The Next Time You See Your Doctor Could Be Online

By Christine Vestal, Stateline

The next time you see your doctor could be onlineDemand for doctors – whether in person or via a computer screen – is expected to surge as millions more Americans become insured under the Affordable Care Act. About 10 million people already rely on telemedicine, often from doctors who live in another state.

As a result, more physicians are applying for medical licenses in multiple states – a costly and time-consuming proposition for some. Without a license to practice medicine in the patient’s state of residence, both doctors and patients may be at legal risk.

Many states are embracing telemedicine by encouraging it in their Medicaid programs and requiring private insurers to pay for it. But they have made little progress in removing medical licensing barriers that proponents of the technology say have kept doctors and hospitals from expanding even more.

Telemedicine was once the purview of small town doctors who needed to consult with specialists available only in larger urban areas. Today, telemedicine technology is even being used to conduct surgeries using robotics, typically only in emergency situations such as during war.

Most telemedicine consists of video teleconferencing between a doctor and a patient. Doctors also routinely use telemedicine technology to transmit and discuss diagnostic images and to remotely monitor patients with chronic diseases so they don’t have to leave their homes or nursing facilities.

For some consumers, it is the primary way they receive medical care. Using Skype on a computer or FaceTime on an iPhone, patients discuss their symptoms and show their doctors any visible evidence of their conditions, such as a swollen eye or skin rash. Patients most often conduct these consultations from home or their workplace. In some cases, patients go to a medical facility and use high-end, secure equipment to teleconference with a doctor in another location.

Much of the growth in telemedicine is expected to be in remote monitoring of patients with heart and lung diseases and diabetes, who have recently been discharged from a hospital. The aim is to detect health problems early enough to prevent them from being sent back to the hospital.

States have argued that easing licensing requirements could jeopardize patient safety. If doctors practice in a state without obtaining a license there, regulators maintain that they have no power to conduct an investigation or explore a consumer complaint. Also, these doctors would not benefit from any legal protections the state may have against malpractice lawsuits.

Proponents of telemedicine argue that since doctors take standardized national exams and most requirements are set by federal agencies such as the U.S. Department of Health and Human Services, states should recognize other state licenses. They say state medical boards are simply trying to shield doctors from out-of-state competition and preserve state revenues from licensing fees.

Learn more @ http://www.dailyfreeman.com/general-news/20140309/the-next-time-you-see-your-doctor-could-be-online

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Technology-Crazy: Are We Setting our Kids up for Future Addiction?

By KENS 5’s Deborah Knapp

Technology-crazy: Are we setting our kids up for future addiction?Is the internet making us crazy?

New research finds 61 percent of those surveyed feel addicted to the internet, and 68 percent say they suffer from internet “disconnect anxiety.”

Another study found people check their smartphones 34 times a day. In fact, it had become a compulsion. Whether it’s our smartphones, Facebook, Twitter or video games, every age group is at risk of being unknowingly obsessed with technology.

One expert has said the computer is like electronic cocaine, fueling cycles of mania followed by depression. Mental health and dependency specialist, Dr. Gregory Jantz, suggests a tech-detox day.

Watch the full story: http://www.kens5.com/news/Are-we-setting-our-kids-up-for-future-addiction–162132545.html

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Light at Night may Contribute to Depression

By Nika Soon-Shiong Los Angeles Times

Exposure to light at night may contribute to depression, study saysTV sets, laptops, iPads and iPhones are modern society’s instruments for increased productivity, social connectedness and entertainment after a long day’s work. Ironically, a new study published in Molecular Psychiatry shows that these devices also contribute to an increase of major depressive disorder.

The 24-hour society made possible by the advent of the electric light bulb has come at a significant biological cost. Light at night disrupts the body’s natural circadian rhythms and has been linked to breast cancer, heart disease and obesity.

The new experiment, led by Tracy Bedrosian, a doctoral student in neuroscience at Ohio State University, analyzed the relationship between exposure to artificial light at night and mood disorder. The subjects of the study were adult female hamsters, since females — both rodent and human — are twice as likely as males to develop major depressive disorder. One group of hamsters was kept on a cycle of 16 hours of normal light and eight hours of dim light, which was five times brighter than the maximum light power of a full moon and comparable to light pollution in urban centers. The control group of hamsters was on a schedule of 16 hours of daylight and eight hours of darkness.

The researchers tested the hamsters in the nighttime light group for signs of depression. After four weeks of sleeping with light at night, the hamsters lost some of their appetite for sugar. In addition, when forced to swim, the animals spent more time immobile in the water and less time trying to reach safety.

According to the research team, the results show that there was some physiological change in the hamsters’ brains when they were exposed to light at night.

For instance, they produced more of a protein called TNF, or tumor necrosis factor. This is one of a family of proteins called cytokines — chemical messengers in the body that are released in response to injury or inflammation. If they are released constantly — such as during exposure to light at night — damage occurs that could result in depression. In the brain, the hippocampus is extremely vulnerable because it has many receptors for these cytokines. The hippocampus plays a critical role in major depressive disorder.

Furthermore, the amount of nighttime light used in the study is enough to suppress the release of melatonin, which is linked to depressive effects. Melatonin is a hormone secreted during the dark, and when that doesn’t happen, the body’s time-of-day information is distorted. In rodents, melatonin prevents stress-induced, depression-like behaviors.

The study authors noted that 99% of people in the United States and Europe deal with light pollution on a nightly basis. This could account for some of the increase in the incidence of major depression over the last few decades, they wrote, adding that further research is necessary to explore the extent of the link.

There was some good news: The negative effects of exposure to light at night are reversible if that exposure is decreased. Within two weeks of returning the hamsters to a standard light/dark cycle, the hamsters regained their taste for sugar and were more willing to swim, the researchers reported. Also, hamsters that were forced to endure the nighttime light but allowed to take a drug that inhibited their production of TNF swam just as much as the control hamsters on the normal light/dark schedule.

Source: http://www.latimes.com/news/science/sciencenow/la-sci-sn-light-at-night-depression-20120725,0,7482402.story

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