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Cigna 2017

Remember when doctors making house calls was a thing?

I mean, it feels like every other TV doctor still does it. But in real life, we don't see it all that often.

Image via iStock.


During the 1930s, around 40% of all interactions between doctors and patients happened during house calls. But by 1980, it had dropped to less than 1%.

That's because with the advent of more advanced (and larger) medical equipment, it just made more sense for patients to travel to their doctors instead of the other way around. Until now.

Today, house calls are coming back in a big way.  

With more mobile medical equipment being developed and new apps designed to connect patients and doctors faster than ever, in-home health care has become much more convenient.

Enter Charlie Wetmore. He's on the front line, providing his expertise to a very important part of our community: children. And he's getting kids to pay attention to their health unlike ever before.

"One of the main things you'll notice with a house call is that the child is in a very familiar and very comfortable environment," Charlie says. "You're able to do a more thorough examination."

Check out how he's making a huge impact with one family right here:

A guy who makes house calls and instills healthy habits in your kids: Meet Charlie.

Posted by Upworthy on Tuesday, June 6, 2017

Wetmore is a do-it-all pediatric nurse practitioner with a mission to bring health care straight to the home.

That was just what Nicole Childs, a mother of three, needed for her family. "People don't make house calls, so I took a chance," she explains. "I'm glad I did. Because now I know, if at 2 o'clock in the morning, somebody wakes up with a fever, Charlie's gonna answer my phone call."

All screenshots via Cigna.

From strep throat to diaper rash to ear infections, Charlie can treat almost anything that a young patient is going through. But for Charlie, it's ultimately all about making sure the kids stay healthy.

"Prevention is the key," he says.

That's one of the main messages Charlie preaches. "Teaching the child from a young age to pursue a healthy lifestyle," he explains, "will pay great dividends as they get older and they begin to encounter those more sophisticated elements like your BMI and your cholesterol and your blood pressure."

"It's very difficult to evoke the need to change if they didn't already have the foundation as a young child."

Granted, it can be hard to educate kids on the importance of healthy choices. That's why schools across the country are coming together to provide 54 million children with the health education they need to adopt healthy behaviors and improve their quality of life.

In fact, Charlie has the perfect medium to get that same message across with his own patients: himself.

Charlie always makes sure he's setting a great example with his own health.

"If you're healthy, it's a little easier to project that image and give those messages out," he says. "So I try to live a healthy lifestyle. I know my [health] numbers."

And for any person — young or old — that's an important way to go if you're just starting to pay attention to preventive care. Knowing your four health numbers — blood pressure, cholesterol, blood sugar, and body mass index (BMI) — can be the difference-maker you need.

Plus, if you need any additional assistance down the line, Cigna offers customers a 24-hour health information line, with nurses available to answer your health-related questions and give you information on when and where you should get treatment, as well as telehealth programs ready to connect you with a board-certified doctor via secure video chat or phone. For example, the Cigna Telehealth Connection connects customers to doctors who can help them get the care they need, including many prescriptions, for a variety of conditions day or night from wherever they are.

So whether you still go to the doctor's office or prefer a home visit, what matters is you're taking control of your health and your family's.

That's the beauty of house calls making a comeback: It's giving more people more options than ever to find the solution that works perfectly for them. But if making the trip to your doctor is still the best way for you, that's awesome too!

Learn more about how to take control of your health at Cigna.com/TakeControl.

Joy

Nurse turns inappropriate things men say in the delivery room into ‘inspirational’ art

"Can you move to the birthing ball so I can sleep in the bed?"

Holly the delivery nurse.

After working six years as a labor and delivery nurse Holly, 30, has heard a lot of inappropriate remarks made by men while their partners are in labor. “Sometimes the moms think it’s funny—and if they think it’s funny, then I’ll laugh with them,” Holly told TODAY Parents. “But if they get upset, I’ll try to be the buffer. I’ll change the subject.”

Some of the comments are so wrong that she did something creative with them by turning them into “inspirational” quotes and setting them to “A Thousand Miles” by Vanessa Carlton on TikTok.

“Some partners are hard to live up to!” she jokingly captioned the video.

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All images provided by Adewole Adamson

It begins with more inclusive conversations at a patient level

True

Adewole Adamson, MD, of the University of Texas, Austin, aims to create more equity in health care by gathering data from more diverse populations by using artificial intelligence (AI), a type of machine learning. Dr. Adamson’s work is funded by the American Cancer Society (ACS), an organization committed to advancing health equity through research priorities, programs and services for groups who have been marginalized.

Melanoma became a particular focus for Dr. Adamson after meeting Avery Smith, who lost his wife—a Black woman—to the deadly disease.

melanoma,  melanoma for dark skin Avery Smith (left) and Adamson (sidenote)

This personal encounter, coupled with multiple conversations with Black dermatology patients, drove Dr. Adamson to a concerning discovery: as advanced as AI is at detecting possible skin cancers, it is heavily biased.

To understand this bias, it helps to first know how AI works in the early detection of skin cancer, which Dr. Adamson explains in his paper for the New England Journal of Medicine (paywall). The process uses computers that rely on sets of accumulated data to learn what healthy or unhealthy skin looks like and then create an algorithm to predict diagnoses based on those data sets.

This process, known as supervised learning, could lead to huge benefits in preventive care.

After all, early detection is key to better outcomes. The problem is that the data sets don’t include enough information about darker skin tones. As Adamson put it, “everything is viewed through a ‘white lens.’”

“If you don’t teach the algorithm with a diverse set of images, then that algorithm won’t work out in the public that is diverse,” writes Adamson in a study he co-wrote with Smith (according to a story in The Atlantic). “So there’s risk, then, for people with skin of color to fall through the cracks.”

Tragically, Smith’s wife was diagnosed with melanoma too late and paid the ultimate price for it. And she was not an anomaly—though the disease is more common for White patients, Black cancer patients are far more likely to be diagnosed at later stages, causing a notable disparity in survival rates between non-Hispanics whites (90%) and non-Hispanic blacks (66%).

As a computer scientist, Smith suspected this racial bias and reached out to Adamson, hoping a Black dermatologist would have more diverse data sets. Though Adamson didn’t have what Smith was initially looking for, this realization ignited a personal mission to investigate and reduce disparities.

Now, Adamson uses the knowledge gained through his years of research to help advance the fight for health equity. To him, that means not only gaining a wider array of data sets, but also having more conversations with patients to understand how socioeconomic status impacts the level and efficiency of care.

“At the end of the day, what matters most is how we help patients at the patient level,” Adamson told Upworthy. “And how can you do that without knowing exactly what barriers they face?”

american cancer society, skin cacner treatment"What matters most is how we help patients at the patient level."https://www.kellydavidsonstudio.com/

The American Cancer Society believes everyone deserves a fair and just opportunity to prevent, find, treat, and survive cancer—regardless of how much money they make, the color of their skin, their sexual orientation, gender identity, their disability status, or where they live. Inclusive tools and resources on the Health Equity section of their website can be found here. For more information about skin cancer, visit cancer.org/skincancer.

The mesmerizing lost art of darning knit fabric.

For most of human history, people had to make their own clothing by hand, and sewing skills were subsequently passed down from generation to generation. Because clothing was so time-consuming and labor-intensive to make, people also had to know how to repair clothing items that got torn or damaged in some way.

The invention of sewing and knitting machines changed the way we acquire clothing, and the skills people used to possess have largely gone by the wayside. If we get a hole in a sock nowadays, we toss it and replace it. Most of us have no idea how to darn a sock or fix a hole in any knit fabric. It's far easier for us to replace than to repair.

But there are still some among us who do have the skills to repair clothing in a way that makes it look like the rip, tear or hole never happened, and to watch them do it is mesmerizing.

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Pop Culture

Artist uses AI to create ultra realistic portraits of celebrities who left us too soon

What would certain icons look like if nothing had happened to them?

Mercury would be 76 today.

Some icons have truly left this world too early. It’s a tragedy when anyone doesn’t make it to see old age, but when it happens to a well-known public figure, it’s like a bit of their art and legacy dies with them. What might Freddie Mercury have created if he were granted the gift of long life? Bruce Lee? Princess Diana?

Their futures might be mere musings of our imagination, but thanks to a lot of creativity (and a little tech) we can now get a glimpse into what these celebrities might have looked like when they were older.

Alper Yesiltas, an Istanbul-based lawyer and photographer, created a photography series titled “As If Nothing Happened,” which features eerily realistic portraits of long gone celebrities in their golden years. To make the images as real looking as possible, Yesiltas incorporated various photo editing programs such as Adobe Lightroom and VSCO, as well as the AI photo-enhancing software Remini.

“The hardest part of the creative process for me is making the image feel ‘real’ to me,” Yesiltas wrote about his passion project. “The moment I like the most is when I think the image in front of me looks as if it was taken by a photographer.”

Yesiltas’ meticulousness paid off, because the results are uncanny.

Along with each photo, Yesiltas writes a bittersweet message “wishing” how things might have gone differently … as if nothing happened.
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