Category Archives: Health

What is new in the field of Health. Trending topics, and cutting edge research in the are of Health. Press Releases that give us updates on Health.

CR Environmental LLC First to Deploy Medical Grade Sanitizing Equipment for Local Businesses


Tom Delgado, the company Field Operations Officer says, “The service is new to the Santa Clarita Valley, but the decontamination process has existed for over nine years. The equipment we use to decontaminate is also used in hospitals and medical facilities worldwide.”

CR Environmental LLC is deploying medical level COVID decontamination service to sanitize businesses in Valencia, California. This is the first time this hospital grade sanitizing equipment is being used on local businesses.

CR Environmental is a IAC2 certified remediation company that offers COVID sanitation cleaning services for businesses to reduce their risk when reopening to the public.

The COVID decontamination process employs an EPA approved fog solution that leaves no toxic residue with no rinsing required. The equipment delivers a predetermined amount of mist based on the room size. This EPA registered solution has a 99.9999% efficacy rating against COVID and other difficult to kill bacteria. The efficient system is lab proven to decontaminate everything the mist touches. This advanced equipment is superior to traditional hand cleaning methods that often fail to reach the entire room.

CR Environmental LLC also specializes in non-toxic and non-VOC mold removal techniques that protect current and future occupants of the buildings they treat.

“In this critical time of reopening businesses, it is important that we protect the community we serve. Deep decontamination of public places and businesses is going to be paramount during this ‘re-opening’ process,” said Carl Reese the CEO of CR Environmental LLC.

Reese has been a repeat guest on Fox Business News with Liz Claman and has set multiple Guinness World Records to bring awareness to veterans and first responder charity called the Motorcycle Relief Project a 501(3)(c)

Tom Delgado, the company Field Operations Officer says, “The service is new to the Santa Clarita Valley, but the decontamination process has existed for over nine years. The equipment we use to decontaminate is also used in hospitals and medical facilities worldwide.”

About CR Environmental

CR Environmental LLC serves Los Angeles and Kern Counties, specializing in mold testing, mold remediation, and COVID decontamination of businesses and residences.

CR Environmental technicians must complete a forty-eight hour OSHA Hazwopers and Supervisor course.

For more about CR Environmental LLC go to https://www.covidsterilization.com

About Carl Reese

Carl Reese is the CEO of CR Environmental LLC. Reese is a certified OSHA Hazwoper Supervisor, IAC2 Certified Indoor Air Quality Specialist, NACHI Certified Property Inspector, Licensed General Contractor, Certified Thermographer, PPE Certified, IAC2 Remediation Certified, EPA Lead-Safe Renovator Certified.

Reese has served the Santa Clarita Valley since 1994, working closely with the medical community to provide environmental testing of residences and businesses alike.

Reese is a multiple Guinness World Record holding professional endurance driver.

For more about Carl Reese got to https://en.wikipedia.org/wiki/Carl_Reese_(driver)

For more about Motorcycle Relief Project go to http://www.motorelief.org

About Wes Colvin

Wes Colvin is the COO of CR Environmental. Colvin has served in senior executive level positions for more than 25 years guiding and shaping healthcare business strategy. Colvin most recently has serviced as the Assistant Chief Information Officer for the County of Riverside. Colvin also has been part time faculty for the University of La Verne and College of the Canyons. Colvin has an Executive MBA from Claremont Graduate University. Certificates and short business programs from CalTech, Harvard Business School, MIT, UCLA, Carnegie Mellon University and Cal Poly Pomona. Most recently, he has been enrolled in Health Care Management and Leadership at UCLA.

About Tom Delgado

Tom Delgado, Field Operations Officer of CR Environmental, has a Bachelor’s degree in business from CSUN and brings over 15 years of domestic and international medical sales experience in senior management roles. Delgado is a certified OSHA Hazwoper Supervisor, Santa Clarita resident, and local real estate agent.

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Local real estate development company launches new initiative to help protect the community and frontline workers


Trinity Dominion LLC starts GetAMask.store initiative and encourages every person in the community to #DoWhatYouCan.

#DoWhatYouCan – that’s the message that Trinity Dominion LLC, a real estate development company located at the Jersey Shore, would like to send after launching its newest social initiative. GetAMask.store seeks to help protect local community members, especially those serving on the frontlines, by offering personal protective equipment through an online website. The site launched on April 16 and is currently accepting orders and donations for PPE, such as disposable protective masks and KN95 filtering facepiece respirators.

“After the CDC’s recent recommendation to wear face coverings in public settings to slow the spread of COVID-19 and the current widespread shortage of PPE, we knew we had to do our part to protect our family, friends and the community, said Rimvis Mati, CEO of Trinity Dominion LLC. “We have started this initiative by utilizing our contacts overseas to import much-needed PPE supplies directly to our community, while also giving back to our local partners and frontline workers.”

Those interested can purchase face masks, safety masks, KN95 respirators and other personal protective equipment (PPE) for yourself or purchase to donate these supplies to those on the frontlines by visiting GetAMask.store. “Our frontline workers are our most valuable asset and are uniquely vulnerable to the virus,” said Mati. “Let’s offer our appreciation by providing them with the PPE they need. All you have to do is purchase to donate through our website. Trinity Dominion will facilitate all the logistics and deliver the PPE directly to those on the frontlines.”

GetAMask.store is currently only shipping to the following states: Connecticut, Delaware, Massachusetts, Maryland, New Jersey, New York, Pennsylvania and Vermont. Orders over $50 will ship free. Once orders are placed, they will ship based on the timeline noted in the online store – typically within 3-5 business days with 1-2-day shipping.

“I am humbled by the opportunity to be able to help the community during these unprecedented times,” said Mati. “We invite you to #DoWhatYouCan to help others, too.”

For questions regarding PPE, GetAMask.store customer service representatives are available Monday through Friday from 9am to 6pm and Saturday to Sunday from 10am to 4pm by calling 848-206-6398 or emailing sales@GetAMask.store.

About Trinity Dominion LLC

With over 150 years of joint experience, Trinity Dominion’s mission is to create spaces that combine comfort and convenience, and put its customers’ needs at the heart of modern home design. Trinity Dominion is a member of the National Association of Home Builders, the New Jersey Builders Association and the Shore Builders Association of Central NJ, Inc. To learn more, visit https://www.trinitydominion.com.

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U.S. Dermatology Partners Adapts Patient Care During COVID-19 by Offering Online Dermatology Appointments


telehealth dermatologist Adam Luber, MD

Adam Luber, MD, Board Certified Dermatologist

“Our practices have long-established reputations in the communities they serve, and many are taking care of generations of patients. No doubt these times are unsettling, but we are here for our communities,” said Dr. Adam Luber

U.S. Dermatology Partners has always been committed to protecting the health and safety of our patients, employees, families, and communities, and that continues during the rapidly changing dynamics of the coronavirus (COVID-19) pandemic. In response to the COVID-19 pandemic and safety recommendations provided by the Centers for Disease Control and Prevention (CDC), U.S. Dermatology Partners has taken several important steps to prevent the spread of the virus including rescheduling patients in high-risk groups and limiting in-office appointments to only those patients with urgent needs. With our locations restricting in-office appointments to their urgent-need patients, it has become increasingly important to have alternatives available to offer ongoing service to our patients needing more routine care.

For this reason, we are pleased to offer online dermatology appointments to our established patients and also assist new patients experiencing skin issues during this stressful time. Telehealth allows us the ability to care for our patients with chronic skin conditions such as acne, psoriasis, eczema, and atopic dermatitis without putting our patients, physicians or staff at risk. Currently, over 200 of our providers are now offering teledermatology appointments. We are making every effort to provide the same level of exceptional care in this virtual appointment setting that they regularly offer to patients in their normal office setting. We use a secure video platform to engage with our patients face-to-face, answer their questions, and continue to make treatment planning decisions to ensure they are able to maintain healthy skin at this time.

When we designed our telehealth program, our goal was to have the virtual visit mirror a regular office visit, so patients didn’t feel alienated and providers could follow their normal flow. Now that our physicians and providers are comfortable with telehealth, we plan to incorporate teledermatology into our regular practice going forward. Telehealth will be a great way to connect with younger patients, busy working families with school-age kids, or anyone who has difficulty getting to the office. Because we draw patients from a large area, some of our patients may drive great distances due to chronic skincare conditions or Mohs Surgery to remove skin cancers. By using telehealth, we can offer those patients post-surgical follow up in a more convenient manner.

Because we have one of the largest networks in the country, telehealth visits also allow us to offer care to patients in rural areas who might not otherwise have access to a board-certified dermatologist.

Best practice and tips to make the most of your online visits –

  • Be prepared by completing your online forms prior to the visit, but at least 24 hours ahead of the visit
  • Check your benefit coverage for telehealth
  • Test the technology prior to the visits and get help from a friend or family member if you are having difficulty
  • Be on time, or better yet be early! Plan on joining at least 5 minutes ahead of time
  • Be sure to choose a location with no distraction and good lighting

The most common requests were’ seeing for teledermatology visits include:

  • Acne breakouts
  • Eczema (atopic dermatitis)
  • Rosacea
  • Psoriasis
  • Concerns about new or emerging skin health concerns (mole checks, hives, etc.)
  • Prescription refills

According to Dr. Adam Luber, “At this point, the majority of our visits for established and new patients are being done via telehealth, and our patients and physicians have adapted well to this new normal. Our practices have long-established reputations in the communities they serve, and many are taking care of generations of patients. No doubt these times are unsettling, but we are here for our communities. Our teams hope you and your loved ones are staying safe during this challenging situation.”

About U.S. Dermatology Partners

As one of the largest physician-owned dermatology practices in the country, U.S. Dermatology Partners patients not only have access to general medical, surgical, and cosmetic skin treatment through its coordinated care network, but also benefit from the practice’s strong dermatology subspecialty thought leaders and medical advisory board. To best partner with its patients, U.S. Dermatology Partners is fervently focused on providing the highest level of patient-first care, and its team, therefore, includes recognized national leaders in areas such as clinical research, psoriasis, and Mohs Surgery. To learn more, visit usdermatologypartners.com.

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NJ Top Docs & NJ Top Dentists Proudly Present March 2020 Approved Providers


NJ Top Docs - March 2020 Approved Providers

NJ Top Docs – March 2020 Approved Providers

NJ Top Docs & NJ Top Dentists proudly present the following reviewed and approved providers from March 2020. The below list only contains those providers who were approved between March 1, 2020 – March 31, 2020.

For a complete list of all reviewed and approved providers, please view our Healthy Living Magazine directory.

NJ TOP DOCS INCLUDE:

BREAST SURGERY

Hunterdon County

CARDIOLOGY

Essex County

CARDIOTHORACIC SURGERY

Union County

CHIROPRACTIC CARE

Atlantic County

  • Dr. Karen Callaghan
  • Dr. Anthony Holvick
  • Dr. Thomas Keating
  • Dr. Jason M. Pagliarini

Bergen County

  • Dr. Mohammed Abtahi
  • Dr. Bradford Butler

ENDOCRINOLOGY

Somerset County

FAMILY PRACTICE

Essex County

  • Dr. Jose C. Flores
  • Dr. George Miller Jr.

Monmouth County

GASTROENTEROLOGY

Monmouth County

Union County

INTERNAL MEDICINE

Middlesex County

Monmouth County

Ocean County

  • Dr. Howard Lebowitz
  • Dr. Prabhat Sinha

Union County

NEPHROLOGY

Atlantic County

  • Dr. Nitin Behl
  • Dr. Robert Matthews

Bergen County

OPHTHALMOLOGY

Bergen County

  • Dr. Larisa Kayserman
  • Dr. Robert V. Vallar

Burlington County

Camden County

Union County

ORTHOPEDIC SURGERY

Gloucester County

Morris County

  • Dr. Eric Black
  • Dr. Tamir Bloom
  • Dr. David Lin
  • Dr. Genghis Niver
  • Dr. Mark Rieger
  • Dr. Joshua Strassberg

Passaic County

PEDIATRICS

Middlesex County

  • Dr. Larnie Booker
  • Dr. Lakshmi Prasuna Uppaluri

Morris County

  • Dr. Margot Kerrigan
  • Dr. Jennifer Shaw
  • Dr. Stuart Slavin
  • Dr. Valerie Tom

PLASTIC/COSMETIC SURGERY

Essex County

PSYCHIATRY

Camden County

  • Dr. Hatice Burakgazi Yilmaz

PSYCHOLOGY

Atlantic County

PULMONOLOGY/CRITICAL CARE

Passaic County

REPRODUCTIVE MEDICINE

Monmouth County

SPORTS MEDICINE

Monmouth County

URGENT CARE/EMERGENCY MEDICINE

Monmouth County

  • Dr. Abolghassem Garmkhorani

VASCULAR SURGERY

Essex County

  • Dr. Bruce J. Brener
  • Dr. Cindy Sturt

Union County

  • Dr. Michael Downes Addis
  • Dr. Andrew Cha
  • Dr. Salvador Cuadra
  • Dr. Raymond Joseph Holmes
  • Dr. Mark Hermanth Kumar
  • Dr. Jonathan Levison
  • Dr. Mark W. Moritz
  • Dr. Michael Ombrellino
  • Dr. Combiz Rezayat
  • Dr. Clifford Sales
  • Dr. Scott Sundick


NJ TOP DENTISTS INCLUDE:

GENERAL DENTISTRY

Bergen County

Burlington County

Hudson County

Mercer County

  • Dr. Dennis Balazsi
  • Dr. Edward Gaines

Monmouth County

  • Dr. Eric S. Adler
  • Dr. Michael Adler

Morris County

  • Dr. Allison Adams
  • Dr. Anthony Cannilla
  • Dr. Ira Goldberg
  • Dr. Celine Lee
  • Dr. Mark McCaffrey

Ocean County

Somerset County

Union County

Warren County

ORAL/MAXILLOFACIAL SURGERY

Morris County

  • Dr. Sonia Francioni-Vulaj
  • Dr. Brian Klein
  • Dr. Tara C. Plansky
  • Dr. Edward A. Rosenbaum
  • Dr. Michael D. Singer

ORTHODONTICS

Essex County

Monmouth County

PEDIATRIC DENTISTRY

Monmouth County

PERIODONTICS

Monmouth County

PROSTHODONTICS

Camden County

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Plastic Surgery Pause Offers both Patients and Physicians Time for Reflection, says Dr. J Plastic Surgery


Beverly Hills plastic surgeon Payam Jarrah-Nejad, M.D., F.I.C.S., F.A.C.S., known to colleagues and patients simply as Dr. J.

Individuals who are not directly impacted should be very grateful that they and their loved ones are well and that the news about California is mostly sounding a cautiously hopeful note

An April 9 article in the Providence Journal looks at the impact of the indefinite nationwide pause on elective surgery, including plastic surgery, on both patients and doctors. Beverly Hills plastic surgeon Payam Jarrah-Nejad, M.D., F.I.C.S., F.A.C.S., known to colleagues and patients simply as Dr. J, says that this is an excellent time for reflection for everyone. Individuals who are not directly impacted should be very grateful that they and their loved ones are well and that the news about California is mostly sounding a cautiously hopeful note, he says.

Dr. J says that the medical community is working to assure that essential healthcare is available to everyone, noting that he is performing emergency procedures during the coronavirus crisis. Even though he remains busy, the doctor – who has worked pro-bono throughout his career for groups like Operation Smile— notes that working on emergency procedures here in the Los Angeles area has given him a fresh perspective on the more cosmetically oriented work he does during normal times. He says that, as a plastic surgeon, his job is about making sure people have the best possible quality of life. That’s true, he adds, whether he is performing essential or elective procedures and that the work itself is about achieving the highest level of excellence at all times.

For prospective patients considering plastic surgery, he suggests that people take extra time to learn more about the procedures they are considering and also spend some to research specific plastic surgeons. He notes that, when people ask him about a surgeon, he suggests two things in particular. Firstly, patients should only consider board-certified plastic surgeons to ensure safety and a positive outcome. He also suggests that people take a close look at a surgeon’s before-and-after pages online, such as his rhinoplasty gallery, to assess a doctor’s aesthetic skills. Finally, patients should consider their own feelings very strongly but worry less about what they assume others might think. The only opinion about a procedure that really matters is the patient’s, says Dr. J.

Dr. J is offering virtual consultations for patients who want to start the process of getting a procedure. Interested readers can call (310) 228-3151 to learn more. Dr. J’s qualifications as a Beverly Hills plastic surgeon double board certified by both the American Board of Plastic Surgery and the American Board of Surgery can be seen online along with testimonials and before-and-after photos.

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Centers for Dialysis Care Selects Dossier to Solve Competency Management Challenges


Dossier’s cloud-based solution helps us achieve our vision to be the provider of choice as the most trusted community partner for high quality, patient-centered kidney healthcare.

Centers for Dialysis Care, the largest dialysis provider in Northeast Ohio, and Dossier, Inc., a leading provider of cloud-based competency solutions for health systems globally, today announced that Centers for Dialysis Care has selected Dossier as its competency assurance solution.

For over 45 years, the Centers for Dialysis Care has been a leading innovator and non-profit independent provider of outstanding patient-focused dialysis treatments, kidney education, and home dialysis support and training. They are committed to setting the highest standard of quality, assuring that every detail of the patient’s care is administered with skill and compassion.

One of the most inefficient and time-consuming aspects of operating a dialysis center is managing and organizing the often paper-based competency requirements as set by the organization and regulatory agencies.

“We have been struggling to gain visibility into the real-time status of all clinical and non-clinical employees’ competencies across our 20 facilities,” said Gayle Nemecek, COO of Centers for Dialysis Care. “It is critical to our operation to ensure we maintain the highest standards of care as our organization grows, and have immediate access to documentation which is necessary for maintenance of regulatory requirements. Dossier’s cloud-based solution helps us achieve our vision to be the provider of choice as the most trusted community partner for high quality, patient-centered kidney healthcare.”

“Dossier is thrilled to partner with a local, like-minded company committed to quality patient care through ensuring capability and competence at the point of care,” Roger Lee, President of Dossier. “Centers for Dialysis Care’s use of this technology proves it is possible for an organization to ensure delivery of high quality services, no matter where a patient seeks treatment. We are proud to work with Centers for Dialysis Care to further develop functionality in Dossier as this important segment demonstrates the need for management of all quality care documentation in an expanding footprint caring for an important patient population.”

About Dossier, Inc.

Dossier is a leading provider of cloud-based competency assurance and management solutions for health systems globally. We drive meaningful, measurable results for more than 500,000 healthcare workers. For more information, please visit https://www.DossierHealthcare.com

About Centers for Dialysis Care

The Centers for Dialysis Care is a leader in providing patient-centered quality care to all individuals with kidney disease. Since 1974, Centers for Dialysis Care has been a non-profit independent provider of dialysis and related health services and a leading innovator of renal care in Northeast Ohio. With 20 locations across Cuyahoga, Lake, Ashtabula, Mahoning and Trumbull county, Centers for Dialysis Care is proud to be a growing organization that rapidly responds to changes, attracts and retains quality staff, and collaborates with physicians, other healthcare providers, and payors. For more information, visit http://www.cdcare.org.

For more information, contact:

Elizabeth Green

Centers for Dialysis Care

(216) 229-1100

egreen@cdcare.org

Roger Lee

Dossier, Inc.

(408) 679-7532

Roger.Lee@dossier.com

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American InterContinental University Pledges to Commit 100 Percent of Federal CARES Act Funds to Campus Students


News Image

“…Our goal is to use all funds provided by the CARES Act to directly address any obstacles our students experience as a result of the COVID-19 health crisis.” – AIU President, John Kline

On April 16, 2020, American InterContinental University announced that it intends to commit 100 percent of funds received from the Coronavirus Aid, Relief and Economic Security (CARES) Act directly to eligible campus-based students as it becomes available. The University is looking to relieve the financial burden of campus students impacted by the COVID-19 public health crisis as they transition from AIU’s physical campuses to online learning.

The Education Stabilization Fund, included in the CARES Act legislation, is targeted towards campus closures affected by COVID-19. Although the Act requires colleges and universities to distribute at least 50 percent of federal funds received directly to students for financial assistance, AIU has committed to providing 100 percent of the CARES Act funds it receives directly to current Atlanta and Houston campus-based students to help relieve the financial burdens associated with transitioning to online learning.

AIU President, John Kline, stated, “AIU is taking action to foster stability and support to our students as they transition to online learning and continue their educational journey. Our goal is to use all funds provided by the CARES Act to directly address any obstacles our students experience as a result of the COVID-19 health crisis.”

The University is working to finalize the details of how the federal funds will be distributed and remains committed to allocating the amounts received directly to AIU’s Atlanta and Houston campus-based students.

About American InterContinental University

Founded in Europe in 1970, American InterContinental University offers a wide range of undergraduate and graduate degrees programs in areas of study such as business, information technology (IT), healthcare management, criminal justice, design and education. AIU operates ground campuses in Atlanta, Ga., and Houston, Texas, and an online campus headquartered in Chandler, Ariz. For more information about AIU, please visit http://www.aiuniv.edu.

American InterContinental University is accredited by the Higher Learning Commission (hlcommission.org), a regional accreditation agency recognized by the U.S. Department of Education. AIU cannot guarantee employment, salary or career advancement. AIU is a member of Perdoceo Education Corporation (NASDAQ:PRDO). For more information, visit http://www.perdoceoed.com.

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Crutchfield Dermatology Notes a Rise in Hand Eczema Due to Coronavirus Handwashing


Charles E. Crutchfield III, M.D., a board-certified dermatologist and medical director of Crutchfield Dermatology in Eagan, MN.

“As a result of frequent hand washing, we are seeing hand eczema with dryness, cracks, and irritation on a level that we have never seen before.” – Charles E. Crutchfield III, M.D.

Charles E. Crutchfield II, M.D., tells how to treat the itchy, dry, raw, painful side effects of constant handwashing good hand hygiene.

In the past weeks, the COVID-19 pandemic has had people washing their hands at an unprecedented rate. The Centers for Disease Control (CDC) issued a statement that Americans should wash their hands “often,” with soap and water, and counting at least 20 seconds (singing the happy birthday song twice) for each washing. Alternatively, they can use hand sanitizer with a 60% alcohol content or higher. The good news is that people are following these guidelines and washing or sanitizing their hands several times per day. The bad news is this new hand hygiene program is wreaking havoc on our hands. “As a result of frequent hand washing, we are getting multiple calls and teledermatology appointments with patients complaining of dry, cracked, flaky, itchy, raw, painful hands. This is hand eczema on a level that we have never seen before, and it places people at risk for skin infections,” says Charles E. Crutchfield III, M.D., a board-certified dermatologist and medical director of Crutchfield Dermatology in Eagan, MN.

“Even in the best of times, I see an increase in hand irritation during the cold, dry winter months in Minnesota as we wash our hands to prevent colds and the flu and for general cleanliness. But now, this combination of frequent handwashing and the constant use of alcohol-based hand sanitizers is producing hand eczema at a rate that I have never seen before. The excessive detergents and alcohol strip the skin of its natural protective and moisturizing oils. This produces dryness, irritation and hand eczema.” comments Dr. Crutchfield

Of course, frequent hand washing is essential for good health and safety measures. Doctors cleanse their hands dozens of times a day. As a result of hand irritation from repeated washing. We have developed a great program to prevent and treat the dry, cracked, irritated skin of hand eczema.

Prevention. Use a gentle cleanser to wash hands like Dove unscented cleansing bar or Cerave Cleansing bar. Immediately apply a moisturizing cream after every hand treatment.

For the treatment of hand eczema:

In this case, a dermatologist should be consulted. Apply a prescription anti-inflammatory cream or ointment to reverse the inflammation. Continue to use a mild cleanser, as listed above, but apply our specially designed hand cream that is rich in emollients and a hydrating cream emulsion immediately after washing or applying hand sanitizer. Most people will see positive results in just a few days.

In these challenging times, people can be safe and pamper their hands.

About Charles E. Crutchfield III, M.D:

Charles E. Crutchfield III, M.D is a graduate of the Mayo Clinic Medical School and a Clinical Professor of Dermatology at the University of Minnesota Medical School. He is currently the Medical Director of Crutchfield Dermatology in Eagan and is a Benedict Distinguished Professor of Biology at Carleton College. Dr. Crutchfield has won numerous teaching and professional awards and is the co-author of a children’s book on sun protection a dermatology textbook and hundreds of medial articles. He is a member of the AΩA National Medical Honor Society, an expert consultant for WebMD and CNN, and a recipient of the Karis Humanitarian Award from the Mayo Clinic School of Medicine. He is the team physician for the Minnesota Twins, Vikings, Wild, Timberwolves and Lynx professional sports teams. Dr. Crutchfield has over 25 years of clinical experience serving patients.

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Mount Sinai Study Finds COVID-19 May Be Driven by Pulmonary Thrombi and Pulmonary Endothelial Dysfunction


A new study from the Icahn School of Medicine at Mount Sinai suggests that blood clots, especially in the lungs, may play a role in severe cases of COVID-19. The finding suggests that treatment for respiratory failure caused by COVID-19 might follow the model for stroke—anticoagulation drugs for milder cases and thrombolysis, or clot removal, with continued anticoagulation for more severe disease.

The researchers found that critically ill COVID-19 patients have relatively well-preserved lung mechanics despite severe gas exchange abnormalities, a feature not consistent with classical acute respiratory distress syndrome (ARDS), but one that is more consistent with pulmonary vascular disease.

SARS-CoV-2, the virus that causes COVID-19, is closely related to SARS-CoV-1, the virus that caused the SARS outbreak in 2003. Previous autopsy studies from SARS cases demonstrated pulmonary thrombi, pulmonary infarcts, and microthrombi in other organs. Pulmonary thrombi are blood clots in the lungs that can cause pulmonary infarcts, the death of lung tissue due to lack of blood supply. Now, studies show that SARS-CoV-2 appears to be causing similar pathophysiological derangements. Although microthrombi, clots in small blood vessels, are present in sepsis and classic forms of ARDS, they are not the principal drivers of respiratory failure and organ dysfunction in those cases. In COVID-19 pneumonia, the thrombi may play a direct and significant role in gas exchange abnormalities and in multisystem organ dysfunction, the Mount Sinai researchers said.

The researchers observed five cases of COVID-19 patients at Mount Sinai Health System hospitals with refractory respiratory failure requiring mechanical ventilation and shock. Significant pulmonary microthrombi and/or macrothromboses were suspected to be serving as drivers of this pre-terminal state. The patients were administered tPA, a thrombolyic agent used to dissolve blood clots. All cases showed rapid improvement in alveolar ventilation, oxygenation, and/or shock.

These five cases had respiratory failure early in their COVID-19 course along with evidence of the “pulmonary vascular” phenotype, such as elevated protein fragments that are produced when a blood clot gets dissolved in the body and increased dead space, or air that is inhaled but does not take part in the gas exchange. Based on these findings, the researchers said, it may be prudent to consider full systemic anticoagulation—medication that is used to prevent the formation of blood clots—to mitigate disease progression in early stages and thrombolysis, in which clots are dissolved using thrombolytic agents, such as tPA, for more serious cases.

“It seems that for at least a significant subset of these patients, the underlying driver of respiratory failure and organ dysfunction is actually thrombosis and endothelial dysfunction,” said Hooman Poor, MD, Assistant Professor of Medicine (Pulmonary, Critical Care and Sleep Medicine) at the Icahn School of Medicine at Mount Sinai. “Future clinical trials will need to evaluate the role of anticoagulation for milder disease and thrombolysis for more severe disease.”

The high prevalence of obesity, hypertension, and diabetes in patients with severe COVID-19 pneumonia may point to an underlying susceptibility to endothelial injury and dysregulation, in which the inner lining of the small arteries fails to perform all of its important functions. The researchers advise that these therapeutic approaches should be considered in the management of COVID-19 patients and must be further examined in clinical research studies.

The Icahn School of Medicine at Mount Sinai, a top-ranked academic medical center in New York City, and National Jewish Health, the nation’s leading respiratory hospital based in Denver, Colorado, have partnered to create the Mount Sinai – National Jewish Health Respiratory Institute. To learn more about the Mount Sinai – National Jewish Health Respiratory Institute, visit our website, Facebook, or Twitter.

About the Mount Sinai Health System

The Mount Sinai Health System is New York City’s largest academic medical system, encompassing eight hospitals, a leading medical school, and a vast network of ambulatory practices throughout the greater New York region. Mount Sinai is a national and international source of unrivaled education, translational research and discovery, and collaborative clinical leadership ensuring that we deliver the highest quality care—from prevention to treatment of the most serious and complex human diseases. The Health System includes more than 7,200 physicians and features a robust and continually expanding network of multispecialty services, including more than 400 ambulatory practice locations throughout the five boroughs of New York City, Westchester, and Long Island. The Mount Sinai Hospital is ranked No. 14 on U.S. News & World Report’s “Honor Roll” of the Top 20 Best Hospitals in the country and the Icahn School of Medicine as one of the Top 20 Best Medical Schools in country. Mount Sinai Health System hospitals are consistently ranked regionally by specialty and our physicians in the top 1% of all physicians nationally by U.S. News & World Report.

For more information, visit https://www.mountsinai.org or find Mount Sinai on Facebook, Twitter and YouTube.

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Lief Therapeutics Announces Agreement with Genoa Telepsychiatry to Launch Nationwide Remote Mental Health Service


Model wearing Lief Smart Patch

Lief Smart Patch for mental health

“The field of mental health has been missing objective data to help guide excellent clinical decision-making and convergence on best practices and standards of care. Lief’s work establishing valid biomarkers is an important step towards bringing more objective data into the behavioral health arena.

The need for remote health care services grows with the evolving COVID-19 crisis. In particular, those with mental health care concerns, such as anxiety and depression, need alternative methods to continue their self-care while reducing face-to-face contact. Lief Therapeutics provides seamless access to tele-mental health services through its remote patient monitoring platform, which includes a discreet wearable device and virtual behavioral health coaches. Aiding access to remote monitoring platforms like Lief, Centers for Medicare and Medicaid Services has expanded its Medicare telehealth coverage during the COVID-19 crisis, enabling more patients to get virtual care services from their doctors without traveling to a healthcare facility, or worrying about affordability.

Lief’s wearable Smart Patch tracks and improves the emerging gold standard biomarker for mental health, heart rate variability (HRV), while its clinician dashboard enables healthcare providers and Lief’s behavioral health coaches to remotely monitor patient progress. Adding to these offerings, individuals can now be directly connected to mental health services with or without a primary care provider’s referral. Lief’s platform can be a one stop shop for those seeking personalized HRV biofeedback training in conjunction with expert feedback from licensed mental health providers.

Lief’s recently inked agreement with Genoa Telepsychiatry, part of OptumRx and a leading outpatient telepsychiatry community in the U.S., enables individuals to access a mental healthcare provider through Lief’s mobile platform, no matter where they are. Approximately 111 million people live in “mental health professional shortage” areas, according to the U.S. Department of Health and Human Services. 60% of U.S. counties have no practicing psychiatrists, and most of those counties are rural, according to a New American Economy report. The nationwide shortage of psychiatric providers has made it increasingly difficult for many to access mental healthcare, particularly those in underserved communities. Telepsychiatry has emerged as a solution to lack of access to mental health care because it enables patients to see providers remotely over secure video-conferencing technology. As the need for social distancing grows during this unprecedented global pandemic, so too does the need for remote access to mental health care tools.

Genoa Telepsychiatry serves behavioral health communities in more than 35 states and provides care to more than 250,000 individuals annually. Coupled with Lief’s access to biomarker data and HRV biofeedback training, Genoa’s telepsychiatrists can provide behavioral health support to help individuals manage their mental health more holistically. Samir Malik, Executive Vice President and General Manager of Genoa Telepsychiatry shares, “The field of mental health has been missing objective data to help guide excellent clinical decision-making and convergence on best practices and standards of care. Lief’s work establishing valid biomarkers is an important step towards bringing more objective data into the behavioral health arena.”

Lief’s agreement with Genoa Telepsychiatry enables individuals to access innovative mental health care solutions directly, cutting down on wait times and reducing barriers to care. Lief’s novel direct to consumer telemedicine offering empowers those in need to improve their mental health using personalized HRV biofeedback training, as well as expert guidance from telepsychiatrists and Lief’s HRV coaches.

Lief Therapeutics is currently offering 10% off new users’ first month’s subscription to its direct to consumer telemedicine services with code NEWYEARSLIEF10.

About Lief Therapeutics

Lief Therapeutics offers biofeedback wearables for mental health to consumers and patients, access to telepsychiatrists, and a remote patient monitoring platform for healthcare providers. Lief Rx, Lief’s prescription-only device for patients, is indicated for HRV-based relaxation training, which, as part of a healthy lifestyle, may help reduce the risk of anxiety and depression. For more information, visit http://www.getlief.com.

About Genoa Telepsychiatry

Genoa Telepsychiatry increases provider availability for underserved communities. Clinical sessions delivered using Genoa Telepsychiatry’s platform may be reimbursable by Medicaid, Medicare, and commercial payers. Genoa Telepsychiatry’s cutting edge, HIPAA-compliant software is easy to use and optimized with features so all the tools needed to manage and operate a successful telepsychiatry program are built in. For more information, visit http://www.genoatelepsychiatry.com.

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