‘Hospital at Home’ May Boost COVID-19 Inpatient Capacity


What your doctor is reading on Medscape.com:

APRIL 26, 2020 — Tufts Medical Center in Boston is partnering with Medically Home, a Boston-based company, to provide hospital-level care at home for non–COVID-19 patients who don’t require intensive care, freeing up beds needed by more critically ill patients.

“Long before the COVID-19 pandemic disrupted our way of life, we began researching innovative ways to provide care for the subset of patients who could receive hospital-level medical services in the comfort of their own homes,” said Tufts Medical Center President and CEO Michael Apkon, MD, PhD, in a news release.

“In the face of this crisis, we’ve been able to accelerate our timeline in the hopes of having as many beds available as possible for patients whose care can only be delivered in the hospital, especially those who will require a ventilator.”

Medically Home is currently treating 14 non–COVID-19 patients who were discharged from Tufts Medical Center.

“Right now, we’re only evaluating and discharging patients [to at-home treatment] who don’t have COVID,” said Sucharita Kher, MD, a pulmonologist and director of the outpatient pulmonary clinic at Tufts, in an interview with Medscape Medical News. “We’re in the process of developing criteria to identify and assess which COVID patients can be safely discharged to be cared for at home.”

Among the patients who can be treated safely at home, she noted, are those with congestive heart failure, pneumonia, exacerbations of asthma and COPD, cellulitis, and urinary tract infections.

These patients can be discharged to the hospital-at-home program either from the emergency department (ED) or from inpatient wards. “As soon as they come into the ED, we evaluate whether they can be cared for at home under our criteria,” Kher said. “They can go from the ED to home [treatment] if they can be stabilized in the ED. Alternatively, they can be stabilized for a day or so in the inpatient setting and then be sent home to continue their care at home.”

The criteria that Kher and colleagues are developing for COVID-19 patients, she said, are related to oxygen levels, breathing rates, vital signs, and new blood tests “that have been shown to predict more serious disease, potentially requiring ICU stay or long hospitalization. Those are not the patients you want to be sending home.”

Source: https://www.webmd.com/lung/news/20200426/hospital-at-home-may-boost-covid-19-inpatient-capacity?src=RSS_PUBLIC

SiR – John Redcorn

SiR – John Redcorn
SiR
“John Redcorn”

A parody by Daniel Russell & SiR

Directed by: Daniel Russell & Dominic Polcino
Produced by: Casey Rup
Executive Produced by: Anthony “Top Dawg” Tiffith, James Fino, Nathan Scherrer
Produced by: Edgar Moreno & Roberto “retOne” Reyes
Characters by: Anthony Piper
Backgrounds by: Nike Dizon
Animation by: Ryan Agustin, Chloe Stewart, Nina Boyce, Shelby Nelson
Cleanup by: James Bristow
Compositing by: Sevan Najarian
Production Manager: Ross Clark
Production Coordinator: Chris Callison
Production Co: Starburns, Freenjoy, TDE Films

https://music.apple.com/us/artist/sir/884211644

txdxe.com

James Charles House Tour — Check out His $7 Million Digs

In February of 2019, James did a house tour on his YouTube channel, but he’s moved up since then. Though it was originally thought that James had purchased the multi-million-dollar mansion Encino home featured in his tour, it was later reported that he rented it for around $15,000 to $17,000 per month.

The beauty vlogger decided to invest in real estate in February of 2020. Dirt reported that the influencer did an off-market deal, and bought a $7 million Encino home. 

According to Dirt, James’ new house was never publicly listed for sale, and it is brand new. A developer purchased the plot for $2.3 million and knocked the existing home down. James’ house was subsequently built, and it allegedly was sold to the Instant Influencer host for $7 million.

James’ new digs include six bedrooms, a maid’s quarters, a pool house with a cabana, and a three-car garage. The main level boasts a two story entryway, a living room with a fireplace, and a chef’s kitchen with multiple islands for optimal prepping. 

The basement level has its own indoor spa, a sauna, a movie theatre (to display his vlogs, perhaps) a wine cellar, and a gym.

Source : https://www.distractify.com/p/james-charles-house-tour

Despite Social Media Claims, Being Productive Is More Important Than Ever For Parents Right Now

Social media posts and articles all over the internet will have you thinking it’s ok not to be productive right now. While that was great advice two, maybe three weeks into lockdown, the truth is that there is no definitive answer to when things will return to normal, and you can’t sit around obsessing over the news for months on end. Whether you face financial worries or mental health concerns, it’s time to embrace this new reality and be productive. Here’s the thing. Productivity will not look like it did a few months back. Your children’s schedules will not be filled with after-school and weekend activities. And you probably won’t be going to the gym or any large gatherings for a while. So, now is the time to channel your anxieties into productivity, and redefine what productivity means altogether.

Source : https://www.littlethings.com/be-productive-right-now/

COVID-19 Decimates Outpatient Visits


What your doctor is reading on Medscape.com:

APRIL 26, 2020 — There has been a massive decline in outpatient office visits as patients have stayed home — likely deferring needed care — because of COVID-19, new research shows.

The number of visits to ambulatory practices dropped by a whopping 60% in mid-March, and continues to be down by at least 50% since early February, according to new data compiled and analyzed by Harvard University and Phreesia, a healthcare technology company.

Phreesia — which helps medical practices with patient registration, insurance verification, and payments — has data on 50,000 providers in all 50 states; in a typical year, Phreesia tracks 50 million outpatient visits.  

The report was published online April 23 by The Commonwealth Fund.

The company captured data on visits from February 1 through April 16. The decline was greatest in New England and the Mid-Atlantic states, where, at the steepest end of the decline in late March, visits were down 66%.

They have rebounded slightly since then but are still down 64%. Practices in the mountain states had the smallest decline, but visits were down by 45% as of April 16.

Many practices have attempted to reach out to patients through telemedicine. As of April 16, about 30% of all visits tracked by Phreesia were provided via telemedicine — by phone or through video. That’s a monumental increase from mid-February, when zero visits were conducted virtually.

However, the Harvard researchers found that telemedicine visits barely made up for the huge decline in office visits.


Decline by Specialty

Not surprisingly, declining visits have been steeper in procedure-oriented specialties.

Overall visits — including telemedicine — to ophthalmologists and otolaryngologists had declined by 79% and 75%, respectively, as of the week of April 5.  Dermatology saw a 73% decline. Surgery, pulmonology, urology, orthopedics, cardiology, and gastroenterology all experienced declines ranging from 61% to 66%.

Primary care offices, oncology, endocrinology, and obstetrics/gynecology all fared slightly better, with visits down by half. Behavioral health experienced the lowest rate of decline (30%).

School-aged children were skipping care most often. The study showed a 71% drop in visits in 7- to 17-year-olds, and a 59% decline in visits by neonates, infants, and toddlers (up to age 6). Overall, pediatric practices experienced a 62% drop-off in visits.

Nearly two thirds of Americans over age 65 also stayed away from their doctors. Only half of those aged 18 to 64 reduced their physician visits. 

Source: https://www.webmd.com/lung/news/20200428/covid-19-decimates-outpatient-visits?src=RSS_PUBLIC

4 Short True Scary Stories

4 Short True Scary Stories
A couple of these stories were taken from an older, unlisted video that probably 90% of you have not seen. Instead of letting the stories go to waste, I decided to use them in a new video. If you remember which video these stories were from, comment below!

If you want to send a personal TRUE story of yours, please send it through email: [email protected]
Anything with poorly structured sentences and grammar will not be read, so please just make them neat and understandable. Please also state how you would like your name to be credited in a video.

Twitter: https://twitter.com/mista_nightmare?l…

Michelle Wie Talks Golf, Training, And Working With Kerri Walsh Jennings

Michelle Wie’s been a mainstay in the world of golf for more than a decade. Once the most highly-regarded young golfer in the world following her decision to turn pro when she was 16, Wie’s carved out a steady career on the LPGA Tour, registering more than 60 top-10 finishes and five wins in her career.

Physical fitness plays an important role in Wie’s career, with a wrist injury she suffered as a 17 year old teaching her the importance of adding some type of non-golf exercise early on. Of course, that has been magnified in recent years as her career has progressed and the miles have racked up. Now, Wie is one of the many athletes who agreed to appear on Iron Sharpens Iron, Cam Newton’s Quibi show that features athletes from different sports discussing the methods in which they train — Wie paired up with Olympic gold medalist and beach volleyball great Kerri Walsh Jennings.

Uproxx Sports caught up with Wie to talk her cameo on the show, the role fitness plays in her golf career, the surprisingly similarities between the golf and beach volleyball, and much more.

How did your involvement in Iron Sharpens Iron come about? Did Cam reach out to you directly, or did it happen through some different channels?

My agent actually represents Cam, so I had heard of the opportunity through my agent, which I initially was like, “Wow, this sounds like a really cool idea,” and then especially after I heard about who they paired me up with, I was so excited.

Kerri is a legend. Why were you so excited to work with her?

https://www.instagram.com/p/B_NSgbWJ0be

I mean, like you said, Kerri’s an absolute legend, and just growing up watching her play beach volleyball — I think growing up in Hawaii, we have such a big beach volleyball culture, and as you’ll probably see in the episode, I am not very good. So watching someone on TV, growing up idolizing her, and then just being able to spend one-on-one time with her and her husband on the court was just incredible.

A question or two about golf and just your history with the game as a form of fitness. I think when we think about golf and athletes, it’s something that gets thought of as something that people do on days off, during the summer, those sorts of things. How do you believe golf is beneficial as a form of exercise and cross training for other athletes?

Oh, it’s great. I mean, you hear of golf — like you said, all the football players and a lot of basketball players, they love playing golf, even hockey players, and I mean, tennis too. All other sports, you hear of athletes getting obsessed with the game, actually. I think it’s so great, because I think it allows you to use different muscles. I think being so specialized in one sport, no matter what sport it is, you’re doing the same motion over and over again, and you kind of get stuck in your own ways and stuck mechanically with your body moving in one direction or one way, and that’s definitely how I feel in golf, for sure. So it’s always good to really just change it up. I think it’s really good for your body to do that, and mentally as well too.

I think golf is such a mental sport, and I think people that play a lot of team sports and whatnot, they find this extra challenge in playing golf because it’s such a solo sport, and a lot of the game happens in between your two ears. So I think it’s a great mental challenge. I think it’s a great mental exercise. For walking, I love walking and playing. I mean, a round of golf is about five to six miles. You walk 18 holes, you’re walking six miles a day, which is pretty great. So I think it’s good, I like it, and I think it’s really useful too.

You’ve been playing the game for however many years now, and you turned pro around when you were 16. Plenty of folks think that they’re invincible when they’re 16 years old.

Oh, yeah.

When did your routine start to incorporated more physical stuff so that it wasn’t just, “I’m heading to the range and working on my short game because I’m 16 years old now and don’t have to worry about these fitness-related things”?

I think it happened quickly for me, because I had a pretty big injury when I was 17, 18. So rehab after that, and trying to take my fitness really carefully and cognitively after that was definitely very important to me. But I think taking fitness in general, because even though I had injuries, I was still super limber. My body was doing things without me even thinking about it. I could just go up onto the range and start hitting balls, full shots, and nothing was hurting. Everything was working well, and then all of a sudden you hit later on in your career and you try to do that, and things start cracking that shouldn’t be cracking.

I definitely, within the last couple of years, have really taken fitness seriously. I think I was doing fitness long before, where … we touched base on this in the episode. I was doing really heavy weights and all that, but I think Kerri and I actually, surprisingly, even though how different our sports are, how we train and how we recover and focus on taking care of our bodies are very similar. That’s something that was a definite eye opener for me, and reassured me that I was doing the right thing. If Kerri Walsh Jennings is doing it, then I have to be doing something right.

Could you map out some of those similarities? Any that were, I don’t want to say surprising to you, but like you mentioned, when you found out that Kerri is also doing these sorts of things, you go, “Oh, wow, yeah, I am doing something right”?

I think a big thing in golf is thoracic motion, keeping everything limber, taking care of your shoulders. The shoulder thing wasn’t as surprising, but the thoracic motion, how much she focused on that, was shocking to me, because what you think of volleyball, it’s not a lot of horizontal turning like golf. But you don’t realize how much horizontal turning that they actually do when they serve or when they spike, and they wind up to do a big spike. So that was definitely an eye opener for me, and just how we do stuff, how we train. I really, really enjoyed what she taught me, and yeah, it was a really great day.

Just specifically, what things did you share, or did you want to go in making sure you shared with Kerri, because you thought they could be relevant to her experience as a beach volleyball player?

Well, I mean, I think she was really excited to get golf-specific lessons, because I think her husband plays a lot. So I think she was really excited to learn that aspect of it, which I was really surprised at how quickly she picked it up, as someone that has never played before. She was getting the ball airborne within five minutes, which just shows how great of an athlete she is. But for me, when I actually was filming it, I was going through an injury, so the way we did the episode, I was really focused on recovery and the mental aspect of the game. We did a couple of eye exercises, which I felt were really unique to the game, which you have to have strong eyes to play golf. I think in other sports as well too. You don’t realize that your eyes are muscles, and you have to train them like you would any place else.

You mentioned that you learned about some of the similarities between your two sports while Kerri was going through the things that she was talking about. Was there any new things that you learned about beach volleyball that you went, “Oh, you know what? I can maybe start to incorporate this into my daily routine.”

Getty Image

I think just, some of the workup that she showed me, it was the same thing, but she was doing them differently and approaching them differently and seeing them differently. So a lot of TRX movements that we were doing, a lot of stuff on the physio ball. I want to definitely incorporate more stuff in the sand. I think that the explosiveness of jumping from the sand can really help in golf, and I really feel like if you can do that in the sand, almost using your legs as power on stable grass, I think that would be very beneficial.

Let’s say you get a call and says, “We want to do this again and we want to have you involved again,” who are some athletes whose brains you would love to pick for something like this. Have you ever gotten any particularly interesting tips from someone in another sport that you’ve adopted in the past?

I don’t know. I mean, I would love to pick the brain … I saw Carli Lloyd’s name was on there. Even though we’ve crossed paths a couple of times, but I’d definitely love to pick her brain on what she was thinking when they won the championship, and press situations and stuff like that. I always find it really interesting to talk to athletes about how they handle pressure situation. But yeah, I think if the opportunity came again, I would love to be involved again.

Just a few quick ones here to wrap it up. First things first, something I’m sure that people say to you all the time, I personally am horrific at golf. What is a very simple piece of advice when it comes to hitting a golf ball that you think people can sometimes take for granted?

I think, do less. I think it can get very complicated. So I think just keeping it really simple and still thinking athletic. It’s a really awkward motion for people who don’t play, but like Kerri Walsh Jennings and I were talking about, the setup to the golf swing is the same athletic cluster you would find in almost any other sport. So just bringing it back to athleticism and bringing it back to simple motions and good tempo, I think helps a lot.

I saw that you announced earlier this year, you’re expecting a daughter, and that a goal is wanting her to see you play. What do you need to do to achieve that goal, both in the short and long terms?

I definitely have to get back into playing shape. The injuries that I had that stopped me from playing last year, it was a blessing in disguise. It gave me another year to get better. But I think just really focusing on mental game, being really sharp and focused. I think having a daughter and having that new goal in mind, it definitely puts different perspective on things, and I think it’s going to help me to focus, because it’s a new goal of mine, for sure.

Source: https://uproxx.com/sports/michelle-wie-interview-kerri-walsh-jennings/

Jimmy Fallon Blew His Chance With ‘Almost Famous’ Co-Star Kate Hudson, Too

[youtube https://www.youtube.com/watch?v=ut5VJdOCkVA]

In what’s becoming a recurring theme for the late-night host, Kate Hudson dropped a bombshell on Jimmy Fallon by revealing that he had a chance to date her back in the day, but he never made a move.

While dialing into The Tonight Show on Monday, Hudson revealed to a flabbergasted Fallon that if she had known he was into her while the two were filming Cameron Crowe’s Almost Famous, she would’ve been into it. Unfortunately, she never received any signals from Fallon, who apparently thought he was making his interest very clear at the time. In fact, he even revealed the crush on a 2018 episode, which Hudson saw after “like 100 people” sent her the clip, and she genuinely had no idea how Fallon felt at the time. Via Entertainment Weekly:

“Jimmy, if you would have actually made a move, I would have totally gone there,” she said. “I remember thinking to myself, ‘Why has Jimmy never made a move?’ And then I just kind of realized, ‘Oh, he’s not into me like that.’ And so, then I met Chris [Robinson].”

Fallon protested her retelling of events, exclaiming, “That’s not the story at all!”

While Fallon might’ve thought he was sending out strong vibes, he does have a history of completely blowing it with famous actresses. Nicole Kidman infamously stopped by The Tonight Show in 2015 and told a story about the time she went on a “date” with Fallon, who she was genuinely interested in. There was just one small problem, Fallon had no idea they were even on a date, and he honestly thought the two just happened to be at the same David Fincher party together. So instead of paying attention to Kidman, he blew her off to play video games. (Jimmy…) The whole thing left the actress so bewildered that, by the end of the “date,” she just assumed Fallon was gay and went on to marry Keith Urban.

(Via Entertainment Weekly)

Source: https://uproxx.com/tv/kate-hudson-jimmy-fallon-almost-famous/

After 5-Year-Old Finishes Chemo, A Parade Of Firetrucks Flood His Neighborhood To Surprise Him

At the age of two, Simon was diagnosed with acute lymphoblastic leukemia. His parents received the heartbreaking news just three months after their little boy was diagnosed with autism.

Simon’s mom Autumn spoke to ClevelandClinic.org about the shocking double diagnosis: “I remember thinking, ‘This is so unfair. He was just diagnosed with autism!’”

“How can one little kid have to fight both of these? He wasn’t even 3 years old.”

Simon endured rounds of chemotherapy and steroid treatments. At one point he even lost the ability to walk — but he is far exceeding his doctor’s expectations.

This amazing little boy recently celebrated his fifth birthday and the end of his chemo treatments — but because of the current pandemic, his parents couldn’t plan them the big bash they’d hoped to.

In the sweet video below, Simon is treated to a huge surprise, right outside on his front yard.

His day couldn’t have gone any better and he so deserved this!

As it turned out, some very important people in his neighborhood heard he wants to be a fireman when he grows up…

Source : https://www.littlethings.com/boy-finishes-chemo-firetrucks/

Chase Hudson’s Old Broken Nose Video Surfaces, Receives Backlash

Chase was recently rumored to be cheating on his then-girlfriend Charli. Though the TikTok power couple mainly kept their relationship on the DL, it was finally confirmed that they were an item. 

Soon after, reports surfaced that LilHuddy was cheating on the TikTok Queen with numerous girls. Fellow TikToker Nessa Barrett told her boyfriend Josh Richards that the teen slid into her DMs. 

This prompted Josh and Bryce Hall to create a diss track called “Still Softish,” which called out Chase’s cheating.

In April, Charli posted on social media that the two ended their relationship.

“Since you guys have watched mine and Chase’s relationship from the start, I decided I needed to tell you all that we are no longer together,” she wrote. “It hurts me to say this, but we’ve decided that this is what’s best for both of us.” 

The teen “IT” girl continued, “We are still close friends and I would not change that for anything! I truly have so much love for Chase and wish him nothing but the best for him. It makes me happy to see all of the great things he has going for him. I’m sorry I waited so long to tell you all. I wanted to take the time to process it for myself. Breakups are tough for anyone, so I’d really rather not talk about it anymore.”  

Well, the Hype House just got awkward…

Source : https://www.distractify.com/p/chase-hudson-broken-nose