mHealth

A Rural Perspective on COVID-19: The Wayne Community Health Center (Bicknell, Utah)

Lead
COVID-19 has overstayed it welcome for most of us. Everyone’s lives, across the nation and world, have changed drastically in the last nine months. While COVID-19 has impacted everyone, everyone’s experiences have been different. This summer, I had the privilege to speak to Carol Lewis about Yavapai county, Arizona’s experience and how rural centers are handing the pandemic. But even rural centers experience the effects of the pandemic differently from each other. To explore different experiences across the southwest, I reached out to The Wayne Community Health Center in the rural town of Bicknell, Utah. Bicknell is one of the 10 communities that make up Wayne County. Wayne county contains about 2,475 square miles (105 miles long and 23 miles wide) in south central Utah, 97% of which is federal and state land. The population of Wayne county is about 2700 and there is only one medical doctor in the county to serve them. Of 2700 people in Wayne county approximately 81% of them have health insurance. The demographic of the population is mostly Caucasian (91%), with the median age and income being 41 years and $45K respectively.

A Novel Way To Utilize Telehealth

Lead

I don’t use a smartphone to access Telehealth. Being a “tetraplegic” I have no use of my hands, so I invented a unique way to operate different electronic devices.
I created two styles of mouth sticks.
This one I use while in bed. It’s made from a quarter inch wooden dowel with both ends covered with surgical tubing. If you notice, one end is covered two and a half inches and the other a half inch. The longer end is for biting on and the other is to cushion the tip.
The second mouth stick I use while sitting up in my wheelchair. I can drive up to the desk I designed and park myself in front of my keyboard and computer. The mouth sticks I use while in my chair has a lucite bite impression the dentists made for me. I don’t use this type of mouth stick while laying down in bed because I can’t easily swivel the stick from side to side.

5 Tips for Preparing Your Child for a Telemedicine Visit

Lead
The coronavirus pandemic has changed our lives in many ways. Adapting to the “new normal” can be difficult, I know. However, now we have enough technological solutions to continue many of our regular activities. For instance, we’re getting used to working from home and ordering takeout. I stay in touch with my friends and relatives thanks to video calls, and I even purchased weights to work out at home. Is there anything we can’t do from home? For instance, what can you do if you or your child feel sick?

How Was Your First Time?

Lead
No – not that first time! How was your very first telemedicine visit? Since the beginning of the COVID pandemic back in March a significant number of people have had their very first telemedicine visit. Surprisingly, even though I’ve been involved in telehealth for over 30 years, I actually fall into that group of “newbies”. I am very fortunate (knock on wood) to be overall quite healthy. My typical medical routine consists on an annual physical, annual mammogram and dental check-ups every 6 months for the most part. Breaking my leg skiing in 2019 – trust me – that surgery could not have been done remotely and the rehab really required all the cool tools and devices my physical therapist had on site.

Telecommuting: US workers are adjusting from office to home

Lead
Telecommuting, sometimes referred to as telework or working from home (WFH), got off to a slow start in the U.S. in the 1970s. With a viral pandemic forcing workers to consider the risk of infection from proximity to co-workers, nearly half of US workers have locked their office doors and headed for home. That’s more than twice as many as those telecommuting, at least occasionally, from 2017 through 2018, according to the Brookings Institution, a non-profit public -policy organization based in Washington, D.C.

Providing Care in the Midst of a Pandemic: The View of a Pharmacy Resident

Lead
I have spent the last year training as an infectious diseases pharmacist at Banner University Medical Center-Tucson. A large part of this has been participating in weekly HIV office visits at the Petersen HIV Clinics with Stephen Klotz, MD, Larry York, PharmD, and our lead clinical coordinator, Cesar Egurrola. This multidisciplinary team approach allows the physician to guide the patient’s care, the HIV clinical pharmacist to manage the medication aspects, and the clinical coordinator to manage the behavioral and social needs.

COVID-19: Opportunities in a Time of Crisis?

Lead

There is no doubt that COVID-19 has disrupted our healthcare systems and the general population worldwide in a host of ways no one could have imagined just 6 months ago. On a regular basis, we hear on the news stories about how many cases there are, how many deaths, where to get tested, hot spots, how healthcare disparities contribute to certain populations being more vulnerable than others, and how we need to social distance, wash our hands and wear masks.

Telemedicine Helps Hard-hit Navajo Nation Hospital Deal with the Pandemic

Chinle Service Unit ED using telemedicine tools for poorly visible negative pressure rooms. Photos courtesy of Stephen Neal
In May, the Navajo Nation surpassed New York and New Jersey for the highest per-capita infection rate of COVID-19 in the US. In an area where 30 to 40 percent of residents don’t have running water and families live together in multigenerational homes, containing the spread has been difficult. In addition, residents can’t stay at home and see a healthcare provider using telemedicine, as so many of us have been able to do during the Public Health Emergency, because there’s little to no cell service or internet availability. So anyone needing healthcare or showing symptoms of COVID-19 has to travel to one of the few healthcare facilities.