nov 2012 14:54:19 +0000</pubDate>
		<dc:creator>annettenusbaum</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://medxpatient.com/?p=1040</guid>
		<description><![CDATA[by Karla Kamal, RD, MedXCom Nutritional Consultant The fall/winter holidays come around once a year, so a few of my favorite things can&#8217;t hurt, can they? The average weight gain over the Holidays is 1-5 pounds and many people keep that extra weight permanently. So what to do? 1)     Get active. Start with [...]]]></description>
			<content:encoded><![CDATA[<p><strong><br />
</strong></p>
<p>by Karla Kamal, RD, MedXCom Nutritional Consultant</p>
<p><a href="http://medxpatient.com/wp-content/uploads/2012/11/IMG_5350.jpg"><img class="alignnone size-thumbnail wp-image-1041" title="IMG_5350" src="http://medxpatient.com/wp-content/uploads/2012/11/IMG_5350-150x150.jpg" alt="" width="150" height="150" /></a><a href="http://medxpatient.com/wp-content/uploads/2012/11/IMG_5311.jpg"><img class="alignnone size-thumbnail wp-image-1043" title="IMG_5311" src="http://medxpatient.com/wp-content/uploads/2012/11/IMG_5311-150x150.jpg" alt="" width="150" height="150" /></a></p>
<p>The fall/winter holidays come around once a year, so a few of my favorite things can&#8217;t hurt, can they?</p>
<p><strong>The average weight gain over the Holidays is 1-5 pounds and many people keep that extra weight permanently.</strong></p>
<p>So what to do?</p>
<p>1)     <strong>Get active.</strong> Start with a walk before dinner as a family, have a game of flag football or take a trip to the <strong>gym</strong> before you  start eating.</p>
<p>2)   <strong>  Avoid skipping meals</strong>.  Have a healthy breakfast before the big event to ensure that you can control your appetite.  Have a small healthy snack before you head to the family dinner.</p>
<p>3)     <strong>Make your favorite Holiday dinner item “healthy”</strong></p>
<ul>
<li>Try using skim milk and healthy lower fat butter in your mashed potatoes</li>
<li>Try fat free or low fat cream cheese, sour cream, and butter to help reduce calories</li>
<li>Make baked apples instead of a pie</li>
</ul>
<p>4)     <strong>Watch your portions</strong>; use a salad plate for dinner.  Fill your plate with a small taste of each or your favorites don’t waste calories by huge servings or portions.</p>
<p>5)     <strong>Skip seconds</strong></p>
<p>6)     <strong>Choose wisely</strong> – white meat turkey, well seasoned vegetables, roasted sweet potatoes, green salads can make your Holiday Dinner a satisfying event. Add sugar free Jello to the plate, if you like sweets.</p>
<p>7)    <strong> Take time to enjoy the family and friends that have come to dinner.</strong>  Slow down the eating process so that you are finishing up your meal as others are finishing seconds.</p>
<p>8)     <strong>Be careful with added calories in alcohol, juices, sodas, appetizers and high calorie desserts.</strong>  Tip: Add fruit kabobs or strawberries with fat-free whipped cream to your dessert table, so the fruit grabs everyones attention.</p>
<p>9)     <strong>Treat yourself to one special item. </strong> If you love Pumpkin or Pecan Pie have a small piece, but avoid the high calorie ice cream, egg nog and heavy cream!</p>
<p>&nbsp;</p>
<p><strong>Enjoy the Holidays and try to keep it Healthy!!</strong></p>
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		<title>Healthy Halloween by Karla</title>
		<link>http://medxpatient.com/2012/10/healthy-halloween-by-karla/</link>
		<comments>http://medxpatient.com/2012/10/healthy-halloween-by-karla/#comments</comments>
		<pubDate>Sun, 07 Oct 2012 17:55:48 +0000</pubDate>
		<dc:creator>annettenusbaum</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://medxpatient.com/?p=986</guid>
		<description><![CDATA[By Karla Hamal, RD, MedXCom Nutritional Consultant &#160; Can Halloween be healthy? Consider these numbers: 3 mini Reese’s Peanut Butter Cups have more sugar than a glazed doughnut 1/2  pack of Skittles has more sugar than a scoop of Haagen-Dazs Cookies and Cream Ice Cream 9 Twizzlers contain the same amount of calories as a [...]]]></description>
			<content:encoded><![CDATA[<p>By Karla Hamal, RD, MedXCom Nutritional Consultant</p>
<p>&nbsp;</p>
<h4>Can Halloween be healthy? Consider these numbers:</h4>
<p><a href="http://medxpatient.com/wp-content/uploads/2012/10/IMG_16111.jpg"><img class="alignnone size-thumbnail wp-image-1001" title="IMG_1611" src="http://medxpatient.com/wp-content/uploads/2012/10/IMG_16111-150x150.jpg" alt="" width="150" height="150" /></a></p>
<p>3 mini Reese’s Peanut Butter Cups have more sugar than a glazed doughnut</p>
<p>1/2  pack of Skittles has more sugar than a scoop of Haagen-Dazs Cookies and Cream Ice Cream</p>
<p>9 Twizzlers contain the same amount of calories as a Wendy’s Double Stack Burger</p>
<p>&nbsp;</p>
<h4><strong>Consider some new options to Halloween that are Gluten Free!</strong></h4>
<p><strong>*</strong> Fruit Roll-ups (Betty Crocker Halloween fruit flavored snacks – gluten free)</p>
<p><strong>*</strong> Granola Bars (Nutrigrain Cereal bars are gluten free)</p>
<p><strong>*</strong> Gold Fish packages (gluten free)</p>
<p><strong>*</strong> Cheese and Cracker Packages (Keebler Snax Stix are gluten free)</p>
<p><strong>*</strong> Sugar Free Gum – (Bazooka and Super Bubble are gluten free)</p>
<p><strong>*</strong> Juice in a Box (Juicy-juice and Capri Sun are gluten free)</p>
<p><strong>*</strong> Box of Raisins (Sunmaid Raisins are gluten free)</p>
<h4> <strong>Or Surprise the kids with a new Halloween treat</strong></h4>
<p><strong>*</strong> Stickers<br />
<strong>*</strong> Tattoos<br />
<strong>*</strong> Balloon Racers<br />
<strong>*</strong> Balloons<br />
<strong>*</strong> Rubber Spiders<br />
<strong>And if you are buying candy consider the following: </strong></p>
<p><strong>READ THE LABELS</strong></p>
<p>Butterfinger Bar (fun size bar) (gluten free)</p>
<p>100 calories 4 grams of fat (2 grams saturated)</p>
<p><strong>Make a better choice-  consider:</strong></p>
<p>3 Musketeers (fun size bar) (gluten free)</p>
<p>63 calories   2 grams of fat (1.5grams saturated)</p>
<h4><strong>Halloween can be fun and Healthy!</strong></h4>
<p><a href="http://download.cnet.com/MedXCom-for-Patients/3000-2129_4-75742602.html" target="_blank">Download the app!</a></p>
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		<title>Top Health Issues for Seniors: Mobile Communications MedXCom</title>
		<link>http://medxpatient.com/2012/09/top-health-issues-for-seniors-mobile-communications-medxcom/</link>
		<comments>http://medxpatient.com/2012/09/top-health-issues-for-seniors-mobile-communications-medxcom/#comments</comments>
		<pubDate>Fri, 28 Sep 2012 20:56:56 +0000</pubDate>
		<dc:creator>annettenusbaum</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://medxpatient.com/?p=972</guid>
		<description><![CDATA[&#160; &#160; August, 2012 Top Health Issues for Seniors Share this article:  &#160; By Mary Romelfanger What are the biggest health issues for seniors in the U.S. these days? While seniors have their own list of their biggest problems — such as gaining too much weight— the view is different for policymakers, strategists and geriatricians [...]]]></description>
			<content:encoded><![CDATA[<p>&nbsp;</p>
<p><img class="alignleft" src="http://www.csa.us/email/spirit/images/senior-spirit-bannerNOCSAv2.jpg" alt="Senior Spirit Newsletter" /></p>
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<div align="right"><span style="color: #b2b9c1; font-family: Lucida, sans-serif;"><em><strong>August, 2012</strong></em></span></div>
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<td valign="middle" width="65%"><strong><span style="color: #2e4766; font-size: medium;">Top Health Issues for Seniors</span></strong></td>
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<p>&nbsp;</p>
<p>By Mary Romelfanger</p>
<p>What are the biggest health issues for seniors in the U.S. these days?</p>
<p>While seniors have their own list of their biggest problems —</p>
<p>such as gaining too much weight—</p>
<p>the view is different for policymakers, strategists and geriatricians</p>
<p>who deal with senior issues</p>
<p>from a financial and governmental point of view.</p>
<p><strong>The Top Five Health Issues for State Governments</strong></p>
<ol start="1">
<li>Medicaid and Money</li>
<li>Implementation of Affordable Care Act of 2012</li>
<li>Health insurance exchanges</li>
<li>Healthcare workforce</li>
<li>Wellness promotion to save money</li>
</ol>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
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<td><strong>There’s An App for That … </strong><br />
Want to have direct communication with your healthcare provider? Emerging technology is already in place for providing mobile communication connections between healthcare providers and patients. Dr. Michael Nussbaum, founder of a mobile communication product called MedXCom (<a href="http://www.MedXCom.com/">www.MedXCom.com</a>), recently listed five ways mobile apps can streamline patient-doctor communication.</p>
<ul>
<li><strong>Secure Messaging. </strong>Doctors are using mobile apps to get information from patients while they are on the go rather than having to wait until the patients are home. The apps are secure and compliant with the Health Insurance Portability and Accountability Act of 1996.</li>
<li><strong>Appointment Requests.</strong> Patients can schedule appointments directly from their mobile devices. Current research demonstrates that approximately 85 percent of patients would like this ability.</li>
<li><strong>Sharing Lab Results.</strong> Patients can receive lab results sooner if healthcare providers receive the results on their smart phones instead of at the office. After review, the practitioner can send the results and any follow-up directions to a personalized patient website or smart phone.</li>
<li><strong>Documenting Personal Health Information.</strong>How many times have you completed a health history form for one care provider only to have to complete a new and different form for the next provider you see, not to mention different health care facilities (urgent care, laboratory, radiology, etc.)? To reduce mistakes from outdated or forgotten information, one solution is an app to allow patients to scan information from a source such as a driver’s license or health insurance card.</li>
<li><strong>Voice Communications.</strong> What the provider actually says and what the patient hears can be two different messages. Recording conversations between care providers and patients, by using an app, is one solution, whether the hearing issue is due to a physical deficit, an emotional reaction to information given or overload of information.<a href="http://www.healthcareitnews.com/">www.healthcareitnews.com</a></li>
</ul>
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<p>Not surprisingly, given the current political and financial climate, the top two healthcare issues from the perspective of those responsible for implementing state-level programs for health services are Medicaid spending and the Affordable Care Act (ACA). ACA is the controversial healthcare reform statute, informally referred to as Obamacare, which President Obama signed into law on March 23, 2010. Even before the implementation of the ACA, states were concerned about escalating Medicaid enrollments and about pressure from healthcare providers for increasing reimbursement in the face of diminishing federal stimulus monies.</p>
<p>Another concern is that, in connection with the ACA, states must establish health insurance exchanges, which are marketplaces where individuals and small businesses can compare policies and premiums, and buy insurance. The Council of State Governments (CSG), (www.csg.org), a nonpartisan organization that brings state leaders together to share ideas, predicts a big impact on state agencies from the efforts required to establish the infrastructure and technologies necessary to create the health insurance exchanges. States may elect to opt out of the requirement to create an exchange, instead allowing the federal government to operate the exchange. But for those states wishing to implement the exchange, they must demonstrate the capacity to do so by January 1, 2013.</p>
<p><strong>Adequate Healthcare Workforce</strong></p>
<p>State governments are also concerned about the healthcare workforce: Will there be enough healthcare workers, and will they be adequately trained? Increased access to health insurance and health services—and the new emphasis on preventive options—raises questions about the ability of primary care practitioners to aid the elderly. The rapid evolution of innovative technologies such as telemedicine and electronic health records has the potential to significantly improve the workforce picture.</p>
<p>The workforce issue is also a prime concern of the prestigious National Academies, composed of the National Academy of Science, National Academy of Engineering, Institute of Medicine and the National Research Council. By 2030, more than 72 million Americans will be 65 or older. On July 10, the Academies issued a press release addressing the probable “inadequacies” of the existing healthcare workforce to meet the burgeoning need of the baby boomer population’s mental health/substance abuse care needs. The release highlighted the Institute of Medicine report “The Mental Health and Substance Use Workforce for Older Adults,” which projects the types and levels of care that boomers will need and makes recommendations for significant education and training for the workforce. (<a href="http://www.iom.edu/Reports/2012/The-Mental-Health-and-Substance-Use-Workforce-for-Older-Adults.aspx">http://www.iom.edu/Reports/2012/The-Mental-Health-and-Substance-Use-Workforce-for-Older-Adults.aspx</a>)</p>
<p><strong>Wellness Programs Inexpensive</strong></p>
<p>Wellness promotion programs are one inexpensive solution that many states are considering to address the remarkably costly issue of chronic illness. According to CSG data, chronic illness accounts for 75 percent of health spending. While many seniors know about the benefits of physical exercise and quitting smoking, research studies show the positive impact of programs such as smoking and obesity reduction, and increased physical activity. Stanford University developed an innovative Chronic Disease Self-Management Program (<a href="http://www.aoa.gov/AoARoot/Press_Room/Enews/enewsletter/archive/2012/eNews_May_W4.pdf">www.aoa.gov/AoARoot/Press_Room/Enews/enewsletter/archive/2012/eNews_May_W4.pdf</a>) that various states are using to help those with chronic illnesses improve their quality of life. The program is approved by the Administration on Aging, Centers for Disease Control and the National Council on Aging. (<a href="http://www.healthinaging.org/news/fha-e-newsletter/article:07-25-2012-12-00am-summer-2012-e-newsletter">www.healthinaging.org/news/fha-e-newsletter/article:07-25-2012-12-00am-summer-2012-e-newsletter</a>).</p>
<p><strong>Geriatricians List Top 10 Health Issues</strong></p>
<p>Geriatricians are medical providers who specialize in care for those 65 and older. As we age, we tend to take our aches, issues and chronic health problems with us as we move to the next year—every year. Dealing with the increasing complexity of maintaining health quality requires special knowledge of the normal and abnormal changes associated with aging, and the specialty practice of geriatrics focuses on quality of life for seniors.</p>
<p>Senior healthcare experts at the University of Rochester Medical Center Division of Geriatrics and Aging (<a href="http://www.urmc.rochester.edu/medicine/geriatrics/patientcare">www.urmc.rochester.edu/medicine/geriatrics/patientcare</a>) recently identified the “Top 10 Most Common Health Issues.</p>
<ol start="1">
<li><strong>Physical activity and nutrition:</strong> Research indicates that in addition to preventing or delaying the onset of some diseases, activity and nutritious food intake may also relieve depression and improve mood.</li>
<li><strong>Overweight and obesity:</strong> There is a strong relationship between excess weight/obesity and death from high blood pressure, diabetes, heart disease, stroke, the occurrence of diseases from osteoarthritis and various types of cancers.</li>
<li><strong>Tobacco:</strong> Tobacco is the greatest preventable cause of illness and premature death in the U.S. Its use is now known as “tobacco dependence disease.”</li>
<li><strong>Substance abuse:</strong> In the older adult population, substance abuse is commonly accidental versus purposeful behavior. Seniors may self-medicate and mix legal medications with alcohol.</li>
<li><strong>HIV/AIDS:</strong> It is reported that between 11 and 15 percent of AIDS cases in the U.S. occur in those over the age of 50, but stereotypes about aging and sexuality keep this a relatively hidden problem.</li>
<li><strong>Mental health:</strong> The most common late-life mental health condition is depression, which left untreated, can lead to suicide. The rate for suicide in elderly white men is higher than for any other age group, including adolescents.</li>
<li><strong>Injury and violence:</strong> The number one cause of injuries in the elderly, falling is also the primary reason for hospital admissions and deaths due to injuries. Each year, one in every three persons over the age of 65 will experience a fall.</li>
<li><strong>Environmental quality:</strong> For economic reasons, many of the nation’s elderly live in neighborhoods and dwellings where they face environmental pollution risks. Financially, many seniors live just over the poverty level.</li>
<li><strong>Immunization:</strong> Influenza and pneumonia continue to be among the top causes of death of older adults, with pneumonia being one of the most serious infections to overcome.</li>
<li><strong>Access to healthcare:</strong> Generally, seniors tend to monitor or seek intervention for health issues less frequently than other age groups. Another aspect of inadequate access to appropriate healthcare is the national shortage of geriatricians.</li>
</ol>
<p>&nbsp;</p>
<p>For more information about the topics addressed in this article, please refer to the referenced websites. You can also visit the Society of Certified Senior Advisors Healthcare Library at <a href="http://www.csa.us/HealthcareLibrary.aspx">www.csa.us/HealthcareLibrary</a>.</p>
<p>Going forward, all of these and other issues will continue to influence the quality of life for seniors served by CSAs. In the coming months, this column will explore these and other health issues in more detail.</p>
<p><em>Mary Romelfanger, RN, MSN, CS (Gerontology), LNHA, is a clinical specialist with more than 30 years of experience working with the older adult population and healthcare systems throughout the United States and Canada.</em></td>
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		<title>MedXCom Offers Free Secure Texting: Texts from your doc: How r u feeling 2day?</title>
		<link>http://medxpatient.com/2012/09/texts-from-your-doc-how-r-u-feeling-2day/</link>
		<comments>http://medxpatient.com/2012/09/texts-from-your-doc-how-r-u-feeling-2day/#comments</comments>
		<pubDate>Mon, 10 Sep 2012 14:50:34 +0000</pubDate>
		<dc:creator>annettenusbaum</dc:creator>
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		<description><![CDATA[&#160; By Dawn Klingensmith Perhaps a text message from the doctor&#8217;s office seems like inadequate or impersonal post-operative care, but that method of contact might actually help patients recover faster after surgery, new research suggests. The study looked only at women who had breast reconstruction after mastectomy but raises the possibility that texting between surgeons [...]]]></description>
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<div>By Dawn Klingensmith</div>
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<p><img src="http://www.omaha.com/images/subsite/livewell/lwn-logo5-sm.gif" alt="Livewell logo" /></p>
<p>Perhaps a text message from the doctor&#8217;s office seems like inadequate or impersonal post-operative care, but that method of contact might actually help patients recover faster after surgery, new research suggests.</p>
<p>The study looked only at women who had breast reconstruction after mastectomy but raises the possibility that texting between surgeons and patients undergoing other surgical procedures might also be beneficial, said Dr. Roshni Rao of the University of Texas Southwestern Medical Center in Dallas.</p>
<p>In the study involving 102 women treated by one of two surgeons, one surgeon used routine postoperative text messaging while the other surgeon did not. In the texting group, patients texted the amount of fluid output from a surgical drain each evening, starting on the day they left the hospital. Monitoring the amount of fluid and removing the drain when it is no longer needed are routine parts of follow-up care.</p>
<p>After receiving the patient&#8217;s message, the surgeon responded with instructions to continue with standard drain care or to come to the clinic for drain removal or wound evaluation on the next working day.</p>
<p>Patients operated on by the other surgeon received a routine appointment to come to the clinic one week after leaving the hospital.</p>
<p>Over 30 days, women who exchanged texts with their surgeon made significantly fewer clinic visits and phone calls. Text messaging also reduced the number of days the drain was needed. On average, the drain was removed nearly three days earlier in the text messaging group.</p>
<p>“That was surprising,” Rao said. “If you&#8217;ve ever had a drain, you do what you have to do, but it&#8217;s not pleasant.”</p>
<p>Texting may have improved patients&#8217; adherence to medical advice by providing an easy, speedy means of monitoring and recording fluid output, Rao said.</p>
<p>“The biggest thing is, this is how people communicate now,” she said. “The medical establishment needs to find ways to use this technology with appropriate boundaries and in the right situations.”</p>
<p>The research was published in the July issue of Plastic and Reconstructive Surgery.</p>
<p>If lawful, texting back and forth with doctors could be beneficial because “not every patient question requires an office visit or a phone call,” said Dr. Michael Nusbaum, who was not involved in the study.</p>
<p>Secure text messaging “permits rapid communication, potentially reducing delays in treatment, he added.</p>
<p>Despite potential advantages, texting between doctors and patients has been slow to catch on. Obstacles include concerns about confidential patient information and physicians&#8217; privacy.</p>
<p>The way he interprets patient privacy laws, collectively referred to as HIPAA, “Text messaging between a patient and a provider over standard text messaging systems is a HIPAA violation and is subject to a fine,” said Nusbaum, who developed an app called MedXCom Patient to facilitate communication regarding patient care.</p>
<p>“Any text messaging between providers and patients must take place over a secure system in which the messages are encrypted and the system is secure and HIPAA compliant,” Nusbaum said, adding that MedXCom is text-enabled and meets those criteria.</p>
<p>Rao agreed privacy is a concern but said the legalities are not clear because HIPAA has not kept pace with technology.</p>
<p>“There&#8217;s not really a lot of guidance yet,” she said.</p>
<p>In the study, patients used text messaging to send only the requested information during specified hours, and cell phones were password-protected.</p>
<p>Looking forward, integration with electronic health records is a technological challenge that needs to be addressed if doctors and patients interact via text messaging, Rao said.</p>
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