It was Men’s Health week Jun 13 – 19 and I had the pleasure of talking to the Talk Ten Tuesday host Chuck Buck last week (Tuesday Jun 21) to offer some thoughts and insights for their listeners and in particular for women thinking about any men in their lives
Most women know about their own health but not so much about men yet most women have men in their lives – sons, brothers, fathers, partners. Here are some of the highlights of the challenges in men’s Health
More men are born than women but that lead disappears quickly – in 1920 women outlived men by 1 year that’s now up to 5 years women outlive men. Having a “Y” Chromosome is not the reason for the poorer health of men.
Men “lead” in the top 15 causes death with the exception of Alzheimer’s (and that’s because men don’t live as long and as a result experience less Alzheimer’s).
This is the Mars vs Venus Gender gap in health. Men, like women have some diseases that are specific to them – prostate disease for example, but despite 1 in 6 being diagnosed with prostate cancer only 1 in 35 die from the disease. But most diseases are a shared problems – they strike both men and women. The leading issues for both gender’s are:
- Cardiovascular – men lead in heart un healthiness – but ladies are catching up
- Heart disease and stroke – leading cause of death
- Men develop atherosclerosis ~5 years earlier than women
- Diet, Exercise, and fitness – don’t forget sleep
- Cholesterol, blood pressure
If you want to explore the gender differences and causes of death head over to World Life Expectancy
Lung cancer remains a threat – tobacco causes 90% of lung cancer and is causing ~158,000 deaths each year but there are gender differences; ~85,000 in men and ~72,000 in women (that’s more than enough to fill the Superdome every year)
But when it comes to Mental Health, Depression and Suicide we thought this affected men more than women but this may just be that men hide their feelings better and men also tend to seek help less for depression and while women attempt suicide more than men, more men die of suicide as they are more “successful”:
- 8th leading cause of death in men – and higher in young men (higher by x3.5)
- White males 7 in 10 of suicides
- Highest in middle age
- Its been rising
- >44k per year die from suicide
- Doctors “lead” the professions with the highest number of suicides followed closely by dentists
- Male Female Suicide ration is ~3:1
That’s about 100 people per day who commit suicide
The sugar is a slow poison inducing:
- Heart attacks
- kidney failure, and
If you were born after the year 2000 as a boy your chances of developing Diabetes is 1 in 3
“The combination of diabetes and obesity may be erasing some of the reductions in heart disease risk we’ve had over the last few decades”
So what should women do – as they should for themselves, encourage exercise (30 minutes per day reduces the chances of diabetes by 50% for men) and a balanced and healthy diet. Not ignoring problems and focusing on prevention helping men seek medical help, but above all give them a hug and help them share and talk about their feelings
The Digital ‘Back Door’ #security vs Surveillance #Privacy http://ow.ly/CGsE300djpy
AI doctors will become ‘as ubiquitous as stethoscopes’ #DigitalHealth http://ow.ly/4niQ9s
Revealed: Google AI has access to huge haul of NHS patient data <– Surprised!? #privacy http://ow.ly/4niQbw
Hospital discharge: It’s one of the most dangerous periods for patients #safety http://ow.ly/4niQeb
I struggle to keep my contacts in order and synchronized, not just across devices but across ecosystems and channels. How do you keep your old style digitized version of the rolodex in sync with your twitter followers and LinkedIn connections? How do you know when your friends join a new social media channel that you are member of so you can connect there?
I’ve tried many tools and techniques and had been using Brewster which recently was acquired by FullContact and the transition offered me 3 months of premium access to their service. The free version offers backup and some syncing across limited accounts – the premium version expands to multiple accounts and includes business card scanning.
The early results were surprising – in my contact database the system was offering me updates to over 40% of my contacts. I was suspicious but as I investigated I discovered that using some clever back end algorithms it was revealing updates to many of my connections including some I validated manually that good friends revealed were early forays into social media including a blog on Ice Cream and a corresponding Pinterest account.
So in social media and the commercial world we can link data and people – in fact the commercial organizations do this very effectively that Target collected enough information on individuals linked through a unique identifier to identify a high school student was pregnant and mail her maternity adverts before the “news” had leaker to her father
“Target assigns every customer a Guest ID number, tied to their credit card, name, or email address that becomes a bucket that stores a history of everything they’ve bought and any demographic information Target has collected from them or bought from other sources”
The healthcare system is rife with enough challenges – why is it we have one that is of our own making. Why is there so much resistance to the idea of uniquely identifying a patient so we can attach the correct medical data to the correct person and deliver the correct medical treatment to that same individual?
In 1996 the Health Insurance Portability and Accountability Act (HIPAA) was signed into law and it specifically called for
“a standard unique health identifier for each individual”
But in 1998, Congress eliminated that requirement and even prohibited the use of federal funds to develop a unique identifier. Anyone who knows me will know my passion for privacy and individual rights but in this instance the harm and cost foisted on the system, providers, payers and ultimately the patients is gargantuan!
The Social Security number has become the de facto universal (and most valued) US national identifier. Created in 1935 for the purposes of tracking social security benefits it has been hijacked and subsumed into multiple other uses. The gathering and use of this placed a large target on the back of healthcare data and as of the end of last year over 112 Million healthcare records were breached.
As far back as 2009 HIMSS issued a Patient Identity Integrity White Paper making the case for identity management and in 2010 the recently retired Gartner Analyst and Research Director Barry Hieb and now Chief Scientist at Global Patient Identifiers wrote this piece in e-Journal of Health Informatics: A Cost Effective Method to Create a Universal Healthcare Identifier System (full pdf here) advocating the need and a path to the creation of a universal patient identifier
The prohibitive cost associated with creating a universal healthcare identifier has been one of the primary barriers to the creation of such a system. The Voluntary Universal Healthcare Identifier (VUHID) project takes a radically different approach to solving this problem compared to previous proposals. This article examines the economic impact of this approach and discusses why the unique VUHID approach permits implementation of the system at a small fraction of previously estimated costs.
Despite a rational approach that enabled individualized control and security it has not taken off. We continue to waste resources, duplicate tests, decrease the overall safety and increase errors in our healthcare system that according to the RAND study: Identity Crisis; An Examination of the Costs and Benefits of a Unique Patient Identifier for the U.S. Health Care System could offer a saving of $77 billion per year if implemented with sufficient penetration – they cite 90% level of adoption.
Have a I raised your heckles advocating for a unique identifier – is it as Adrian Gropper chief technology officer for Patient Privacy Rights stated
Implementing a unique patient identifier would add nothing to our health care system beyond coercive surveillance
Or as Twila Brase, RN, is cofounder and president of Citizens’ Council for Health Freedom, says its important not to have it to prevent the creation of a “nationalized” healthcare system (I’d interpret this as a single payer system like the VA and Medicare?)
The most important reason is our opposition to building a national health care system. Without a national identification card for patients, it would be difficult to nationalize health care
Or do you side with Douglas Fridsma, MD, PhD, is president and CEO of the American Medical Informatics Association who says people care a lot about the privacy and security of their medical data but want immediate access and transferability with control over who can see and use their medical data and believes that
Giving every American a unique patient ID could help address all of those issues.
- Why does the US not have a Unique Patient Identifier?
- Is it possible we can come up with agree and use a Unique National Patient Identifier and if so how?
- What alternatives are practical and cost effective to a Unique patient identifier
- How do we protect patient confidentiality and privacy in a world with a unique patient identifier?
Reviewing the World’s Best Voice Recognition Software #speechrecognition http://www.nanalyze.com/2016/04/reviewing-the-worlds-best-voice-recognition-software/
On February 21, 1991 President George Bush declared in Proclamation 6253 March 30 would be National Doctors Day:
There is no greater reward in our profession than the knowledge that God has entrusted us with the physical care of His people. The Almighty has reserved for Himself the power to create life, but He has assigned to a few of us the responsibility of keeping in good repair the bodies in which this life is sustained
In honor of my colleagues and the countless others who make up the healthcare service and who struggle daily with the delivery of healthcare and the challenges of a system that is broken but still delivers outstanding care:
Its an exciting and challenging time and the healthcare service is dependent on the clinical skills and dedication of Doctors to deliver excellent healthcare – take a moment to thank your clinical professional for all they do on a daily basis. The glass is full – 1/2 full of water and 1/2 full of air and I’m excited about the future and what’s coming and hope my friends and colleagues are too:
This is an exciting and positive development in Genomics using the CRISPR technology – here source scientists have removed the HIV-1 genome from the genome of human immune cells
Gene editing could now be added to the armament of clinicians to fight diseases including infections