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Brigham and Women’s research group finds ‘pleasant surprise’: Black patients 50% more likely to utilize telemedicine than white patients

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Brigham and Women’s research group finds ‘pleasant surprise’: Black patients 50% more likely to utilize telemedicine than white patients

Telemedicine, which gained wider popularity during the COVID-19 pandemic and is likely to become a permanent fixture of the health care system, has become especially popular in two patient groups: Black patients and women, according to a new study out of Brigham and Women’s Hospital.

“Given the digital divide, we expected to see differences and the use of virtual care among these populations,” said Dr. Gezzer Ortega of the Brigham and Women’s Hospital’s Center for Surgery and Public Health, who authored the study, of the Black patients in particular. “But it was a pleasant surprise when we noticed that there was over-utilization within these groups.”

Ortega’s study broke its data into two phases: March 24, 2020 to June 23, 2020, during the stay-at-home advisory in the state, and the rest of the year. The goal was to compare patient appointments for different groups during that time, and determine the breakdown of in-person, video and audio appointments for new patient consultation within the hospital’s Division of General and Gastrointestinal Surgery.

Ortega said the research team chose to focus on surgeries because of the existing disparities in care and outcomes among groups for these procedures. He added that the team specifically chose to study the gastrointestinal division over other areas of medicine “because it’s one of the large divisions within our department, and it also reflects a broad population of care that we see,” he said.

During the early days of the pandemic, the study, published in the Journal of the American College of Surgeons, found little difference in the races of the people seeking care in-person or remotely, though he noted that Hispanic and Latino patients used the audio-only feature at higher rates than average, as did older patients, those with lower education levels, and those with a primary language other than English.

In the second phase of the study, which stretched from June 24 to Dec. 31, 2020, the gap for Hispanic and Latino audio-only appointments declined, likely reflecting improved digital literacy and access.

Notably, these gaps remained for the other groups throughout the study. “It’s important for us to have the flexibility of audio and video because there are certain circumstances where a patient may not have broadband access to do video, or may not have the capacity or the privacy to do a video call,” Ortega said.

Still, he said anything is better than nothing, but video calls are even better because they provide doctors with nonverbal cues impossible to read over the phone. In-person appointments, he added, are the best option.

However, the rate of use of telemedicine for Black patients was double compared to white patients, though Ortega said more research is needed to determine what those those reasons are on “a cultural nuance and personal level,” he said.

Women were also more likely to use telemedicine throughout the study, he said, which likely reflects the reality that women took on additional caretaking roles during the pandemic.

Ortega said that the study results point to the need for expanded broadband access to close health care access gaps. Digital literacy training, patient outreach to enroll in telemedicine services, and user-friendly, multilingual digital health care platforms would also help, he said.

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Lynx center Sylvia Fowles isn’t getting the foul calls she deserves, and ‘I’m getting annoyed’

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Lynx center Sylvia Fowles isn’t getting the foul calls she deserves, and ‘I’m getting annoyed’

Sylvia Fowles is as dominant a post presence as you’ll find in the WNBA. She’s a skilled post player who also serves as a terror on the offensive glass.

Through six games, Fowles is averaging 18.5 points and 10 rebounds a game. She is scoring 15.7 points a game in the paint, a number that trails only Connecticut’s Alyssa Thomas and is five clear of the next closest player.

Her dominance over 6-foot-8 Sparks center Liz Cambage on Tuesday in Los Angeles provided another reminder that there really isn’t a matchup for the all-world center. Yet for all of her interior excellence, it’s surprising that Fowles simply can’t get to the free-throw line.

Fowles hasn’t attempted more than five free throws in any of the Lynx’s six games this season. Her 3.5 free-throw attempts per game are tied for 24th most in the league. Fowles is only drawing 3.5 fouls a game, which is tied for 22nd most. For reference, that’s the same number as Lynx wing Kayla McBride, who does most of her damage from the perimeter.

The math, frankly, doesn’t add up.

“Syl doesn’t get any respect in this league,” Lynx coach and general manager Cheryl Reeve said.

Reeve noted the WNBA sends out all of the video to teams filled with clips of specific points of emphasis for officials.

“I guess that’s just to check a box that they send the videos to everybody, and it actually doesn’t happen in a game, which is unfortunate for Syl,” Reeve said.

Because she doesn’t feel they’re properly applied to Fowles.

“It’s gotta be darn frustrating,” Reeve said. “I don’t know how she keeps her composure.”

Fowles, frankly, rarely loses that composure.

“Because I know when I flip my wig, it kind of takes me out of my game,” Fowles said.

Still, she noted it does get frustrating when the calls don’t come. Fowles almost seems to suffer from Shaq Syndrome.

Shaquille O’Neal, the Lakers’ Hall of Fame center, didn’t shoot as many free throws during his NBA career as he should have. Defenders were allowed to hang all over him, simply because he was strong enough to play through it. At times, it looks as though Fowles is living a similar lifestyle.

“I guess because it’s not getting impacted, or I’m still getting shots up, they don’t consider it a foul,” Fowles said. “But I guess I need to start throwing my head and flailing and screaming, which is so out of my comfort zone. But if I have to do it, I have to do it, because a foul is a foul.”

Fowles warned that she’s going to have to be “an a-hole” at some point — something she hasn’t been throughout her career — simply to get her point across to officials.

“I feel it coming,” she said. “I’m getting a tad bit annoyed, yes.”

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The Baby Episode 5 On HBO: May 22 Release, Time And Plot Speculations

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The Baby Episode 5 On HBO: May 22 Release, Time And Plot Speculations

We all have some conceptions about babies. They just can’t be ignored! Good or bad, most of the opinions assert that babies are indeed cute and utterly huggable. Corruption is at least a hundred miles away from their soul, but wait, hold on! Let’s not get too ahead of ourselves. The Baby has come to trample upon our dreams and comically do it.

The new horror-comedy series on HBO has released 4 episodes, and they are jam-packed with stuff that surely one would get hooked up for another 4 episodes. It is no Baby’s Day Out, kid! The Baby is here to give people nightmares, albeit those that will make you giggle.

The Plot

One day a baby fell from the sky and fell upon the arms of a woman and forcefully bestowed her the honor of motherhood. The Baby, however, is no ordinary baby. Along with superpowers, the Baby has another secret, and he is a demon (or something very similar, the mystery is yet to be revealed).

The show is tinged with dark humor. The lead character Natasha is leaden with the horrors of motherhood. Her childless 38-years are suddenly turned upside down; from a leaf floating over the meadows, she becomes a twig rocking in the storm.

1653074948 388 The Baby Episode 5 On HBO May 22 Release Time

You Can Run! You Can Hide! But You Can’t Escape Baby’s Love!

 In the very first episode, the mysterious Baby enters Natasha’s life. And no matter what she does, she can’t get away from the Baby. It gives Case 39vibes; however, the spirit/baby here doesn’t seem that harmful to the mother itself, or we will have to see ahead to confirm.

The horror elements in the series seem genuine and not the usual jump-scare stuff that cheap budget movies and series are usually plagued with. It, on the contrary, has a character of its own that wants to assert something more than a simple watch and forget the experience.

What Will Be In Episode 5?

The fifth episode will release on May 22nd. The premise presented by the HBO says, “As Natasha and Mrs. Eaves remain trapped in Barbara’s summer solstice ritual, the baby’s complicated origin, connection to Mrs. Eaves, and trauma-filled path to Natasha are revealed.”

In the preview, we see a flashback of two women in love, going by the seaside, affixed in embraces on the bed. And then some violent scenes come one after the other speedily, creating the sombreness around Baby’s past.

Horror Comedy Is An Evergreen Combo.

This genre is complex, and one has to deal with it sensitively, or it can soon turn into a grotesque or derogatory piece. This show, however, maturely explores the themes that it has introduced so far. There is a subtlety that binds the episodes together. But what is not subtle is the impatience that we have because of the lack of episodes that were not dropped on us like nukes so that we could get lost in our bingeing oblivion. Sigh!

The post The Baby Episode 5 On HBO: May 22 Release, Time And Plot Speculations appeared first on Gizmo Story.

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Mets’ series opener against Rockies in Denver postponed due to snow

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Mets’ series opener against Rockies in Denver postponed due to snow

DENVER — In a flashback to last year’s trip to the Mile High City, the Mets were again hit with snowy and frosty weather that shelved their series opener against the Rockies.

The Mets’ game against the Rockies, scheduled for 8:40 p.m. ET at Coors Field, was postponed due to heavy snow in the forecast, the home team announced on Friday afternoon. The matchup will be made up as part of a split doubleheader on Saturday, with Game 1 starting at 3:10 p.m. ET and Game 2 beginning at 8:40 p.m. ET. It will be the Mets’ fifth doubleheader of the season.

The city of Denver issued a winter storm and freeze warning beginning Friday evening that would last all the way until Saturday morning/afternoon. Total snow accumulations were forecasted to be between 3 and 10 inches, with temperatures dropping to 26 degrees.

The Mets were snowed out in Colorado last year (April 16, 2021). Prior to that, the last time the Mets were snowed out was on April 2, 2018 vs. Philadelphia at Citi Field. Before last season, the Mets were last snowed out in Colorado on April 15 and April 17, 2013.

Of course, when the Mets begin a three-game road trip to sunny California against the Giants on Monday, the weather in Denver is expected to return to being warm and sunny.

Carlos Carrasco (3-1, 3.73 ERA) was scheduled to face off against right-hander German Marquez (1-3, 6.16 ERA) in the series opener. The Mets did not announce their Saturday pitching plans as of Friday afternoon, but it is expected that Carrasco will take the mound on an extra day of rest for at least one of the two games.

The Mets (26-14) are in need of a spot starter on Saturday for whichever game Carrasco does not pitch. Trevor Williams (2-4, 4.20 ERA) just pitched Game 1 of the team’s doubleheader against the Cardinals on Tuesday, so he would be pitching on just three days’ rest if the Mets decided to go that route. Taijuan Walker (1-0, 3.52 ERA) is the scheduled starter for Sunday.

But it gets trickier after that, with injuries deconstructing the top of the Mets rotation.

Max Scherzer is sidelined until at least the end of June with a moderate to high oblique strain, so the Mets will need a regular replacement for the ace beginning Monday at San Francisco, which was his scheduled start day. Tylor Megill, who has been dealing with right biceps tendinitis since at least last Sunday, is expected to begin playing catch sometime this weekend. But Megill doesn’t appear close to rejoining the rotation.

And, of course, Jacob deGrom is still on the 60-day injured list with a stress reaction on his scapula. DeGrom recently began increasing his distance and velocity while throwing on flat ground, but he has yet to throw off the mound.

David Peterson, who has not pitched since May 13 for Triple-A Syracuse, is the next best depth option to replace Scherzer. But, as of Friday afternoon, the Mets were still going through their options for Saturday’s spot starter and Monday’s outing. It’s possible, a team official said, that Peterson could jump into the rotation as early as Saturday and the Mets will push Williams back to Monday.

These next several weeks will feature a jigsaw puzzle of sorts for Buck Showalter’s Mets as they maneuver how best to proceed with their thin rotation.

Williams and Peterson, both of whom can be considered the team’s long-relief options, potentially sliding into the rotation on a regular basis will rely on their results. Williams has been solid for the Mets, hurling 7.2 scoreless innings combined in his last two outings (one long relief outing and one start against the Nationals and Cardinals, respectively). Peterson has a 1.89 ERA in 19 innings and four games (three starts) for the Amazin’s early this season, when he filled in for the injured Taijuan Walker.

Most alarmingly, the Mets bullpen is in danger of being overworked while Scherzer and Megill are on the IL as both of those right-handers were able to go deep into games. Without them, the relief corps may be called upon earlier, thus taxing a unit that is already one of the team’s weakest links.

The Mets are 6-2 in doubleheaders this year with two sweeps and two splits.

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