The Cost of Medical Bias When You’re Sick, Black, and Female

This is Race and Medicine, a series dedicated to unearthing the uncomfortable and sometimes life-threatening truth about racism in healthcare. By highlighting the experiences of Black people and honoring their health journeys, we look to a future where medical racism is a thing of the past.


Being a doctor is a unique role. It involves knowing some of the most intimate things about a person, but not really knowing them as a person at all.

The patient’s job is to be transparent about their health, and the doctor’s job is to listen objectively to symptoms and fears to choose the most logical diagnosis. 

Racial bias in the medical field disrupts the trust needed for this relationship to function. 

A biased doctor might disbelieve symptoms or their severity and misdiagnose a condition.

A patient may come to mistrust the doctor, not attend appointments, not follow instructions, or stop sharing key information because history tells them they aren’t taken seriously. 

Reducing bias is critical to eliminating health disparities, especially for Black women.

My run-in with bias

Several years ago, I experienced medical bias when I started having headaches multiple times per week. I had had migraine before, but this was different. 

I felt like I was dragging my body through heavy resistance, like encountering an undertow. I was losing weight. No matter how much water I drank, I was always thirsty and rushing to the bathroom around the clock. 

It seemed I could never eat enough to feel full. When I tried to avoid overeating, I became fatigued, my vision blurred, and I had so much trouble focusing it was hard to drive.

My primary care physician (PCP) cut me off when I tried to explain.

She congratulated me for losing weight and said I just needed to let my brain adjust to food deprivation. When I explained I wasn’t dieting, she sent me to a headache specialist. 

The headache specialist prescribed a medication that didn’t help. I knew they weren’t migraine headaches, but no one listened, even as my fatigue and disorientation increased. 

Once, I even had trouble finding my own house.

By my sixth visit, the symptoms were massively disrupting my life. I wondered if I had type 2 diabetes because of family history. My symptoms seemed to match. 

I knew of a test called HbA1c that provides a snapshot of blood sugar levels. I insisted on being tested. My doctor said she would order labs based on my demographics. 

I thought I was finally getting somewhere — but when the receptionist at the lab printed the list of tests, HbA1c wasn’t present. Instead, it was tests for common STDs. 

I was humiliated, overwhelmed, and no closer to having answers. In the parking lot, I broke down and cried. 

Subtle racism

When Black people share instances of racism, it’s often disregarded as playing the ‘race card’ or as an isolated incident. It’s much more difficult to explain subtle racism than it is to explain blatant acts like burning crosses and

Investors Extracted $400 Million From a Hospital Chain That Sometimes Couldn’t Pay for Medical Supplies or Gas for Ambulances

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In the decade since Leonard Green & Partners, a private equity firm based in Los Angeles, bought control of a hospital company named Prospect Medical Holdings for $205 million, the owners have done handsomely.

Leonard Green extracted $400 million in dividends and fees for itself and investors in its fund — not from profits, but by loading up the company with debt. Prospect CEO Sam Lee, who owns about 20% of the chain, made $128 million while expanding the company from five hospitals in California to 17 across the country. A second executive with an ownership stake took home $94 million.

The deal hasn’t worked out quite as well for Prospect’s patients, many of whom have low incomes. (The company says it receives 80% of its revenues from Medicare and Medicaid reimbursements.) At the company’s flagship Los Angeles hospital, persistent elevator breakdowns sometimes require emergency room nurses to wheel patients on gurneys across a public street as a security guard attempts to halt traffic. Paramedics for Prospect’s hospital near Philadelphia told ProPublica that they’ve repeatedly gone to fuel up their ambulances only to come away empty at the pump: Their hospital-supplied gas cards were rejected because Prospect hadn’t paid its bill. A similar penury afflicts medical supplies. “Say we need 4×4 sponges, dressing for a patient, IV fluids,” said Leslie Heygood, a veteran registered nurse at one of Prospect’s Pennsylvania hospitals, “we might not have it on the shelf because it’s on ‘credit hold’ because they haven’t paid their creditors.”

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In March, Prospect’s New Jersey hospital made national headlines as the chief workplace of the first U.S. emergency room doctor to die of COVID-19. Before his death, the physician told a friend he’d become sick after being forced to reuse a single mask for four days. At a Prospect hospital in Rhode Island, a locked ward for elderly psychiatric patients had to be evacuated and sanitized after poor infection control spread COVID-19 to 19 of its 21 residents; six of them died. The virus sickened a half-dozen members of the hospital’s housekeeping staff, which had been given limited personal protective equipment. The head of the department died.

The litany goes on. Various Prospect facilities in California have had bedbugs in patient rooms, rampant water leaks from the ceilings and what one hospital manager acknowledged to a state inspector “looks like feces” on the wall. A company consultant in one of its Rhode Island hospitals discovered dirty, corroded and cracked surgical instruments in the operating room.

These aren’t mere anecdotes or anomalies. All but one of Prospect’s hospitals rank below average in the federal government’s annual quality-of-care assessments, with just one or two stars out of five, placing them in

Detroit Medical Center drops plans for sports medicine institute near Little Caesars Arena

DETROIT (WXYZ) — The Detroit Medical Center has announced it “will not move forward with plans” to join a $70 million development near Little Caesars Arena in Detroit.

Olympia Development of Michigan and DMC announced the 20-year agreement to build and operate an innovative, state-of-the-art 50,000-square-foot sports medicine facility adjacent to Little Caesars Arena 2 back in June 2018.

The $70 million building would replace a former surface parking lot at Sproat Street and will bring four floors of Class A office space and 17,000 square feet of street-level retail to The District Detroit, according to officials.

Read the full statement below:

The last several months have brought about unprecedented change for the health care industry. Stay-at-home orders and restrictions prohibiting elective procedures caused hospitals everywhere to reevaluate their core services.

The Detroit Medical Center is committed to ensuring full preparedness for both the pandemic and the ongoing needs of our local community’s health care needs.

After careful consideration, we have made the decision to focus on our core mission and the DMC will not move forward with plans to lease space for a sports medicine institute. Our decision allows us to reallocate resources appropriately in this changing environment.

We appreciate the efforts of Olympia Development of Michigan and value our relationship with the organization. We have come to this decision in cooperation with them and we appreciate their support for the DMC’s core mission.

The DMC will continue to provide outstanding medical care and training for athletes in its existing facilities. Services are provided at Rehabilitation Institute of Michigan’s outpatient therapy sites across the region and the DMC Sports Performance clinic site in Pontiac in addition to the extensive array of orthopedic care options available through the DMC network.

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DONY supply COVID face mask, PPE medical coverall to Singapore, Hong Kong, Taiwan, Macao, Malaysia

DONY Launches Full Line of Personal Protective Equipment: The DONY Mask, The DONY Disposable Surgical Protective Coverall, and The DONY Medical Isolation Gown Suit – Full Protection From Head to Toe.

Dony Factory

The company is supplying globally, the majority of Dony's customers are in the following 15 countries: Malaysia, Hong Kong, Japan, Taiwan, Korea, Macao, France, Germany, United Kingdom, USA, Canada, Singapore, UK, UAE and Australia.
The company is supplying globally, the majority of Dony’s customers are in the following 15 countries: Malaysia, Hong Kong, Japan, Taiwan, Korea, Macao, France, Germany, United Kingdom, USA, Canada, Singapore, UK, UAE and Australia.
The company is supplying globally, the majority of Dony’s customers are in the following 15 countries: Malaysia, Hong Kong, Japan, Taiwan, Korea, Macao, France, Germany, United Kingdom, USA, Canada, Singapore, UK, UAE and Australia. 

Dony Compression Suit

DONY Launches Full Line of Personal Protective Equipment: The DONY Mask, The DONY Disposable Surgical Protective Coverall, and The DONY Medical Isolation Gown Suit - Full Protection From Head to Toe.
DONY Launches Full Line of Personal Protective Equipment: The DONY Mask, The DONY Disposable Surgical Protective Coverall, and The DONY Medical Isolation Gown Suit – Full Protection From Head to Toe.
DONY Launches Full Line of Personal Protective Equipment: The DONY Mask, The DONY Disposable Surgical Protective Coverall, and The DONY Medical Isolation Gown Suit – Full Protection From Head to Toe.

Ho Chi Minh City, Vietnam, Sept. 29, 2020 (GLOBE NEWSWIRE) — With the COVID-19 pandemic in mind, the Vietnamese manufacturer DONY GARMENT is proud to announce the launch of a full line of high-quality personal protective equipment. Companies across the globe have stepped up to provide the products and services needed for the world to continue fighting, and DONY is proud to be part of that effort, with the introduction of disposable medical protective coveralls clothing, premium reusable face mask, and disposable surgical sterile isolation gown suit.

The DONY Mask:

The DONY Mask provides the highest level of COVID-19 protection, reusable up to sixty times, with a bacterial filtration efficiency of over 99%. And that’s not all:

  • – UV Protection of up to 99.95%

  • – Sterilized prior to packaging

  • – Perfect Water Resistance

  • – Air Resistance greater than requirements across Europe

  • – Elasticity over 2x higher than usual masks

The DONY Mask is certified by organizations across the world, including the United States FDA, the French Armed Forces, the Australian Department of Health, and more. As a result, you can rest easy knowing you are providing the highest quality protection to your organization. DONY products even have a 100% money-back guarantee!

The time is right for a better kind of face mask, says DONY [CEO] Henry Pham. And Viet Nam is the right country to provide it.

In the past, the world turned to China when it needed massive quantities of consumer products,” notes Pham. “The COVID-19 pandemic changed that a bit and the ongoing trade war between China and the US have inhibited Chinese production of PPE even more.

“Other countries have been catching up to China’s manufacturing capacity: we can now produce nearly a quarter-million DONY Masks a day when needed. We do it with a degree of precision and quality control that larger Chinese manufacturers can’t match, and with the same low overhead, government support, and access to global shipping channels that China is known for.

The

Michael Porter of Harvard Business School has Joined the Board of Directors of ExThera Medical Corporation

Michael Porter, Ph.D., has joined the board of directors of ExThera Medical Corporation, a privately held medical technology company focused on the therapeutic reduction of drug-resistant pathogens and sepsis mediators in whole blood. ExThera’s Seraph® 100 Microbind® Affinity Blood Filter (Seraph 100) has a CE Mark in Europe for the treatment of a wide range of bloodstream infections. In the USA Seraph 100 has Emergency Use Authorization from FDA, where it is being used successfully in the treatment of COVID-19 patients, many of whom are critically ill.

This press release features multimedia. View the full release here: https://www.businesswire.com/news/home/20200929005367/en/

Michael Porter (Photo: Business Wire)

Professor Porter, the Bishop William Lawrence University Professor at Harvard Business School, is recognized as a leading authority on competitive strategy, the competitiveness and economic development of nations and regions, and the application of competition and strategy principles to address social problems such as health care, the environment, and creating economic opportunity by increasing corporate social impact. Harvard University and Harvard Business School jointly created the Institute for Strategy and Competitiveness dedicated to furthering Professor Porter’s research. In addition, he has founded several non-profit organizations including the Initiative for a Competitive Inner City (ICIC), focused on revitalizing distressed economic urban communities, and the International Consortium for Health Outcome Measurements (ICHOM), the leader in developing patient centered health outcomes by medical condition, today encompassing 33 conditions affecting a substantial part of the disease burden.

“Dr. Porter’s global expertise in the strategic development of commercial organizations, his work on transformation of healthcare, and his relationships with numerous health systems and delivery organizations, will provide a new and welcomed perspective to ExThera as we expand the markets for our novel blood filter,” said Bob Ward NAE President and Chairman of the Board. “Michael will provide world class guidance as a strategic advisor to the Company. We are excited to welcome him to the Board as we begin a period of significant growth.”

Professor Porter holds a Bachelor’s degree in aerospace engineering from Princeton University where he was elected to Phi Beta Kappa, a Master’s degree in Business Administration with high distinction from Harvard Business School where he was a George F. Baker Scholar, and a Ph.D. in Business Economics from Harvard University. He has also been awarded numerous honorary doctorates from universities around the world. He is a member of the Princeton University Board of Trustees, and the author of 20 books and over 150 articles. Professor Porter also co-chairs the editorial board for New England Journal of Medicine Catalyst, a leading journal for new approaches to health care delivery.

Professor Porter commented on joining the ExThera board, “I am truly excited about ExThera Medical’s business potential, and I am honored to be affiliated with this life saving company at a time when medical innovation is more important than ever. ExThera Medical is a leading innovator in health technology and treating some of the most challenging and life-threatening medical conditions of our time.”

About the Seraph®

Endpoint Health and Vanderbilt University Medical Center to Create World’s First Precision Medicine Trial Network Focused on Critical Illness

Late-stage interventional trials will evaluate personalized approaches to existing care and novel targeted therapies

Endpoint Health, the first targeted therapeutics company focused on integrated solutions for critical illnesses, today announced a new strategic partnership with Vanderbilt University Medical Center (VUMC) to create the first precision medicine clinical trial network focused on late-stage clinical trials in critical illness. The network will combine leading critical illness researchers, trialists and premier medical centers from across the country to create a sustained system for conducting phase II and III interventional trials intended to validate precision medicine technologies, therapies, and deployable patient-centric care approaches. It will prioritize trials investigating promising precision-driven interventions to prevent or treat critical illnesses such as sepsis and acute respiratory distress syndrome (ARDS), which are the most expensive conditions to treat in the hospital setting and are associated with half of U.S. hospital mortality.

“Endpoint Health envisions a future where clinicians are empowered with an array of targeted therapies and personalized approaches to improve the outcomes of their sickest patients,” said Jason Springs, co-founder and CEO of Endpoint Health. “Our partnership with VUMC will establish a foundational piece of the ecosystem necessary to make this vision real for the critical care community.”

VUMC will serve as the trial network coordinating center with Endpoint Health providing the underlying technology that leverages digital and molecular patient data to predict likely therapeutic response. The goal of the network is to conduct an ongoing series of trials that study multiple precision-driven interventions to treat or prevent critical illness. Endpoint’s technology is already being piloted in a phase II randomized controlled trial at VUMC, which started enrolling patients this month. Endpoint will also sponsor the first precision interventional trial, which will evaluate one of the company’s investigational products.

“Precision medicine in critical care has long been a goal that healthcare has struggled to attain due to the complex and fast-moving nature of critical illnesses,” said Dr. Todd Rice, Director of the Medical Intensive Care Unit at VUMC. “Our partnership with Endpoint Health will help turn that vision into a reality. Together, we are building the infrastructure needed to run efficient and effective precision clinical trials that use advanced technologies to guide patient enrollment and treatment selection that ultimately improve patient outcomes.”

“COVID-19 has put a spotlight on the need for better, more personalized care that addresses critically ill patients in both the ED and ICU,” said Dr. Wesley Self, Vice Chair of Research in the Department of Emergency Medicine at VUMC. “Our ability to validate new treatments in a manner that can be translated into actual clinical practice quickly and effectively is an essential step to bringing life-saving targeted therapies to some of the sickest patients. This is an exciting development for the medical community, and ultimately patients, as it will facilitate significant new research and therapy discovery opportunities.”

About Endpoint Health

Endpoint Health combines therapeutics, companion diagnostics, and artificial intelligence (AI) into an integrated platform designed to improve outcomes of patients with critical

Tilray Reports Positive Results For Medical Marijuana In Chemotherapy Patients

New research indicates that marijuana could alleviate some of the worst effects experienced by cancer patients undergoing chemotherapy. Tilray (NASDAQ:TLRY) announced Monday that a clinical trial in Australia has demonstrated positive results in reducing the nausea and vomiting common to people enduring such treatments for their illness.

The phase 2 study comprised 81 patients, who were dosed three times per day with capsules of either marijuana supplied by Tilray or a placebo, according to an entry in the Annals of Oncology. This was accompanied by dosing with antiemetics, i.e. medications that suppress nausea and vomiting. The researchers found “significant improvement” in the control of those reactions.

Tilray specified that a quarter of the study’s participants taking the marijuana experienced no vomiting or nausea at all, against 14% of those who were administered the placebo.

There were, however, side effects such as dizziness and drowsiness, which were reported in around one-third of the patients. These participants demonstrated moderate to severe forms of these effects, but Tilray said the study’s researchers consider these to be manageable.

coronavirus crisis could speed up legalization of marijuana coronavirus crisis could speed up legalization of marijuana Photo: Alissa De Leva – Pixabay

The study, which Tilray said was the largest undertaken for medical marijuana at the time it was launched over two years ago, will move on to late-stage testing. This should help determine how effective marijuana can be when used to assist with routine cancer treatment. An additional 170 people will be recruited for this phase.

Tilray quoted the study’s chief investigator, Peter Grimison, as saying that “Nausea and vomiting are among the most distressing and feared consequences of chemotherapy. These encouraging results indicate medicinal cannabis can help improve quality of life for chemotherapy patients.”

On Tuesday, Tilray’s stock inched up by 0.6%, not quite meeting the rate of the S&P 500 index’s advancement.

The original story appeared in The Motley Fool. The Motley Fool has a disclosure policy.

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The Six Capabilities Of Digital Medical Data

The time period health and wellness are incessantly used interchangeably, but the meanings are barely different from one another. Perhaps now you may see why cayenne is regarded as a “miracle herb.” With over seven-hundred,000 People experiencing a stroke annually and almost half a million dying of heart illness, the cure to a healthy heart is as close as your local grocery store.

All of those nationwide healthcare programs in other nations have their very own unique ways of conducting the objective of common healthcare. Doing so will hold you sated throughout the day so that you’re not ravenous at mealtime, which can cause you to overeat or eat calorie-laden foods, and will maintain your metabolism humming.

The supply of unhealthy and low cost food makes it tough for Hawaiians to make healthier choices. In babies suffering from diarrhoea and colic make fennel water as follows. They were built with Common Healthcare in mind and have developed that approach.

When recurring silent treatment is inflicting you pressure, the resultant stress can activate the body’s fight or flight reaction during which hormones are released that impression physique processes, (for example, accelerated coronary heart rate, slowed digestion, decreased blood circulate).

Except such individuals are employed by an organization which subsidizes a high portion of their insurance premiums, they will possible be presently uninsured, including an absence of proper medical intervention to their healthcare dilemnas. Nevertheless, many individuals are embracing the attitudes to healthy life, whereas some companies are busy raking within the income.…

What Are The Major Disadvantages Of Medical Coding That You Need To Know?

A Sonographer can be referred to as an Ultrasound Technician or a Diagnostic Medical Sonographer. It is price mention that both of those terms are very broad and cover numerous totally different therapies and treatments however that the overall ideas are the same primarily based on which type of medicine it’s. In addition in case your physician is prescribing allopathic medicine for you then it might be possible to make use of holistic medicine alongside this in an effort to get the maximum benefits for you and your situation.

Day by day therapy can be costly as effectively, and most prescription medicines cause one side effect or one other. This may increasingly trigger their situations to deteriorate and may necessitate aggressive remedies later which can have pointless unintended effects. Holistic medicine for therapy of arthritis gives arthritis suffers lasting reduction from pain and irritation.

A few of the newer and most promising treatments for fibromyalgia are serotonin-primarily based drugs. Thus, medical specialists and professionals have all made it a point to seek out other therapy programs for clogged arteries. For instance in allopathic medicine the intention is to deal with the situation and to prescribe issues to help you do away with it. In holistic medicine though the goal is to also clear up a condition the main focus is different.

The goal with holistic medicine is to treat the thoughts, body, emotions and all parts of a person in order to result in health. If addicted, over time it’s possible that he constructed up a tolerance to the prescription remedy which might have tousled his sleep cycle inflicting him to abuse these medications.

As GP and journalist, James Lefanu noted in his book, The Rise and Fall of Modern Medicine, written within the 50s, a series of medical breakthroughs proved past a doubt that previous attempts at healing have been nothing more than mere quackery.…

The Six Features Of Electronic Medical Data

Based on Health Psychology 5th version (2016) the excellent intervention mannequin is a model that swimming pools and coordinates the medical and psychological expertise in some nicely-defined space of medical apply in order to make all out there technology and experience accessible to a affected person; the pain administration program is one example of a complete intervention model”. One of many nice freedoms that Europeans take pleasure in is the freedom from anxiety about healthcare. The body functions best when given an opportunity to be in balance more of the time all through the day. Also, many hospitals provide incentives to recruit a physician or different health care professional to hitch the hospital’s medical workers and provide medical providers to the encompassing group.

The great intervention mannequin focuses on providing the very best high quality of look after each affected person by compiling info on quite a few methods and coverings; nevertheless with the current strain to reform US health care and comprise its costs, the model needs to discover a means to provide care while lowering prices.

One other thing that Psychological Health America discovered was that with the 2010 Affordable Care Act introducing the 10 Important Health Advantages (EHB), a state would need to decide on a health plan from the existing health plans to use as a benchmark for other Qualified Health Plans (QHP) within that state (Nguyen, 2015).

One supply, Snyder et al. (2011), informs that such therapy has been helpful to patients who’re on waiting lists for care, who have no health insurance or are underinsured, or those who want to access experimental or unlawful remedies.

The issue is the additional value for these receiving FREE healthcare is passed onto the ones paying which includes the rich and poor. My father did not pay a cent for his healthcare as a result of he was an unlawful at the time. Additionally personal insurance carriers act in some nations in a complimentary manner to cowl such medical companies which are not lined beneath the governments’ plans, resembling beauty therapies.…