Alexa Rohan

[Max Lugavere @maxlugavere]

A new study found that being diagnosed with type 2 diabetes in your 30’s shaves 14-16 years off of your life. Diagnosed in your 50’s, lose 6 years of life. 70’s, lose 2 years.

Type 2 diabetes is preventable. Why isn’t this front page news?

[GREG ISENBERG @gregisenberg]

Do things that make you forget to check your phone.

Probably the best thing you can do for your life and business.

[Max Lugavere @maxlugavere]

In a new study, 15 minutes of red light exposure reduced blood glucose in an oral glucose tolerance test by 28% compared to placebo. RED LIGHT.

Why isn’t this front page news?

[Alexa Rohan @nerdlebean]

Is gamification the solution? Seems like the most scalable answer right now (?), but excited to learn more about how we can make the patient *want* to follow optimal care regimens, especially as the information that supports “what is optimal” becomes more available.

[Alexa Rohan @nerdlebean]

Patient engagement is key to better outcomes - we know this. We know adherence is paramount….

[Alexa Rohan @nerdlebean]

In short, the biggest lever to better outcomes, especially when we talk about preventative health, [perhaps in my naive mind], is accountability, which, as a service, tends to be higher-touch and more expensive.

[Alexa Rohan @nerdlebean]

it makes me wonder what we could do if the time and money spent on these “wonder drugs” was applied to fixing the core tenets of health in our country (preventative primary care, food system and access improvements, etc.)

[Alexa Rohan @nerdlebean]

The hype around #GLP-1s sounds like a very American solution [of prescribing & keeping too many patients on expensive medicine forever] to a very American problem [of not addressing the underlying system, in the favor of big industry…]

[Alexa Rohan @nerdlebean]

I don’t dispute that drugs like #ozempic MIGHT be helpful for the right population.. but, with majority of patients regain weight after coming off the medication, loss of muscle-mass and limited research on side effects across non-diabetic populations…

[Kirsten Horning @Kirsten_Horning]

Boy math is deeply underestimating the market size for anything that primarily women consume.

[Borriss @_Borriss_]

Less than 31 hours since OpenAI started dropping the ChatGPT vision feature on pro users...

People are scratching their heads in disbelief.

10 wild examples:

[Rik Renard @rikrenard]

Was chatting with a VP of Pop Health who works for a huge MSO

She's currently designing 10+ care pathways in Lucidchart (she should use Awell) so I asked "What happens after you designed those pathways?"

Her response: "I sent them via fax to all our PCPs and hope they adopt"

[Gabe Charbonneau, MD @gabrieldane]

People who build EHR's should have to use their product themselves under the same time pressure as real clinicians for two weeks -- and then see how long it takes for them to realize they need to scrap the whole thing and start over with human centered design.

[Alexa Rohan @nerdlebean]

Seeing so much hype around AI without even discrete use case identification. AI will be excellent, but not a magic bullet (especially in HC, where adoption is slow).

Reminder: find a problem that matters. If AI doesn't apply, still fix it.

[Tyler Olson, EA @olsonplanner]

Should primary care physicians make more than $61.22/hour?

Cuz that’s a $150,000 salary.

Working 50 hours/week.

And 3 weeks vacation.

A resounding YES is the right answer.

[Amy Faith Ho, MD MPH @amyfaithho]

Call me a pessimist, but I don’t think #telehealth is the magic solution people want it to be.

The importance of the physical exam is an art that is lost in the allure of “high tech” solutions. Peritonitis, pulseless limbs, a pulsatile mass — these are just a few of the things I’ve seen in the ER missed by telehealth.

No matter how high-def your camera is, you can’t diagnose certain things without laying your hands on a patient.

Is telehealth better than nothing (esp. in the face of a 100k doctor shortage in 10 years)? Yes.
Is it everything? No.

Chatting telehealth and doctor shortage with @newsnationam

https://t.co/OxTTI0YN5p

[Dhruv Vasishtha @dvasishtha]

Best thread I’ve read on how PBMs work, full stop.

[Alexa Rohan @nerdlebean]

@hubermanlab What are your thoughts on Metformin for longevity? If you are a fan, at what age would you recommend beginning to use?