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Friday, May 24, 2013

3D Printing Technology Saves Life of Infant With Windpipe Birth Defect

This is a neat story as thus far 3D printing has beenimage limited to mostly bone reconstruction areas and dental areas but now the tissue was actually re-created in the windpipe area.  It’s amazing where the technology is going and the doctors has to get FDA approval for the process as it had not yet been tried on humans, only animals. 

Woman Receives Jaw Transplant-Created by a 3D Printer–She Can Swallow Again at 83 Years of Age-Regenerative Printed Medicine

At Wake Forest they are “printing” kidney’s as well using stem cells and this is all at the beginning stages and you can revisit this TED presentation whereby the kidney was being printed in real time back in 2011.  BD


Kaiba Gionfriddo was six weeks old when he suddenly stopped breathing and turned blue at a restaurant. Kaiba’s parents quickly rushed him to the hospital where they learned that his left bronchial tube had collapsed because of a previously undetected birth defect. During the next few weeks the life-threatening attacks recurred, increasing in number until they became everyday events. Physicians and researchers, however, used some of the most sophisticated bioengineering techniques available to 3-D print a synthetic tube to hold the baby's airway open. Kaiba had the surgery in January 2012 and hasn’t suffered an airway collapse since.

Problems with the trachea, however, lend themselves to 3-D printed solutions because the organ's ridged tubelike structure is simple. After testing their idea in piglets, Green and his colleagues were confident a printed device would work. Scott Hollister, a professor of biomedical engineering at Michigan was in charge of designing sleeve that would wrap around the outside of the floppy airway. The sleeve's structure allows it to expand as the airway grows and develops while simultaneously resisting spasms that pull inward, thereby collapsing the airway.

The team first used a computed tomography (CT) scan to sketch out Kaiba’s airways. From those images, they then sculpted a three-dimensional printed cast that had the same shape as Kaiba’s collapsed bronchus. Using that cast they created the sleeve or splint that would wrap around the bronchus. It took several tries but the researchers were eventually able to create a perfect fit. The next step was to sew the tissue of Kaiba’s bronchus to the inside of the sleeve. The team needed to obtain an emergency-use approval from the U.S. Food and Drug Administration before they could implant the device. "When we put the splint on, we saw his lungs move for the first time," Green says. As Kaiba grows, the device should expand with him.

http://www.scientificamerican.com/article.cfm?id=3-d-printed-windpipe

California Insurance Exchange Starting to Look Pretty Blue as Aetna, Cigna and United Have Announced They are Not Participating

We heard from United earlier in the year that they would be picking and choosing where they would participate and actually the linkimage below has quite a few summaries about the company with quite a few references on many of the subsidiaries they own.  Already they seem to be set with a lot of revenue and profit with the west coast Tri-Care contract where the company sued the DOD to get it.

United Healthcare States They Will Pick and Choose Health Insurance Exchanges Where They Participate, As They Algorithmically Model Where Profitability Will Exist and Allow for the Creation of Additional Analytics

Of course there are others besides Blue Cross and Blue Shield, such as Kaiser Permanente who will be participating but this certainly shows how analytics and use of algorithms to determine exact profits are playing a bigger role with insurance.  It was also announced today what some of the prospective costs will be on some policies and they seem to be all over the chart, again depending on age and if the consumer qualifies for any subsidiaries.  Some with subsidiaries will end up not having to pay anything from coverage. 

All three of the companies who are not participating this year all have a large business focus as well versus selling premiums direct to consumers, and thus so it looks like there may be a lot of “blue” in the California exchanges.  In addition I know all are working hard in the IT area of all of this and some of it may not be 100% complete but may add more later.  States too are facing more competition from private exchanges and there are more of those popping up too, mostly for the employer provided health insurance plans.  BD

One More Insurance Exchange Started by Former Humana Executive–Currently There Are Over 100 Private Exchanges in Place To Compete With State Exchanges

UnitedHealth, the nation's largest private insurer, Aetna Inc. and Cigna Corp. are sitting out the first year of Covered California, the state's insurance exchange and a key testing ground nationally for a massive coverage expansion under the federal healthcare law.

Meanwhile, the biggest insurers in the state — Kaiser Permanente, Anthem Blue Cross and Blue Shield of California — are all expected to participate in the state-run market for individual health coverage.

UnitedHealth, Aetna and Cigna are small players now in California's individual health insurance market. More of their business is focused on large employers, where most Californians receive their health coverage. But the companies signaled a wait-and-see approach on these new government-run marketplaces.

http://www.latimes.com/business/la-fi-health-insure-20130523,0,1895918.story

Thursday, May 23, 2013

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Wednesday, May 22, 2013

Researchers Develop Inhalation Drug Delivery System to Treat Lung Cancer

So far the delivery system has been tested in animals and a patent is being applied for.  An inhaled approach with chemotherapy imagecan help avoid the toxic exposure to other parts of the body and we all know how that goes with treatment.  It can also go directly to the target without an IV infusion.  More work is still needed before the process can go into clinical trials on humans.  The percentage of the drug delivered also rose to 83% from 23% with an IV injection.  BD


In more conventional chemotherapy for lung cancer, the drugs tend to accumulate in the liver, kidney and spleen, with much less of the drugs ever making it to the lungs. In this study, the amount of the drug delivered to the lungs rose to 83 percent with the inhalation approach, versus 23 percent with injection.

This work was supported by the National Cancer Institute, National Science Foundation, and the Department of Defense.

"A drug delivery system that can be inhaled is a much more efficient approach, targeting just the cancer cells as much as possible," he said. "Other chemotherapeutic approaches only tend to suppress tumors, but this system appears to eliminate it."

A patent is being applied for on the technology, and more testing will be necessary before it is ready for human clinical trials, the researchers said.

http://www.sciencedaily.com/releases/2013/05/130522131212.htm

Johnson and Johnson Phasing Out Production of All Metal Hip Replacements

Anyone who has followed the news, and you almost could not have missed it regarding the lawsuits and recalls should not see this as any kind of surprise.  Back in 2011 the company received approval for a ceramic on metal device which one might guess was to replace the metal on metal.

DePuy Orthopedics Gets FDA Approval For Ceramic-on-Metal Hip Implant Pinnacle CoMplete System–Is This A Potential Replacement for the Other Ones Out There?

One company, Biomet bought a portion of the DePuy business and this was to help with the acquisition of Synthes.

Biomet Makes Offer to Buy DePuy Business from Johnson and Johnson To Enable Regulatory Clearance for The Purchase of Synthes

The FDA is also requesting study information from those manufacturers who had devices approved without full clinical studies and Johnson and Johnson said they would not be a participant as they were leaving this market.  This was probably a good move as it would appear their market has probably all but disappeared for the particular ASR metal product.  BD


The orthopedic unit of Johnson & Johnson said Thursday that it was phasing out production of all-metal replacement hips, a move reflecting an industry wide trend to abandon the once widely used implants because of high early failure rates.

Johnson & Johnson is facing a wave of lawsuits from patients who say they were injured when all-metal implants sold by the company failed. It faces over 10,000 cases related to the A.S.R. and 3,300 cases related to the all-metal Pinnacle, according to a company filing with the Securities and Exchange Commission

In a statement Thursday, DePuy pointed to two factors behind its decision to drop the all-metal Pinnacle: sharply declining surgeon demand for all-metal devices and a recent ruling by the Food and Drug Administration affecting such products.

http://www.nytimes.com/2013/05/17/business/jj-is-phasing-out-metal-replacement-hips.html?partner=socialflow&smid=tw-nytimesbusiness&_r=2&

Tuesday, May 21, 2013

California UC Hospital 2 Day Strike Begins on Tuesday-Contract Pension and Patient Safety Issues

Elective surgeries have been cancelled at the facilities and UCLA has hired additional replacements for the duration of the strike.image  Thus far the union has refused to accept a new pension plan.  The workers are also claiming patient safety as a reason as well.  We all know hospitals all over are doing more with less and it seems there’s no exception here.  BD


Respiratory therapists, nursing aides, surgical technicians and other patient care workers plan to stage a walkout starting Tuesday morning at five University of California medical centers.

More than 12,000 workers from the American Federation of State, County and Municipal Employees are expected to participate in the two-day strike over staffing, pay and pension reform, union officials said. An additional 3,400 workers from the University Professional and Technical Employees union plan a one-day sympathy strike.

UC officials are preparing for the walkout by canceling elective surgeries, chemotherapy treatments and other medical procedures. They have estimated the cost of the strike will be as much as $20 million.  The strike will run from 4 a.m. Tuesday until 4 a.m. Thursday at the five centers in Sacramento (UC Davis), Los Angeles, Irvine, San Francisco and San Diego.  Those participating in the strike work in the pharmacies, cancer centers, operating rooms and laboratories.

http://www.latimes.com/news/local/la-me-uc-medical-strike-20130521,0,7118184.story

Privacy and Medical Records–Fox News Interview With Dr. Deborah Peel. Privacy Rights Founder & Marc Rotenberg from EPIC Privacy Info Center

Privacy with medical records is making the news today in more ways than one.  This is a good video with Dr. Deborah Peel and EPIC Marc Rotenberg President on privacy.  A while back I made a post about HIPAA needing to be removed from the HHS silo so the laws and rules could be cross referenced in other places as we have more imageentities in healthcare today than ever.  Sometimes these are companies who have never been exposed to healthcare and the rules that enter into new lines of business. Also read my commentary on how all privacy laws will absolutely fail without identifying who is selling data and what kind.  The solution here is to require a license and as a bonus I say excise tax the billions they make in profits selling data.  It is an epidemic.  Why companies and banks can just have a free hand like the wild west selling data when we require real estate agents to be licensed to sell homes, doctors and nurses to be licensed and so on is beyond me. 

Privacy Relative to Tracking Apps and Data Mining Legislation Will Fail If There is No Regulation Path Created–License and Excise Tax Data Miners & Sellers Otherwise It’s “Laws With No Balls”

There’s tons of profits out there when you look at Walgreen in 2010 making short of $800 million selling data only

Time to Take HIPAA Out of the Healthcare Silo–Needs to Be Integrated In Overall Privacy Laws Healthcare Information Is All Over The Place And Privacy Efforts Will Fail Without Real Algorithmic Levels of Regulation

You answer, would it have helped to have HIPAA rules included as a cross reference for the IRS with their latest woes?

IRS Facing Lawsuit Over HIPAA Violations Considered a Data Breach of Ten Million Records With Unauthorized Seizure

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Here’s a bonus video that will help open your eyes as well about algorithms taking over the world.  I have included this as so much of the data selling and moving is all done programmatically and who gets to play “God” if you will and say who moves what information and money where? This also applies in healthcare with our data…data selling and privacy has crossed the line from utility to menace as well.  Time to license and tax the data sellers so we know who they are and what they are selling.  

This is also a great related video and wake up and see how far the queries and models are going as companies model for profit.   

Health Insurers and Others Trying to Track Junk Food Consumers Purchase–Attack of the Killer Algorithms for Corporate Profits

As I keep saying, licensing is step one so we know who they are and what kind of data they are selling and to who.  Some are really liking this idea of late in the Health IT business.  BD 

Time Has Come to License and Tax the Data Sellers of the Web, Companies, Banks, Social Networks..Any One Making a Profit-Latest Microsoft/Google Privacy War Helping the Cause –Consumers Deserve to Know What Is Being Sold and To Who in a Searchable Format

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http://www.foxbusiness.com/on-air/willis-report/videos#p/157870/v/2397321883001