Medical Device Quotes

It’s clear where the world is going. We’re entering a world where every thermostat, every electrical heater, every air conditioner, every power plant, every medical device, every hospital, every traffic light, every automobile will be connected to the Internet. Think about what it will mean for the world when those devices are the subject of attack.” Then he made his pitch. “The world needs a new, digital Geneva Convention.

After all, all devices have their dangers. The discovery of speech introduced communication—and lies. The discovery of fire introduced cooking—and arson. The discovery of the compass improved navigation—and destroyed civilizations in Mexico and Peru. The automobile is marvelously useful—and kills Americans by the tens of thousands each year. Medical advances have saved lives by the millions—and intensified the population explosion.

You should be suspicious of a medical profession that is in the business of treatments, not cures.

I primarily use poetry as a purge, a self-medication device when I’m in the depths of loneliness, anxiety or in the throes of depression. When I’m lost in the darkness of mental illness, I spill forth a deluge of words and prose that are oftentimes grim, dark and depressive. And when my poems are spilled forth into one of my poetry journals, I feel a weight has been indeed been lifted from me, and my mind can rest just a bit easier.

Yes, we live in a free-market democracy, but the drug and medical device industries operate more like kleptocracies. Though most of it is legal, it is not ethical and is, in effect, a form of legal extortion. Likewise,

And in the case of fecal transplants, there’s no drug or medical device involved, and thus no pharmaceutical company or device maker with diverticula deep enough to fund the multiple rounds of controlled clinical trials. If anything, drug companies might be inclined to fight the procedure’s approval. Pharmaceutical companies make money by treating diseases, not by curing them. “There’s billions of dollars at stake,” says Khoruts. “I told Katerina, if this works, don’t be surprised to find me at the bottom of the river.

Several years ago, researchers at the University of Minnesota identified 568 men and women over the age of seventy who were living independently but were at high risk of becoming disabled because of chronic health problems, recent illness, or cognitive changes. With their permission, the researchers randomly assigned half of them to see a team of geriatric nurses and doctors—a team dedicated to the art and science of managing old age. The others were asked to see their usual physician, who was notified of their high-risk status. Within eighteen months, 10 percent of the patients in both groups had died. But the patients who had seen a geriatrics team were a quarter less likely to become disabled and half as likely to develop depression. They were 40 percent less likely to require home health services. These were stunning results. If scientists came up with a device—call it an automatic defrailer—that wouldn’t extend your life but would slash the likelihood you’d end up in a nursing home or miserable with depression, we’d be clamoring for it. We wouldn’t care if doctors had to open up your chest and plug the thing into your heart. We’d have pink-ribbon campaigns to get one for every person over seventy-five. Congress would be holding hearings demanding to know why forty-year-olds couldn’t get them installed. Medical students would be jockeying to become defrailulation specialists, and Wall Street would be bidding up company stock prices. Instead, it was just geriatrics. The geriatric teams weren’t doing lung biopsies or back surgery or insertion of automatic defrailers. What they did was to simplify medications. They saw that arthritis was controlled. They made sure toenails were trimmed and meals were square. They looked for worrisome signs of isolation and had a social worker check that the patient’s home was safe. How do we reward this kind of work? Chad Boult, the geriatrician who was the lead investigator of the University of Minnesota study, can tell you. A few months after he published the results, demonstrating how much better people’s lives were with specialized geriatric care, the university closed the division of geriatrics.

And where was the support for that kind of preparation? There are all kinds of medicines and medical devices and clinics and even hospice care to prolong life and make it as easeful as possible—but who helps you to really prepare for it, philosophically? Who teaches you how to embrace it? Is there anyone out there who really does that?

There, she identified a recurring cycle that kept women in a downward spiral: families that were already poor and struggling to stay alive kept having more babies, dragging them down still further. In the 1870s she became the country’s first advocate for contraception, and one of the first anywhere. In the midst of a society and a medical profession that were rigorously Victorian in their attitudes about sex, she had patients conduct trials of contraceptives and concluded that the pessary, a kind of diaphragm, was the most effective birth control device.

With the Pure Food and Drug Act of 1906, the United States cracked down on false and misleading labels, unsafe ingredients in food, and the adulteration of medical and food products. In 1930, the watchdog bureau became known as the Food and Drug Administration (FDA). Later laws in 1938 covered medical devices and cosmetics, and a 1962 law added scientific rigor to the drug industry.

The Clone Wars were yet another thing to be upset about. Everything about that conflict had been a lie. The Separatists had been this big enemy, and yet when the Empire was declared they’d melted away as if at the push of a button. The big corporations had staged the whole thing, Skelly was sure. Wars sold more ships, more weapons, and more medical devices. And in the Clone Wars, even the soldiers on both sides were manufactured goods.

Why is it called Dr. Device?” “When it was developed, it was called a Molecular Detachment Device. M.D. Device.” Ender still didn’t understand. “M.D. The initials stand for Medical Doctor, too. M.D. Device, therefore Dr. Device. It was a joke.” Ender didn’t see what was funny about it.

Aside from its cartridge, pipette, and temperature issues, many of the other technical snafus that plagued the miniLab could be chalked up to the fact that it remained at a very early prototype stage. Less than three years was not a lot of time to design and perfect a complex medical device. These problems ranged from the robots’ arms landing in the wrong places, causing pipettes to break, to the spectrophotometers being badly misaligned. At one point, the blood-spinning centrifuge in one of the miniLabs blew up. These were all things that could be fixed, but it would take time. The company was still several years away from having a viable product that could be used on patients.

Werewolves had been so rationalized and medicalized by the year 1000 that they became subject to a medieval type of “heroin chic” romanticism in literature, in which they were frequently portrayed as attractive, lonely, suffering, victimized, self-sacrificing, chivalrous heroes in fictional and mythological tales emerging during the Grail romance era. The “chivalrous werewolf” narratives often feature a noble knight or prince who transforms into a werewolf to protect the subject of his romantic love, but while he is a werewolf she betrays him by stealing his transformative device—either a potion, a ring, a belt or his clothes—trapping him forever in his lovelorn werewolf state.25

It’s clear where the world is going. We’re entering a world where every thermostat, every electrical heater, every air conditioner, every power plant, every medical device, every hospital, every traffic light, every automobile will be connected to the Internet. Think about what it will mean for the world when those devices are the subject of attack.” Then he made his pitch. “The world needs a new, digital Geneva Convention. It needs new rules of the road,” Smith said, intoning the words slowly for emphasis. “What we need is an approach that governments will adopt that says they will not attack civilians in times of peace, they will not attack hospitals, they will not attack the electrical grid, they will not attack the political processes of other countries.

R.J. Reynolds owns a subsidiary called RJR Packaging, which produces packaging used on many food products for both human and pet consumption.[276] They also produce packaging for many medical devices and over-the-counter medications, as well as personal care, coffee, and confectionary products.[277] In order to remain in business, a company must be profitable. In order to remain profitable in the face of extensive, long-term compulsory levies by state governments via the tobacco settlement, the costs of products must go up so that income remains higher than expenses. Thus, Altria can raise prices on their Kraft food products you buy in order to pay off their tobacco settlement. R.J. Reynolds can pass along the cost by raising packaging costs for manufacturers of many different types of consumer products, who pass the increased production costs along to you.

Another common practice, the reps told us, was to take fancy meals to the entire doctor’s office (one of the perks of being a nurse or receptionist, I suppose). One doctor’s office even required alternating days of steak and lobster for lunch if the reps wanted access to the doctors. Even more shocking, we found out that physicians sometimes called the reps into the examination room (as an “expert”) to directly inform patients about the way certain drugs work. Hearing stories from the reps who sold medical devices was even more disturbing. We learned that it’s common practice for device reps to peddle their medical devices in the operating room in real time and while a surgery is under way. Janet and I were surprised at how well the pharmaceutical reps understood classic psychological persuasion strategies and how they employed them in a sophisticated and intuitive manner.

Since many sudden deaths in young people turn out to have a genetic cause, family members are often unknowingly at risk. Using the information from the genetic test, we can test other family members and identify who is or is not at risk. Then we can protect them using medications or lifestyle changes or, in some cases, implanting a device under the skin that can deliver a lifesaving shock to the heart in the event of a dangerous heart rhythm.

After manufacture, the units go into the field. With consumer products, that means they go into millions of homes where any bugs you created are enjoyed by many. With medical, aviation, or other critical products, your bugs may be catastrophic (which is why you get to do so much paperwork). With scientific or monitoring equipment, the field could be a place where the unit cannot ever be retrieved (or retrieved only at great risk and expense; consider the devices in volcano calderas), so it had better work.

Big data is based on the feedback economy where the Internet of Things places sensors on more and more equipment. More and more data is being generated as medical records are digitized, more stores have loyalty cards to track consumer purchases, and people are wearing health-tracking devices. Generally, big data is more about looking at behavior, rather than monitoring transactions, which is the domain of traditional relational databases. As the cost of storage is dropping, companies track more and more data to look for patterns and build predictive models".

In Detroit, Dr. Forest Dodrill, a surgeon at Wayne State University, collaborated with engineers at General Motors Research to develop a mechanical pump capable of supporting the circulation of an adult. The resulting stainless-steel and glass device, the Dodrill-GMR mechanical heart pump, had multiple cylinders from which blood circulated and, perhaps not surprisingly, bore an uncanny resemblance to a Cadillac V-12 automobile engine. The device was intended to temporarily replace either the right or left ventricle and was first used in 1952 to support a patient for fifty minutes while Dr. Dodrill repaired a mitral valve.

[...] The problems I’ve discussed are not limited to psychiatry, although they reach their most florid form there. Similar conflicts of interest and biases exist in virtually every field of medicine, particularly those that rely heavily on drugs or devices. It is simply no longer possible to believe much of the clinical research that is published, or to rely on the judgment of trusted physicians or authoritative medical guidelines. I take no pleasure in this conclusion, which I reached slowly and reluctantly over my two decades as an editor of The New England Journal of Medicine. (Drug Companies & Doctors: A Story of Corruption, Jan 15 2009)

Probability theory naturally comes into play in what we shall call situation 1: When the data-point can be considered to be generated by some randomizing device, for example when throwing dice, flipping coins, or randomly allocating an individual to a medical treatment using a pseudo-random-number generator, and then recording the outcomes of their treatment. But in practice we may be faced with situation 2: When a pre-existing data-point is chosen by a randomizing device, say when selecting people to take part in a survey. And much of the time our data arises from situation 3: When there is no randomness at all, but we act as if the data-point were in fact generated by some random process, for example in interpreting the birth weight of our friend’s baby.

She cannot help but see a lifespan as a journey, indeed as a pilgrimage. This isn’t fashionable these days, but it’s her way of seeing. A life has a destination, an ending, a last saying. She is perplexed and exercised by the way that now, in the twenty-first century, we seem to be inventing innumerable ways of postponing the sense of arrival, the sense of arriving at a proper ending. Her inspections of evolving models of residential care and care homes for the elderly have made her aware of the infinitely clever and complex and inhumane delays and devices we create to avoid and deny death, to avoid fulfilling our destiny and arriving at our destination. And the result, in so many cases, has been that we arrive there not in good spirits, as we say our last farewells and greet the afterlife, but senseless, incontinent, demented, medicated into amnesia, aphasia, indignity.

Eventually, we may reach a point when it will be impossible to disconnect from this all-knowing network even for a moment. Disconnection will mean death. If medical hopes are realised, future people will incorporate into their bodies a host of biometric devices, bionic organs and nano-robots, which will monitor our health and defend us from infections, illnesses and damage. Yet these devices will have to be online 24/7, both in order to be updated with the latest medical news, and in order to protect them from the new plagues of cyberspace. Just as my home computer is constantly attacked by viruses, worms and Trojan horses, so will be my pacemaker, my hearing aid and my nanotech immune system. If I don’t update my body’s anti-virus program regularly, I will wake up one day to discover that the millions of nano-robots coursing through my veins are now controlled by a North Korean hacker.

Distraction leaches the authenticity out of our communications. When we are not emotionally present, we are gliding over the surface of our interactions and we never tangle in the depths where the nuances of our skills are tested and refined. A medical professor describes the easy familiarity with which her digital-native resident students master medical electronic records—but is troubled by the fact that they enter data with their eyes focused on their digital devices, not on the patient in the room with them. Preoccupation with technology acts as a screen between the student and the patient’s real emotion, real fear, and real concern. It may also prevent these residents from noticing physical symptoms that the patient fails to mention. The easy busyness of medical record entry is a way to sidestep the more challenging dynamics of human connection. But experienced physicians know that interpersonal skills are essential to mastering the art and science of medical diagnosis.

The ability to draw a connection between two things that had previously appeared to be unrelated is an important part of creativity, and it appears that it can be enhanced by electrical stimulation. Compared to participants who were given fake tDCS, those who got electricity created more unusual analogies—that is, analogies between things that seemed very unlike one another. Nevertheless, these highly creative analogies were just as accurate as the more obvious ones created by the participants whose devices were secretly turned off. Dopaminergic drugs can do the same thing. Although some patients who take dopaminergic drugs for Parkinson’s disease develop devastating compulsions, others experience enhanced creativity. One patient who came from a family of poets had never done any creative writing. After starting dopamine-boosting drugs for his Parkinson’s disease, he wrote a poem that won the annual contest of the International Association of Poets. Painters treated with Parkinson’s medication often increase their use of vivid color. One patient who developed a new style after being treated said, “The new style is less precise but more vibrant. I have a need to express myself more. I just let myself go.” Just like Winnie-the-Pooh: “It is the best way to write poetry, letting things come.

entire project would be kicked back, and he would need to start the submission process again. The proposal had to be perfect this time. If not, he was sure his competitors would swoop in on this opportunity to launch their own devices. He had spent the last two years on this project, and he was so close—only twenty-seven days left to make all the necessary corrections. He could not afford distractions now. Too much was riding on this; his name was riding on this. He remembered what his father always told him: “No one remembers the name of the person who came in second.” These words motivated him all through high school to earn a full scholarship to Boston University, where he earned his BA and master’s degrees in computer science, and then his PhD in robotics engineering at MIT. Those degrees had driven him to start his own business, Vinchi Medical Engineering, and at age thirty-four, he still lived by those words to keep the company on top. The intercom buzzed. “Your conference call is ready on line one, Mr. Vinchi.” “What the hell were you guys thinking?” Jon barked as soon as he got on the line. Not waiting for them to answer, Jon continued, “Whose bright idea was it to submit my name to participate at this event—or any event, for that matter? This type of thing has your name written all over it, Drew. Is this your doing?” As always, Trent said it the way it was. “If you had attended the last meeting, Jon, you would have been brought up to date for this and would have had the chance to voice any opposition to your participation.” It was a moot point, Jon knew he’d missed their last meeting—actually, their last few meetings—due to his own business needs. But this stunt wasn’t solely about the meeting, and he knew it. “Trent, I have always supported the decisions you guys have made in the past, but I am not supporting this one. What makes you think I will even show? I don’t have time for this nonsense.” “Time is valuable to all of us, Jon. We all have our own companies to run besides supporting what is needed for Takes One. Either you’re fully invested in this, or you’re not. There are times when it takes more than

FDA classifies devices according to the risk they pose to consumers. Premarket review is required for moderate- and high-risk devices. There are two paths that manufacturers can use to bring such devices to market. One path consists of conducting clinical studies, submitting a premarket approval (PMA) application and requires evidence providing reasonable assurance that the device is safe and effective. The other path involves submitting a 510(k) notification demonstrating that the device is substantially equivalent to a device already on the market (a predicate device) that does not require a PMA. The 510(k) process results in FDA clearance and tends to be much less expensive and less time-consuming than seeking FDA approval via PMA.

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He also described how hospitals could become the new health start–up incubators. Doctors, nurses, medical specialists, and administrators will continue to push the “bring your own device” boundaries and will work with others to build mobile tech solutions that get around outdated technologies used in hospitals.

It’s ironic that our nearly three trillion dollar medical system actually has some of the most sophisticated diagnostic equipment available in the world, which detects and measures energies and frequencies in the body. This diagnostic equipment includes devices you probably heard of like MRIs (Magnetic Resonance Imaging), PET scans (Positron Emission Tomography), CAT scans (Computed Axial Tomography), EEGs (Electro encephalograms), EKGs (Electrocardiography), ultrasound devices and more. Our medical system diagnoses the body energetically with modern physics (Quantum Field Theory), and then treats with drugs and surgery (Newtonian Science). What is wrong with this picture? The Book Of Science is Constantly Being Rewritten Nothing is so fatal to the progress of the human mind as to suppose our views of science are ultimate; that there are no new mysteries in nature; that our triumphs are complete; and that there are no new worlds to conquer. —Humphry Davy (from a public lecture given in 1810)

the most sophisticated diagnostic equipment available in the world, which detects and measures energies and frequencies in the body. This diagnostic equipment includes devices you probably heard of like MRIs (Magnetic Resonance Imaging), PET scans (Positron Emission Tomography), CAT scans (Computed Axial Tomography), EEGs (Electro encephalograms), EKGs (Electrocardiography), ultrasound devices and more. Our medical system diagnoses the body energetically with modern physics (Quantum Field Theory), and then treats with drugs and surgery (Newtonian Science). What is wrong with this picture?

I liked to point out that Medtronic, which makes all varieties of medical devices—from surgical tools to pacemakers—is so able to charge sky-high prices that it enjoys nearly double the gross profit margin of Apple, considered to be the jewel of American high-tech companies.

Where the techno-medical model of birth reigns, women who give birth vaginally generally labor in bed hooked up to electronic fetal monitors, intravenous tubes, and pressure-reading devices. Eating and drinking in labor are usually not permitted. Labor pain within this model is seen as unacceptable, so analgesia, and anesthesia are encouraged. Episiotomies (the surgical cut to enlarge the vaginal opening) are routinely performed, out of a belief that birth over an intact perineum would be impossible or that, if possible, it might be harmful to mother or baby. Instead of being the central actor of the birth drama, the woman becomes a passive, almost inert object - representing a barrier to the baby's eventual passage to the outside world. Women are treated as a homogenous group within the medical model, with individual variations receding in importance.

and stop using your Kindle if it becomes a distraction. Personal medical devices, such as pacemakers, may be sensitive to magnetic and electromagnetic fields. Since Kindle and certain Kindle accessories contain magnets and emit electromagnetic fields, they should be kept at least 6 inches (approximately 15 cm) from any personal medical device. If any interference is observed, consult with your physician before

Regulation of medical apps that does not limit their capabilities would have benefits for all stakeholders.   The Labonfoil device analyzing smart cards.

Marc Goodman is a cyber crime specialist with an impressive résumé. He has worked with the Los Angeles Police Department, Interpol, NATO, and the State Department. He is the chief cyber criminologist at the Cybercrime Research Institute, founder of the Future Crime Institute, and now head of the policy, law, and ethics track at SU. When breaking down this threat, Goodman sees four main categories of concern. The first issue is personal. “In many nations,” he says, “humanity is fully dependent on the Internet. Attacks against banks could destroy all records. Someone’s life savings could vanish in an instant. Hacking into hospitals could cost hundreds of lives if blood types were changed. And there are already 60,000 implantable medical devices connected to the Internet. As the integration of biology and information technology proceeds, pacemakers, cochlear implants, diabetic pumps, and so on, will all become the target of cyber attacks.” Equally alarming are threats against physical infrastructures that are now hooked up to the net and vulnerable to hackers (as was recently demonstrated with Iran’s Stuxnet incident), among them bridges, tunnels, air traffic control, and energy pipelines. We are heavily dependent on these systems, but Goodman feels that the technology being employed to manage them is no longer up to date, and the entire network is riddled with security threats. Robots are the next issue. In the not-too-distant future, these machines will be both commonplace and connected to the Internet. They will have superior strength and speed and may even be armed (as is the case with today’s military robots). But their Internet connection makes them vulnerable to attack, and very few security procedures have been implemented to prevent such incidents. Goodman’s last area of concern is that technology is constantly coming between us and reality. “We believe what the computer tells us,” says Goodman. “We read our email through computer screens; we speak to friends and family on Facebook; doctors administer medicines based upon what a computer tells them the medical lab results are; traffic tickets are issued based upon what cameras tell us a license plate says; we pay for items at stores based upon a total provided by a computer; we elect governments as a result of electronic voting systems. But the problem with all this intermediated life is that it can be spoofed. It’s really easy to falsify what is seen on our computer screens. The more we disconnect from the physical and drive toward the digital, the more we lose the ability to tell the real from the fake. Ultimately, bad actors (whether criminals, terrorists, or rogue governments) will have the ability to exploit this trust.

The medical implant industry needs to decide if wireless radio frequency (RF) radiation is more important than life saving medical devices, as it is clear that the two are incompatible.

It’s clear where the world is going. We’re entering a world where every thermostat, every electrical heater, every air conditioner, every power plant, every medical device, every hospital, every traffic light, every automobile will be connected to the Internet. Think about what it will mean for the world when those devices are the subject of attack.

Why is owning equity in a business important to becoming rich? It’s ownership versus wage work. If you are paid for renting out your time, even lawyers and doctors, you can make some money, but you’re not going to make the money that gives you financial freedom. You’re not going to have passive income where a business is earning for you while you are on vacation. [10] This is probably one of the most important points. People seem to think you can create wealth—make money through work. It’s probably not going to work. There are many reasons for that. Without ownership, your inputs are very closely tied to your outputs. In almost any salaried job, even one paying a lot per hour like a lawyer or a doctor, you’re still putting in the hours, and every hour you get paid. Without ownership, when you’re sleeping, you’re not earning. When you’re retired, you’re not earning. When you’re on vacation, you’re not earning. And you can’t earn nonlinearly. If you look at even doctors who get rich (like really rich), it’s because they open a business. They open a private practice. The private practice builds a brand, and the brand attracts people. Or they build some kind of a medical device, a procedure, or a process with an intellectual property. Essentially, you’re working for somebody else, and that person is taking on the risk and has the accountability, the intellectual property, and the brand. They’re not going to pay you enough. They’re going to pay you the bare minimum they have to, to get you to do their job. That can be a high bare minimum, but it’s still not going to be true wealth where you’re retired but still earning. [78] Owning equity in a company basically means you own the upside. When you own debt, you own guaranteed revenue streams and you own the downside. You want to own equity. If you don’t own equity in a business, your odds of making money are very slim. You have to work up to the point where you can own equity in a business. You could own equity as a small shareholder where you bought stock. You could also own it as an owner where you started the company. Ownership is really important. [10]

A device can be considered FDA-cleared if the manufacturer and the FDA agree that it is very similar to another device already on the market and is deemed safe to use. Becoming FDA-approved is a more rigorous process, used for devices for which there aren’t other, similar approved models on the market. What makes it even more confusing is that some devices may be FDA-cleared for one indication but used and marketed by physicians for a completely different indication. For example, some devices may be FDA-cleared for pain reduction, yet plastic surgeons use them to reduce fat.

They may have been the same rank, but he was still technically her senior — in both age and experience — and sometimes he liked to flex. Make himself look like he gave a damn. She leaned forward, hit the keyboard shortcut to minimise the windows, and got up. ‘Nothing,’ she said, pulling her jacket on. ‘That’s helpful.’ She ignored the comment, downed half her now-tepid coffee and bit lightly into her bagel, holding it between straight white teeth as she powered off her monitor and tucked her chair in.  ‘I don’t know why you bother,’ Roper said, flicking a hand at the now-black screen. ‘Not while all this is burning.’ He gestured around the room at the other desks and detectives working away. Dozens of screens were lit, the photocopier was buzzing, the lights were humming, and phones and devices were charging on every surface.  She shrugged. ‘If you leave a monitor on standby overnight it wastes enough energy to—’ ‘Yeah, yeah,’ he said, dismissing her with his hand. ‘And the polar ice caps are melting and penguins are getting sunburn. Come on, we’ve got a murder to solve.’ He walked forward, draining what was left in his coffee cup, and put it down on a random desk — much to the disgust of the guy sitting behind it. Roper swaggered towards the lifts, finally shrugging off the hangover, his caffeine quota for the next hour filled. Once his nicotine level had been topped off, he might actually be capable of some decent police work. Jamie fell in behind him, trying to get her mind off the other missing kids and back on Grace Melver. Whatever the hell was going on, Jamie had a feeling that Grace Melver knew something about it. Whether she realised or not.  Chapter 7 She walked with Roper without thinking about it.  Jamie had dropped him back at the crime scene after the shelter so he could pick his car up. The medical examiner was there and the scene of the crime officers, or SOCOs, were crawling all over in their plastic-covered boots, snapping photos and putting things in evidence bags.  They hadn’t stuck around.  It was best to leave the SOCOs do their jobs, and anyway Jamie and Roper had paperwork that needed to be done.  Her fingers typed on autopilot now. She’d had her prelim licked before she’d finished her first cup of coffee. Roper headed for his Volvo without asking and got into the driver’s seat.  Jamie pulled the door open and got in, closing the door only when he’d cranked the ignition so she could crack the window. The seats were covered

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he appeared not at all auctorial in the insufferable sense of the word (I think of writers who pose with their dogs, or hold questionable medical devices, or mousse their hair until its specific gravity resembles that of pound cake).

As the epidemic reached its acme, the fever even negated medical and nursing care entirely by killing off the hospital staff. At Fort Liberté, for instance, all caregivers perished, leaving patients to their own devices.

THERMOGRAPHY Misinformation abounds as to the true nature of breast cancer and what causes it. With so much public focus on breast cancer awareness, very little attention is given to breast health, which we know is governed by things like clean eating, routine detoxification, energy balance, and stress reduction, among other things. These other things include not blasting radiation at the breasts in the form of mammograms, which only exacerbate breast cancer risk. Dr. Martin Bales, L.Ac., D.A.O.M., a licensed acupuncturist and certified thermologist at the Center for New Medicine in Irvine, California, has for years been administering one of the best-known alternatives to mammograms: thermograms. As its name suggests, thermography utilizes the power of infrared heat—hence the root word “therm”—to detect physiological abnormalities indicative of a possible breast cancer diagnosis. Dr. Bales’s father first pioneered the technology in the late 1970s with the development of the world’s first all-digital infrared camera, which was used for missile detection purposes during wartime. Its capacity to track the heat signature of missiles was applied to the field of medicine in the 1980s, which eventually gave way to thermographic medical devices. Dr. Bales opined during a recent interview: “In the early eighties, a group of doctors approached my father and said, ‘You know, we’ve heard the body—obviously with its (blood) circulation—we can diagnose a lot of diseases by seeing where there’s hot spots and where there’s cold.’ He said, ‘Okay, I’ll make a medical version for you.’” And the rest is history: thermography machines that identify hot spots in the breasts later hit the market, and select doctors and clinics offer it as a safe, side effect–free alternative to mammograms. “The most promising aspect of thermography is its ability to spot anomalies years before mammography,” says women’s health expert Christiane Northrup, M.D., about the merits of thermography. “With thermography as your regular screening tool, it’s likely that you would have the opportunity to make adjustments to your diet, beliefs, and lifestyle to transform your cells before they became cancerous. Talk about true prevention.

Emerging opportunities in new areas such as green energy and life sciences-related medical device technologies should not be missed out.

CPAP never really worked for me and it was a few years later that the medical profession discovered I had positional sleep apnea that needed treatment with a positional device, not a CPAP machine.

As society grew more complex, corporations grew more powerful, and citizens demanded more from the government, elected officials simply did not have time to regulate so many diverse industries. Nor did they have the specialized knowledge required to set rules for fair dealing across financial markets, evaluate the safety of the latest medical device, make sense of new pollution data, or anticipate all the ways employers might discriminate against their employees on account of race or gender. In other words, if you wanted good government, then expertise mattered.

As society grew more complex, corporations grew more powerful, and citizens demanded more from the government, elected officials simply did not have time to regulate so many diverse industries. Nor did they have the specialized knowledge required to set rules for fair dealing across financial markets, evaluate the safety of the latest medical device, make sense of new pollution data, or anticipate all the ways employers might discriminate against their employees on account of race or gender.

No. I wouldn’t see what Mary saw until I’d been witness to the untimely decline of a generation of colleagues exhausted by the demands of jobs that never paid them enough, drowning in debt to care for children riddled with disorders that couldn’t be cured; and the cousins—and the best friend from high school—who ended up in shelters or on the street, tossed out of houses they could no longer afford; and until the near-dozen suicides and overdoses of fortysomething childhood classmates in a mere space of three years; and the friends and family medicated for despair, anxiety, lack of affect, insomnia, sexual dysfunction; and the premature cancers brought on by the chemical shortcuts for everything from the food moving through our irritable bowels to the lotions applied to our sun-poisoned skins. I wouldn’t see it until our private lives had consumed the public space, then been codified, foreclosed, and put up for auction; until the devices that enslave our minds had filled us with the toxic flotsam of a culture no longer worthy of the name; until the bright pliancy of human sentience—attention itself—had become the world’s most prized commodity, the very movements of our minds transformed into streams of unceasing revenue for someone, somewhere. I wouldn’t see it clearly until the American Self had fully mastered the plunder, idealized and legislated the splitting of the spoils, and brought to near completion the wholesale pillage not only of the so-called colony—how provincial a locution that seems now!—but also of the very world itself. In short, I wouldn’t see what she saw back then until I’d failed at trying to see it otherwise, until I’d ceased believing in the lie of my own redemption, until the suffering of others aroused in me a starker, clearer cry than any anthem to my own longing.

Drug and medical device companies offered invitations to free dinners around town nightly. And there were over five thousand three hundred salespeople from some twelve hundred companies registered in attendance here—more than one for every two surgeons. The

Don't spend a dime on medical device marketing until you have solid customer insights.

For she thought to herself, “If I can just touch his clothing, I will be healed.” And sure enough, as soon as she had touched him, the bleeding stopped and she knew she was well! (vv. 28–29 tlb) Her interaction with the Great Physician could’ve/should’ve ended right there because she’d gotten what she came for: physical healing. Plus, Jesus was en route to Jairus’s house, a leader in the community, to attend to his dying daughter (vv. 22–24). But instead, Jesus stops in the middle of a seemingly more important mission just to listen to her: The woman, knowing that she was healed, came and fell at Jesus’ feet. Shaking with fear, she told him the whole truth. (v. 33 ncv, emphasis mine) I believe Jesus stopped because, despite her medical cure, He knew her heart still needed care after twelve long years of suffering. So the Lamb of Judah paused for a moment to lean in and listen to one lonely woman’s entire story. Really listening—leaning in and giving our full attention to what someone else is communicating or attempting to communicate—is one of humanity’s most powerful expressions of compassion. Unfortunately, in our digitized, hyperstimulated, selfie and social-media obsessed culture, being actively present while someone else tells their true, unfiltered story seems to be going the way of the Dodo bird. I’m sure, like me, you’ve found yourself awkwardly trailing off and not finishing a complete thought because the person in front of you stopped paying attention as soon as their phone started vibrating. Leisurely, device-less conversation between two people seems to becoming passé.

In America, drug companies and medical device makers argue that they have to charge high prices to fund their research and development. But Japanese experience shows that tough cost controls tend to drive innovation, not stifle it.

The ruling elites grasp that the twin forces of deindustrialization and climate change make the future precarious. They sweep up our email correspondence, tweets, web searches, phone records, file transfers, live chats, financial data, medical data, criminal and civil court records, and information on dissident movements. They store this information in sophisticated computer systems. Surveillance cameras, biosensors, scanners, and face recognition technologies track our movements. When a government watches you twenty-four hours a day you cannot use the word “liberty.” This is the relationship between a master and a slave. Full surveillance, as political philosopher Hannah Arendt wrote, is not a means to discover or prevent crimes, but a device to have “on hand when the government decides to arrest a certain category of the population.

We will continue to concentrate our energies entirely on prescription medicines and in vitro diagnostics, rather than diversify into other sectors like generics and biosimilars, over-the-counter medicines and medical devices.” ■ “With our in-house combination of pharmaceuticals and diagnostics, we are uniquely positioned to deliver personalized healthcare.” ■ “Our distinctiveness rests on four key elements: an exceptionally broad and deep understanding of molecular biology, the seamless integration of our pharmaceuticals and diagnostics capabilities, a diversity of approaches to maximise innovation, and a long-term orientation.” ■ “Our structure is built for innovation. Our autonomous research and development centres and alliances with over 200 external partners foster diversity and agility. Our global geographical scale and reach enables us to bring our diagnostics and medicines quickly to people who need them.

Indeed, one of design’s most potent economic effects is this very capacity to create new markets—whether for ring tones, cutensils, photovoltaic cells, or medical devices.

The top 11 devices, by the number used, are: ✪ eye lens implants ✪ ear tubes ✪ coronary stents ✪ knee replacements ✪ screws to repair bone fractures ✪ intrauterine devices (IUD) ✪ spinal fusion hardware ✪ breast implants ✪ heart pacemakers ✪ artificial hips ✪ implantable defibrillators

A Supreme Court decision (Riegel v. Medtronic, Inc., 552 US 312, 2008) protected devices from most lawsuits. It exempts the companies from litigation if the FDA agreed on the device’s effectiveness and safety during the approval process. When the drugmakers have issues, they may have to defend lawsuits, but this Supreme Court decision protects the appliance manufacturers.

Bandages and Supplies 50 assorted-size adhesive bandages 1 large trauma dressing 20 sterile dressings, 4x4 inch 20 sterile dressings, 3x3 inch 20 sterile dressings, 2x2 inch 1 roll of waterproof adhesive tape (10 yards x 1 inch) 2 rolls self-adhesive wrap, 1/2 inch 2 rolls self-adhesive wrap, 1 inch 2 rolls self-adhesive wrap, 2 inch » 1 elastic bandage, 3 inch » 1 elastic bandage, 4 inch » 2 triangular cloth bandages » 10 butterfly bandages » 2 eye pads Medications 2 to 4 blood-clotting agents 10 antibiotic ointment packets (approximately 1 gram) 1 tube of hydrocortisone ointment 1 tube of antibiotic ointment 1 tube of burn cream 1 bottle of eye wash 1 bottle of antacid 1 bottle syrup of ipecac (for poisoning) 1 bottle of activated charcoal (for poisoning) 25 antiseptic wipe packets 2 bottles of aspirin or other pain reliever (100 count) 2 to 4 large instant cold compresses 2 to 4 small instant cold packs 1 tube of instant glucose (for diabetics) Equipment 10 pairs of large latex or nonlatex gloves 1 space blanket or rescue blanket 1 pair of chemical goggles 10 N95 dust/mist respirators or medical masks 1 oral thermometer (nonmercury/nonglass) 1 pair of splinter forceps 1 pair of medical scissors 1 magnifying glass 2 large SAM Splints (optional) 1 tourniquet Assorted safety pins Optional Items If Trained to Use 1 CPR mask 1 bag valve mask 1 adjustable cervical spine collar 1 blood pressure cuff and stethoscope or blood pressure device 1 set of disposable oral airways 1 oxygen tank with regulator and non-rebreather mask Suturing kit and sutures Surgical or super glue If you have advanced training, such items as a suturing kit, IV setup, and medical instruments may be added.

Many sickly people that were dependent on electrical medical devices may have died in hurricane Ian.

down to the family or person in question. Besides medication and therapy, it is important to have a healthy lifestyle when dealing with ADHD symptoms. It is often recommended that those with ADHD focus on building healthy eating habits, getting in as many vegetables, fruits, and whole grains as they should. Protein should also come from lean sources. Daily physical exercises or routines also help and should be designed with the age and capabilities of the person in mind. It helps to have less time with screens, whether television, cellphones, or any other electronic device. Also, adequate sleep does amazing things for the ADHD mind.

The result is a slow-life strategy, with lower birth rates, slower development, and more resources and care put into each child. Thus, children do fewer things on their own (fewer walk to school by themselves or stay at home alone), teens are less independent (fewer get their driver’s license or date), young adults postpone adult milestones (marrying and having children later than earlier generations), life stages once considered middle-aged tilt younger (“fifty is the new forty”), staying healthy past retirement age is the rule rather than the exception, and life expectancies stretch toward 80. The entire developmental trajectory has slowed down, from childhood to older adulthood. These slower life trajectories are all ultimately caused by technology, including modern medical care (which lengthens life spans), birth control (allowing people to have fewer children), labor-saving devices (which slow aging), and a knowledge-based economy (which requires more years of education). Especially at older ages, the slowing is actually biologically quantifiable.

Global medical device contract manufacturing market is expected to grow at 12.3% CAGR from 2019 to 2028

A comfortable adjustable bed, television, radio, magazines, prescription drugs, radiation exposures, wireless exposures, magnetic exposures, light exposures, air exposures, medical gasses, medical devices, swimming, gym and physiotherapy massages are all available at the hospital resort for sick people.

After a decade of using the medical profession, I had concluded that it was much better to research your own sickness using the internet and books, and to self treat with over the counter drugs, supplements and commercially available biomedical devices.

Given these benefits, it might be surprising to hear that the National Association of the Deaf did not see this medical device as a miracle. In 1991, the organization wrote an official statement that derided the research and the device. The statement raised a number of concerns, but most relevant for us is this: There is now abundant scientific evidence that, as the deaf community has long contended, it comprises a linguistic and cultural minority. Many Americans, perhaps most, would agree that as a society we should not seek the scientific tools nor use them, if available, to change a child biologically so he or she will belong to the majority rather than the minority—even if we believe that this biological engineering might reduce the burdens the child will bear as a member of a minority.45

Blood Sugar Monitors Blood sugar monitors are integral tools that hold immense significance in the lives of individuals effectively managing diabetes. These indispensable devices, exemplified by renowned brands such as Med Supply US, offer a seamless, convenient, and precise approach to monitoring blood glucose levels. With a straightforward and painless finger prick, users gain access to real-time readings that serve as pivotal guides in shaping their dietary choices, medication adjustments, and day-to-day activities. Med Supply US has carved a reputation for itself with its line of blood sugar monitors, each meticulously designed to encompass user-friendliness, reliability, and portability. These monitors are not just medical devices; they are empowering companions that enable individuals to take control of their health with confidence. What truly sets Med Supply US's blood sugar monitors apart is their commitment to simplicity and accuracy. The process of obtaining blood glucose readings has been streamlined to require minimal effort, ensuring that users can seamlessly incorporate this crucial routine into their daily lives. The accuracy of these monitors is paramount, as it directly impacts the decisions individuals make regarding their health. Med Supply US has spared no effort in ensuring that the readings provided are both reliable and trustworthy. The portability of Med Supply US's blood sugar monitors is a game-changer. No longer confined to a specific location or time, individuals can monitor their blood glucose levels wherever they go, whenever they need. This level of convenience eradicates the notion that diabetes management should be restrictive; instead, it empowers individuals to embrace an active and dynamic lifestyle while effectively managing their condition. In conclusion, blood sugar monitors are not just devices; they are lifelines for individuals with diabetes. Med Supply US's commitment to excellence shines through in their range of blood sugar monitors, offering individuals the tools they need to navigate their diabetes journey with confidence, accuracy, and unwavering support. With Med Supply US's blood sugar monitors in hand, individuals gain not only insights into their health but also a sense of empowerment that transcends the realm of medical devices.

Glucose monitoring device A glucose monitoring device is a medical device that measures the amount of glucose in the blood. This information can be used to help people with diabetes manage their condition. There are two main types of glucose monitoring devices: blood glucose meters and continuous glucose monitors (CGMs). Blood glucose meters are the most common type of glucose monitoring device. They require a fingerstick to obtain a blood sample, which is then analyzed by the meter. Blood glucose meters are relatively inexpensive and easy to use. However, they only provide a snapshot of blood sugar levels at a particular time. CGMs are more advanced than blood glucose meters. They measure glucose levels continuously and provide real-time updates to a receiver or smartphone. CGMs can be more expensive than blood glucose meters, but they can provide valuable information about blood sugar trends that can help people with diabetes make better treatment decisions. Med Supply US offers a variety of glucose monitoring devices, including blood glucose meters and CGMs. The company's blood glucose meters are affordable and easy to use, while its CGMs provide accurate and real-time glucose readings. Med Supply US also offers a variety of accessories for glucose monitoring devices, such as lancets, test strips, and infusion sets.

At some point, the rehab geniuses decided that to help my stomach “pain,” they’d put some kind of weird medical device in my back, but they’d need to do surgery to insert it. So I stayed up all night, taking 1,800 milligrams of hydrocodone ahead of the next day’s surgery.

10 Things You Should Always Discuss with Your Gynecologist – Motherhood Chaitanya Hospital Your gynecologist is your partner in women’s health, and open communication is key to receiving the best care. From reproductive health to general well-being, here are 10 crucial topics you should always discuss with your gynecologist. If you’re in Chandigarh, consider reaching out to the Best Female Gynecologist in Chandigarh through Motherhood Chaitanya for expert care. 1. Menstrual Irregularities Don’t dismiss irregular periods as a minor issue. They could be indicative of underlying conditions like polycystic ovary syndrome (PCOS), thyroid disorders, or hormonal imbalances. 2. Contraception Discuss your contraception options to find the one that best suits your needs and lifestyle. Your gynecologist can provide guidance on various birth control methods, from pills to intrauterine devices (IUDs). 3. Pregnancy Planning If you’re planning to start a family, consult your gynecologist for preconception advice. This can help you prepare your body and address any potential risks or concerns. 4. Sexual Health Openly discuss any concerns related to sexual health, including pain during intercourse, sexually transmitted infections (STIs), or changes in sexual desire. Your gynecologist can provide guidance and offer solutions. 5. Menopause and Perimenopause If you’re in your 40s or approaching menopause, discuss perimenopausal symptoms like hot flashes, mood swings, and changes in menstrual patterns. Your gynecologist can recommend treatments to manage these changes. 6. Family History Share your family’s medical history, especially if there are instances of gynecological conditions, such as ovarian or breast cancer. This information is vital for early detection and prevention. 7. Breast Health Talk to your gynecologist about breast health, including breast self-exams and recommended mammograms. Regular breast checks are essential for early detection of breast cancer. 8. Pelvic Pain Don’t ignore persistent pelvic pain. It can signal a range of issues, including endometriosis, fibroids, or ovarian cysts. Early diagnosis and treatment are crucial. 9. Urinary Issues Frequent urination, urinary incontinence, or pain during urination should be discussed. These symptoms can be linked to urinary tract infections or pelvic floor disorders. 10. Mental Health Your gynecologist is there to address your overall well-being. If you’re experiencing mood swings, anxiety, or depression, it’s important to discuss these mental health concerns. Your gynecologist can offer guidance or refer you to specialists if needed. In conclusion, your gynecologist is your go-to resource for women’s health, addressing a wide spectrum of issues. Open and honest communication is essential to ensure you receive the best care and support. If you’re in Chandigarh, consider consulting the Best Gynecologist Obstetricians in Chandigarh through Motherhood Chaitanya for expert guidance. Your health is a priority, and discussing these important topics with your gynecologist is a proactive step toward a healthier, happier you

Thieme offers affordable reaction injection molding tooling solutions for companies everywhere. Whether you’re looking for cost-efficient medical device cover production, heavy equipment console manufacturing, or recreational vehicle part production, Thieme is here to help. Our team of qualified engineers is here to guide you through any questions you may have.

Wilson Asfora, MD is a dedicated neurosurgeon who has contributed to the advancement of the field through research, medical device creation, and ground-breaking surgical procedures.

ABOUT MATIYAS We are an enthusiastic and energetic establishment dedicated to bringing automation and transforming business processes digitally. We understand the value of technological advancements for increasing productivity and enhancing quality, and our in-house teams of dedicated professionals offer various services to achieve this objective effectively. Matiyas digital solutions help to streamline manufacturing business functions, increase profitability, automating efforts and increase the quality of production. Our Customized manufacturing digital solutions can assist you to address all the hurdles that occur during the manufacturing process. You can have complete control over the manufacturing process by handling inventory management and supply chain management effectively. At Matiyas, we are committed to bringing digital transformation in manufacturing through advanced solutions and excellent services Matiyas is providing industry 4.0 digital solutions to: • Oil & Gas • Cement Manufacturing • Electronics Manufacturing • Industrial Machinery and Equipment • Steel Manufacturing • Plastic Manufacturing • Packaging Manufacturing • Power Plants • Pharmaceutical • Fast Moving Consumer Goods (FMCG) • Medical Devices Industry • EPC Our digital solutions empower the manufacturers to closely supervise each and every stage of the manufacturing process and gives the absolute control over it, as a result you observe an ample reduction in wastage and material exchange possibilities which not only improves production quality but quantity too. We understand the major problems manufacturing businesses come across and we tailor best manufacturing digital solutions accordingly. HOW OUR MANUFACTURING DIGITAL SOLUTIONS CAN BENEFIT YOUR ORGANIZATION? Increased ROI Reduced Operational Costs & Optimize Operations Enhanced Resource Utilization & Reduced Overheads Deeper insights about your supply chains & production Improved Agility, Higher productivity Easier Collaboration Accountability and transparency And Many More .... Matiyas Digital Solutions: Inventory Management, Procurement Management, Selling Management, Production Management, Retail POS Management, Manufacturing Management, Project Management, Customer Relationship Management, Accounting & Finance Management, Human Capital Management, Assets Management, Quality Management, Ecommerce, Website, Hospital Management Information System HMIS, Education Management and many more… Matiyas Offices: India, Oman, Kuwait, Canada, UAE, Armenia, Africa, Egypt Interested to Automate and Collaborate Effectively Through Our Custom Digital Solutions?

The way I describe this when talking with businesspeople is that the domain of technology is no longer in the IT department; the whole company is technology. I’m talking about all companies. If you’re trying to make cars or medical devices or any kind of product at all, and you want to have new customers, technology is the fulcrum of progress in everything you’re doing.

medical playroom she was now intimately acquainted with, there was a room with floor-to-ceiling mirrors covering every wall, a suspension rack hanging from the ceiling, a cache of impact toys nearby. Another room contained a tall, narrow slave cage and a hanging leather sex sling, along with a bin of sex toys, each in its own presumably sterile plastic bag. Yet another room had a polished wooden St. Andrew’s cross, a full rack of more beautiful impact toys waiting at the ready. There was a tiled room, a converted bathroom, with a suspension rig hung over the tub. There was a stack of plump towels on the nearby counter, along with a basket of ear and nose plugs. Next to that was a room filled with doorless wardrobes stuffed with gowns, lingerie and high heeled shoes in various sizes, including some clearly meant for a man’s larger foot. Along a counter beneath a large mirror there were wig stands with wigs of varying lengths and colors, as well as a tray filled with makeup, creams and powders. There were several more playrooms with numerous and varied restraint devices, plenty of impact toys and lots of delicious rope and chain.

Use Error is defined as a “user action or lack of user action while using the medical device that leads to a different result than that intended by the manufacturer or expected by the user

There simply are no truly independent sources of research in the US. Industry funding has extended its reach into every sector, from medical journals that present and interpret the research to universities and contract research entities that conduct the research to patient advocacy organizations that promote various treatments to medical education for doctors to the agencies that are supposed to protect the public interest—including the Centers for Disease Control and Prevention, the National Institutes of Health, and, of course, the FDA.

Unlike many superheroes who have an inherently superhuman ability or others who use external weapons and technology, Marvel Comics’ Iron Man has an electromagnetic power source implanted in his chest as part of a medical procedure to save his life. The device has so much power to spare that it allows him to deploy a suit of armor that protects him and affords him additional superhuman abilities. Iron Man is unique in that he is a regular human being transformed and saved from death by a foreign power source placed within him that not only saves his life

Similar to IBM’s transition from manufacturing hardware to providing high-value consulting services, medical device manufacturers may use the rich harvest of data that comes from their machines to become health data service providers.

Carlton Church - Natural Disaster Survival Kit Floods, earthquakes, tsunamis, super typhoons and fires. These types of news appear more frequently within this year than the previous ones. Old people nowadays even complain of the changing world, followed by endless accounts of peaceful living during their time. Are these all effects of global warming? Is our Mother Earth now starting to get angry of what we, humans, have done to its resources? Perhaps. We can never predict when a disaster would strike our home. And since you are still reading this, it is safe to assume that you are still able breathe and live your life. The best thing we can do right now is prepare. There is no use panicking only when the warning arrives. It is better to give gear up now and perhaps survive a few more years. Preparation should not be too extravagant. And it doesn’t have to be a suitcase filled with gas masks and whatnot. Remember that on the face of disaster, having a large baggage would be more of a burden that survival assistance. Pack light. You’ll only need a few of the following things: 1. Gears, extra batteries and supplies. Multi-purpose tool/knife, moist towelettes, dust masks, waterproof matches, needle and thread, compass, area maps, extra blankets and sleeping bags should all should be part of your emergency supply kit. It is also important to bring extra charge for your devices. There are back-up universal batteries available for most cell phones that can offer an extra charge. 2. Important paperwork and insurance documents. When tsunami hit Japan last 2011, all documents were washed up resulting to chaos and strenuous recovery operations. Until now, many citizens linger in the streets of Tokyo in the hopes that most technologically advanced city in the world can reproduce certificates, diplomas and other legal and important written document stolen by water. This is why copies of personal documents like a medication list, proof of address, deed/lease to home, and insurance papers, extra cash, family photos and emergency contact information should be included in your survival kits. 3. First Aid Kit Store your first aid supplies in a tool box or fishing tackle box so they will be easy to carry and protected from water. Inspect your kit regularly and keep it freshly stocked and do not use cheap and fraudulent ones. It is also helpful to note important medical information and most prescriptions that can be tucked into your kit. Medical gauges, bandages, Hydrogen peroxide to wash and disinfect wounds, individually wrapped alcohol swabs and other dressing paraphernalia should also be useful. Read more at: carltonchurch.org

The health sector is in desperate need of a cyber hygiene injection

HCCIC by the C suite at HHS is a profound statement of having the moral courage to do what's right for the health sector

A CISO's job is to streamline, harmonize and propagate cybersecurity and cyber hygiene throughout the organizational IoT microcosm and staff

Medical devices and EHR systems are notoriously vulnerable to remote compromise

If that hurdle could be overcome, Orszag added, the best ways to cut costs would be to use information technology to judge and act on the comparative effectiveness of drugs, medical devices, and other treatments. Moreover, the system had to be overhauled to pay doctors and hospitals based on their results, not on the fee-for-service basis of how many times a doctor saw a patient or how many tests the doctor ordered.

ECHOCARDIOGRAM (Echo) This test uses an ultrasound device to create a picture of the entire heart. The test evaluates how well the chambers of the heart are pumping and contracting and measures the size of the four chambers of the heart. It shows if the heart is normal sized or enlarged. It also measures the thickness of the heart muscle, which aids in the detection of high blood pressure. An electrocardiogram allows the doctor to take a look at all four valves of the heart. The heart’s valves can be damaged because of rheumatic fever or may show degenerative changes due to aging. These changes can lead to heart murmurs which cause the heart to work harder to pump the same amount of blood. This is one of the best tests doctors have to evaluate the heart at rest. It reveals the “ejection factor”, which is the amount of blood the heart moves with each beat. This should be 55% or more and underlying heart disease often shows up in a lower ejection factor. People with an ejection factor of 35% to 55% can lead a normal life with the help of medication. Below 35%, there is a risk of sudden death and a defibrillator should be installed surgically. A doctor may perform an echocardiogram to Assess the overall function of your heart Discover the presence of many types of heart disease Follow the progress of heart valve disease over time Evaluate the effectiveness of medical or surgical treatments

He shrugs and moves away. Suddenly he’s a sly punk running his hand along my desk, touching things that don’t belong to him. “Yeah, but we hit it off. There was this instant connection. You get it. You probably feel the same way when you get a new medical device, this sort of excitement down in your loins.

In 2010 and 2015, the FDA released a pair of draft “guidance” documents on “Adaptive Design” clinical trials for drugs and medical devices, which suggests—despite a long history of sticking to an option they trust—that they might at last be willing to explore alternatives.

AT 3:00 P.M. SHARP on August 23, 2012, Colonel Edgar escorted the two men into Mattis’s office on MacDill Air Force Base in Tampa. The sixty-one-year-old general was an intimidating figure in person: muscular and broad shouldered, with dark circles under his eyes that suggested a man who didn’t bother much with sleep. His office was decorated with the mementos of a long military career. Amid the flags, plaques, and coins, Shoemaker’s eyes rested briefly on a set of magnificent swords displayed in a glass cabinet. As they sat down in a wood-paneled conference room off to one side of the office, Mattis cut to the chase: “Guys, I’ve been trying to get this thing deployed for a year now. What’s going on?” Shoemaker had gone over everything again with Gutierrez and felt confident he was on solid ground. He spoke first, giving a brief overview of the issues raised by an in-theater test of the Theranos technology. Gutierrez took over from there and told the general his army colleague was correct in his interpretation of the law: the Theranos device was very much subject to regulation by the FDA. And since the agency hadn’t yet reviewed and approved it for commercial use, it could only be tested on human subjects under strict conditions set by an institutional review board. One of those conditions was that the test subjects give their informed consent—something that was notoriously hard to obtain in a war zone. Mattis was reluctant to give up. He wanted to know if they could suggest a way forward. As he’d put it to Elizabeth in an email a few months earlier, he was convinced her invention would be “a game-changer” for his men. Gutierrez and Shoemaker proposed a solution: a “limited objective experiment” using leftover de-identified blood samples from soldiers. It would obviate the need to obtain informed consent and it was the only type of study that could be put together as quickly as Mattis seemed to want to proceed. They agreed to pursue that course of action. Fifteen minutes after they’d walked in, Shoemaker and Gutierrez shook Mattis’s hand and walked out. Shoemaker was immensely relieved. All in all, Mattis had been gruff but reasonable and a workable compromise had been reached. The limited experiment agreed upon fell short of the more ambitious live field trial Mattis had had in mind. Theranos’s blood tests would not be used to inform the treatment of wounded soldiers. They would only be performed on leftover samples after the fact to see if their results matched the army’s regular testing methods. But it was something. Earlier in his career, Shoemaker had spent five years overseeing the development of diagnostic tests for biological threat agents and he would have given his left arm to get access to anonymized samples from service members in theater. The data generated from such testing could be very useful in supporting applications to the FDA. Yet, over the ensuing months, Theranos inexplicably failed to take advantage of the opportunity it was given. When General Mattis retired from the military in March 2013, the study using leftover de-identified samples hadn’t begun. When Colonel Edgar took on a new assignment as commander of the Army Medical Research Institute of Infectious Diseases a few months later, it still hadn’t started. Theranos just couldn’t seem to get its act together. In July 2013, Lieutenant Colonel Shoemaker retired from the army. At his farewell ceremony, his Fort Detrick colleagues presented him with a “certificate of survival” for having the courage to stand up to Mattis in person and emerging from the encounter alive. They also gave him a T-shirt with the question, “What do you do after surviving a briefing with a 4 star?” written on the front. The answer could be found on the back: “Retire and sail off into the sunset.

primarily in the field of medical devices. Intriguingly, while at Dow Corning in the 1960s, he helped to invent the first generation of silicone breast implants. Today, he owned two companies: MediCor and Southwest Exchange. MediCor’s breast implant business had looked promising for a while. But the success enjoyed there was short-lived, and McGhan turned desperate. To keep MediCor solvent, McGhan began siphoning money from Southwest Exchange. Southwest Exchange, which McGhan bought in

Unlocking the Benefits of Continuous Glucose Monitors: A Comprehensive Guide Continuous Glucose Monitors (CGMs) have revolutionized diabetes management, offering real-time insights into blood sugar levels like never before. As the prevalence of diabetes continues to rise globally, understanding the significance of CGMs becomes paramount. Let's delve into the world of CGMs, exploring their benefits, functionality, and impact on diabetes care. What are Continuous Glucose Monitors? Continuous Glucose Monitors are wearable devices that continuously track glucose levels throughout the day and night. Unlike traditional glucose meters, CGMs provide real-time data, offering a comprehensive view of glucose fluctuations and trends. Benefits of Continuous Glucose Monitors Continuous Monitoring CGMs provide a continuous stream of glucose data, empowering individuals to make informed decisions about their diet, exercise, and medication. Early Detection CGMs can detect both hypo- and hyperglycemic episodes before they become severe, enabling prompt intervention. Improved Diabetes Management By providing insights into how different factors affect blood sugar levels, CGMs facilitate personalized diabetes management strategies. Enhanced Quality of Life CGMs reduce the need for frequent fingerstick testing, minimizing discomfort and improving overall quality of life for individuals with diabetes. Remote Monitoring CGMs can be integrated with smartphone apps, allowing caregivers and healthcare providers to remotely monitor glucose levels and provide timely assistance. How do Continuous Glucose Monitors Work? CGMs consist of three main components: a sensor, transmitter, and receiver/display device. Measurement of glucose levels in the interstitial fluid is performed by the sensor, which is commonly inserted beneath the skin. The transmitter sends this data to the receiver/display device, where users can view real-time glucose readings and trends. Conclusion Continuous Glucose Monitors represent a significant advancement in diabetes management, offering unparalleled insights and convenience. With their ability to provide continuous glucose monitoring, early detection of fluctuations, and personalized insights, CGMs are transforming the lives of individuals with diabetes worldwide. Embracing this technology can lead to better diabetes management, improved quality of life, and reduced risk of diabetes-related complications.

The Dexcom Continuous Glucose Monitoring System Living with diabetes requires constant vigilance over blood sugar levels. For decades, individuals with diabetes relied on periodic finger pricks to monitor glucose levels, but this method offered only snapshots of a dynamic condition. However, with the advent of continuous glucose monitoring (CGM) systems like Dexcom, managing diabetes has entered a new era of convenience and precision. The Dexcom Continuous Glucose Monitoring system is a game-changer for people with diabetes, offering real-time insights into glucose levels without the need for multiple finger pricks throughout the day. The system consists of a small sensor that is inserted just beneath the skin, typically on the abdomen, and continuously measures glucose levels in the interstitial fluid. This sensor communicates wirelessly with a receiver or compatible smart device, providing users with real-time glucose readings every few minutes. One of the key advantages of the Dexcom CGM system is its ability to track glucose trends over time. By providing continuous data, users can see how their glucose levels respond to food, exercise, medication, and other factors, empowering them to make informed decisions about their diabetes management. Additionally, the system includes customizable alerts for high and low glucose levels, helping users proactively manage their condition and avoid dangerous fluctuations. The Dexcom Continuous Glucose Monitoring system is not only beneficial for individuals with diabetes but also for their caregivers and healthcare providers. Caregivers can remotely monitor the glucose levels of loved ones, offering peace of mind and the ability to intervene quickly in case of emergencies. Healthcare providers can access detailed reports of a patient's glucose data, enabling more personalized treatment plans and adjustments to medication regimens. Furthermore, Dexcom has been at the forefront of innovation in CGM technology, continuously improving the accuracy, reliability, and usability of its systems. Recent advancements include longer sensor wear time, smaller and more comfortable sensors, and integration with insulin pumps and artificial pancreas systems for automated insulin delivery. In conclusion, the Dexcom Continuous Glucose Monitoring system has revolutionized diabetes management by providing real-time insights, customizable alerts, and greater convenience for users. With continuous advancements in technology, Dexcom continues to empower individuals with diabetes to live healthier, more active lives while effectively managing their condition.

Medical science has discovered that the body’s nervous system that conveys pain to us is designed to save our lives. Scientific research on leprosy has revealed that most of the loss of fingers and toes is not caused by the disease but by the leper himself. Leprosy destroys the ability to sense pain. Hence the leper has no warning when he is in dangerous situations that can cause harm or even death to his body. For example, if one cannot feel pain, then he could be severely or fatally burned without even knowing it. Lesson Two: In order to save us from self-destruction the pain has to be strong enough. In addition, experiments done with lepers demonstrate some of pain’s main purposes. When lepers were equipped with bleeping devices to warn of pain, it was discovered that they did not work. Why? Because a bleep is not painful, it did not divert them from unwitting self-destructive activity. Lesson Three: In order for pain to work it has to be out of our control. Further, doctors learned that hooking up a shock mechanism did not work either. Once the leper learned he would be shocked by a sharp warning pain in certain situations, he would turn the system off so as not to be confronted with it again. Now, it is difficult to imagine a better way to utilize pain for our benefit than the world in which we live. Certainly the pain is strong enough, and it is often beyond our control. Rabbi Harold Kushner admitted this point in When Bad Things Happen to Good People: “I am a more sensitive person, a more effective pastor, a more sympathetic counselor because of [my son] Aaron’s life and death than I would have ever been without it” (133). But he added, “If I could choose, I would forgo all the spiritual growth and depth which has come my way” (ibid.). And that is the point: None of us will to go through suffering, and yet most of us admit we are better persons for having done so.

Other research establishes the ability of one person to affect another through these fields. For instance, studies at the Institute of HeartMath in California have shown that one person’s electrocardiograph (heart) signal can be registered in another person’s electroencephalogram (EEG, measuring brain activity) and elsewhere on the other person’s body. An individual’s cardiac signal can also be registered in another’s EEG recording when two people sit quietly opposite one another.89 This interconnectivity of fields and intention is a marriage of subtle energy theory and quantum physics. As Dr. Benor pointed out, Albert Einstein has already proven that matter and energy are interchangeable. For centuries, healers have been reporting the existence of interpenetrating, subtle energy fields around the physical body. Hierarchical in organization (and vibration), these fields affect every aspect of the human being.90 Studies show that healing states invoke at least the subtle biomagnetic fields. For example, one study employed a magnetometer to quantify biomagnetic fields coming from the hands of meditators and yoga and Qigong practitioners. These fields were a thousand times stronger than the strongest human biomagnetic field and were located in the same range as those being used in medical research labs for speeding the healing of biological tissues—even wounds that had not healed in forty years.91 Yet another study involving a superconducting quantum interference device (SQUID) showcased large frequency-pulsing biomagnetic fields emanating from the hands of therapeutic touch professionals during treatments

Intuitive information—unuttered, mind-locked data—does pass from person to person. Energy medicine is largely dependent upon a practitioner getting an image, gut sense, or inner messages that provide diagnostic and treatment insight. Edgar Cayce, a well-known American psychic, was shown to be 43 percent accurate in his intuitive diagnoses in a posthumous analysis made from 150 randomly selected cases.43 Medical doctor C. Norman Shealy tested now well-known intuitive Caroline Myss, who achieved 93 percent diagnostic accuracy when given only a patient’s name and birth date.44 Compare these statistics to those of modern Western medicine. A recent study published by Health Services Research found significant errors in diagnostics in reviewed cases in the 1970s to 1990s, ranging from 80 percent error rates to below 50 percent. Acknowledging that “diagnosis is an expression of probability,” the paper’s authors emphasized the importance of doctor-patient interaction in gathering data as a way to improve these rates.45 A field transfers information through a medium—even to the point that thought can produce a physical effect, thus suggesting that T-fields might even predate, or can at least be causative to, L-fields. One study, for example, showed that accomplished meditators were able to imprint their intentions on electrical devices. After they concentrated on the devices, which were then placed in a room for three months, these devices could create changes in the room, including affecting pH and temperature.46 Thought fields are most often compared to magnetic fields, for there must be an interconnection to generate a thought, such as two people who wish to connect. Following classical physics, the transfer of energy occurs between atoms or molecules in a higher (more excited) energy state and those in a lower energy state; and if both are equal, there can be an even exchange of information. If there really is thought transmission, however, it must be able to occur without any physical touch for it to be “thought” or magnetic in nature versus an aspect of electricity. Besides anecdotal evidence, there is scientific evidence of this possibility. In studying semiconductors, solid materials that have electrical conduction between a conductor and an insulator, noteworthy scientist Albert Szent-Györgyi, who won the Nobel Prize in 1937, discovered that all molecules forming the living matrix are semiconductors. Even more important, he observed that energies can flow through the electromagnetic field without touching each other.47 These ideas would support the theory that while L-fields provide the blueprints for the body, T-fields carry aspects of thought and potentially modify the L-fields, influencing or even overriding the L-field of the body.48

The Impact of Continuous Glucose Monitors on Diabetes Management Continuous Glucose Monitors (CGMs) have revolutionized diabetes management by providing real-time insights into blood sugar levels. These small wearable devices offer a continuous stream of data, enabling individuals with diabetes to make informed decisions about their health. Unlike traditional glucose meters, which only provide a snapshot of blood sugar levels at a single moment, Continuous Glucose Monitors track fluctuations and trends throughout the day and night. This constant monitoring allows for better glycemic control and reduces the risk of complications associated with diabetes. One of the key benefits of CGMs is their ability to provide immediate feedback on how food, physical activity, and medication affect blood sugar levels. This empowers individuals to make timely adjustments to their lifestyle and treatment plans. Moreover, CGMs offer enhanced convenience by eliminating the need for frequent finger pricks. Instead, users can simply wear the device and receive continuous glucose readings without interruption. Another advantage of Continuous Glucose Monitors is the ability to set customizable alerts and alarms for high or low blood sugar levels. These notifications help individuals to take prompt action to prevent dangerous situations such as hypoglycemia or hyperglycemia. Furthermore, many CGM systems allow for data sharing with healthcare providers, facilitating more personalized and collaborative diabetes management. This improves communication between patients and healthcare professionals, leading to better treatment outcomes. Overall, Continuous Glucose Monitors have improved diabetes management by delivering real-time insights, convenience, and glycemic control. Embracing this technology can empower individuals with diabetes to take control of their health and live fuller, healthier lives.

The Game-Changer in Diabetes Management: Continuous Glucose Monitors Continuous Glucose Monitors (CGMs) have revolutionized diabetes management, offering real-time insights into blood sugar levels like never before. In this article, we'll delve into the significance of CGMs, their benefits, and why they are a game-changer for individuals living with diabetes. Understanding Continuous Glucose Monitors Continuous Glucose Monitors are wearable devices that constantly monitor glucose levels in the interstitial fluid, providing users with real-time data on their blood sugar levels. Unlike traditional finger-prick tests, CGMs offer a continuous stream of information, allowing for proactive management of diabetes. Benefits of Continuous Glucose Monitors Real-Time Monitoring: CGMs offer instant feedback on blood sugar levels, enabling users to make informed decisions about their diet, medication, and lifestyle choices. Early Detection of Trends: CGMs track glucose trends over time, allowing users to identify patterns and adjust their management strategies accordingly. Improved Diabetes Management: With continuous monitoring, individuals can better manage their blood sugar levels, reducing the risk of hyperglycemia and hypoglycemia episodes. Enhanced Quality of Life: CGMs provide greater freedom and flexibility, reducing the need for frequent finger pricks and offering peace of mind to individuals and their caregivers. Why CGMs Are a Game-Changer Precision Medicine: Continuous Glucose Monitors enable personalized diabetes management by providing individualized insights into glucose fluctuations and responses to various factors. Empowerment Through Data: CGMs empower users with valuable data, enabling them to take control of their health and make informed decisions in collaboration with healthcare providers. Continuous Innovation: Advancements in CGM technology, such as improved accuracy and connectivity features, continue to enhance the user experience and expand the capabilities of these devices. Integration with Digital Health Ecosystem: CGMs seamlessly integrate with mobile apps and other digital health platforms, facilitating data sharing, remote monitoring, and telehealth consultations. Conclusion Continuous Glucose Monitors represent a significant advancement in diabetes management, offering real-time insights, personalized care, and improved quality of life for individuals living with diabetes. As technology continues to evolve, CGMs will play an increasingly vital role in empowering individuals to live healthier, more active lives while effectively managing their condition.