John Morales, Author at PPM Healthcare

April 3, 2023

How the FHIR Data Standard Advances Patient-Centered Care, Healthcare AI Innovation

It’s not hard to fully grasp why doctors, nurses, and other healthcare experts have to have obtain to all applicable client info to provide significant-high quality treatment — it could possibly make the big difference in between a proper or mistaken prognosis in the crisis room or a safe prescription with no harmful drug interactions. But universal entry to healthcare facts, which includes patient information, is even now a single of the largest discomfort details in the healthcare sector. There are critical innovations taking location, nonetheless.

You could have listened to of Rapidly Health care Interoperability Sources (FHIR) for exchanging health care data electronically making use of cloud technologies. When executed, this set of facts criteria and specs allows healthcare businesses and systems to share client overall health details (PHI) securely, and it aids anonymize individual details in which suitable. Normally this data is on-prem in the patient’s electronic health and fitness record or a private cloud.

FHIR permits this knowledge to be surfaced to public clouds this sort of as Microsoft Azure, AWS, Google Cloud, Oracle, and SAP, the place it can be exchanged in a protected way. There are nearby, personal cloud, and community cloud implementation choices for deploying FHIR. The moment deployed, FHIR can be employed to perspective, transform, import, and export facts.

The conversion abilities of FHIR are vital because so much of the health care details applied in clinic units and clinics is nevertheless stored employing an before conventional, Overall health Amount 7, or HL7. There are also scientific gadgets and automatic procedures making use of HL7, and normally this HL7 facts is expected for client care, investigation, and, more and more, AI instruments and products and services. FHIR’s conversion capabilities help this knowledge to be accessed and shared securely.

If you are new to the engineering, you might consider of FHIR as a world wide details dictionary for healthcare information, with the skill to transform that facts via cloud services (leveraging Representational State Transfer, or Relaxation, APIs) so that it can be accessed and shared, in a safe way, throughout suitable organizations.

World Interoperability and Availability of Vital Well being Data

The adoption of FHIR on a international scale is developing. For illustration, the Globe Wellness Corporation (WHO) has expressed assist for FHIR as a crucial conventional for health care info trade and interoperability. The WHO recognizes the probable of FHIR to strengthen wellbeing results and assist the shipping and delivery of high-high quality, affected person-centered care globally.

The Australian Electronic Wellbeing Company has adopted FHIR as a foundational conventional for health care details exchange in that place. Throughout the world, FHIR is getting employed to support a extensive array of health care use cases, including clinical information exchange, patient portals, and analytics. In the meantime, France, the United Kingdom, and Canada are discovering FHIR, way too.

The United States has been a chief in FHIR adoption. The Business office of the National Coordinator for Wellness Information and facts Technological innovation encourages FHIR as a essential element of its interoperability roadmap. Quite a few health care corporations in the U.S. are previously making use of FHIR to exchange healthcare facts, which is critical for providing superior-good quality, coordinated treatment and enabling research and scientific trials on a world wide scale.

How U.S. Health care Benefits from FHIR

In the U.S., FHIR use instances include things like sharing of health care info, individual portals, distant individual checking, and the development of artificial intelligence (AI) styles. Below are many illustrations of health care businesses and sectors that profit from data sharing employing FHIR.

Wellness insurance coverage corporations: Wellbeing insurance providers may possibly access affected individual information to confirm promises and assure that healthcare providers are supplying proper treatment. This could involve reviewing healthcare documents and other well being-connected details to consider claims and authorize payment.

Pharmaceutical corporations: Pharmaceutical corporations might accessibility client facts for investigation and advancement. This may perhaps consist of examining individual data to recognize trends, evaluate the success of therapies, and develop new therapies.

Health care technological know-how firms: Both equally startups and founded companies may well access affected individual knowledge to develop and make improvements to their merchandise and expert services. This could include establishing analytics resources, affected individual engagement platforms, and other health care computer software answers.

Medical investigate corporations: Medical study businesses could entry individual info as portion of medical trials and other investigation research. This may well involve examining client facts to examine the basic safety and performance of new medication and health care units.

FHIR details specifications are built to support innovation in the healthcare and everyday living sciences field. By giving a versatile and extensible framework for data exchange, FHIR permits builders to make new applications and instruments that can make improvements to health care delivery and individual outcomes.

FHIR is increasingly a main SaaS or PaaS health care provider from the significant cloud hyperscalers and market cloud platforms, which includes Microsoft, AWS, Google Cloud, Oracle, and IBM. There are also open up-resource implementations in GitHub, which includes a challenge which deploys the FHIR API as a container. There are several supplemental corporations with commercial implementations I have simply highlighted the ideal-acknowledged illustrations.

FHIR’s Critical Role in Enabling AI in Healthcare

In addition to all those health care corporations that are necessary by regulation to apply FHIR, early adopters of the common in the U.S. include things like lifestyle sciences and pharmaceutical organizations.

These businesses can swiftly deploy safe and managed cloud-based FHIR solutions to extract info from a number of client data retailers on an ongoing foundation applying cloud services. This method permits scientists to use the knowledge science applications of their option, fairly than acquiring to switch concerning distinct tools because of to compatibility problems.

When PHI facts is anonymized and surfaced employing FHIR, it can choose two paths. The to start with is to extend client info (say, vaccine knowledge) to exterior services, these as a affected individual portal at a hospital technique or a pharmacy. What a boon that can be to sufferers who no longer have to carry close to paper playing cards to verify which vaccines they’ve presently received.

The 2nd route is to ingest the details and have it persist in a information lake, information warehouse, or other information retail outlet this could even take the type of developing hybrid details estates that can be utilized for info science and evaluation. Microsoft, Snowflake, AWS, Google Cloud, Oracle, and quite a few other individuals have information lakes and/or facts science instruments that are particular to FHIR. For instance, Microsoft has a template to map the FHIR entities to its Microsoft Dataverse cloud-dependent storage room. This is primarily what Microsoft Cloud for Healthcare is.

Since it supplies a standardized, flexible, and protected way to trade health care info, FHIR is critical for architecting AI alternatives and producing facts designs in health care. Just about anything that delivers a lot easier obtain to constantly formatted information will considerably decrease the work essential to use the information for AI products and coaching. This can lower faults and make improvements to the accuracy of AI styles, which can imply everyday living or dying in a healthcare context. Also, if organizations use the similar details standard, they will come across that sharing coaching info and types is much much easier.

Last Ideas

FHIR is a flexible and extensible conventional, which suggests that it can be adapted to satisfy the requirements of different healthcare use circumstances. FHIR knowledge requirements are foundational to the health care and wellness lifestyle sciences field for the reason that they guidance interoperability, client-centered care, efficient knowledge exchange, AI innovations, and regulatory compliance.

By adopting FHIR, healthcare corporations can run additional proficiently, boost the excellent of affected person results, and travel innovation. As far more nations adopt FHIR, the constant, requirements-based health care datasets will grow, and this, in flip, will foster world-wide collaboration on health and fitness.

This international common will empower details scientists to deliver extra inclusive and accurate AI types to increase the high-quality of treatment. The datasets will incorporate much more details from a lot more persons, which is the teaching gasoline that will make for superior and much more accurate AI products. And the place healthcare is concerned, precision is critical.

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April 3, 2023

John Fetterman reveals mental health spiral in tearful interview

WASHINGTON–Sen. John Fetterman, in his to start with job interview because leaving the hospital, unveiled the “downward spiral” of despair that despatched him to Walter Reed Nationwide Armed forces Health care Center for 6 weeks.

In spite of the ongoing challenges of stroke restoration, the Pennsylvania Democrat experienced a good deal likely for him. Supported by his loving relatives and a single of the most profitable groups in politics, he experienced just flipped a Republican-held U.S. Senate seat in battleground Pennsylvania, edging out GOP challenger Dr. Mehmet Oz.

However he gained 1 of the most intently watched races in the country – and most expensive – that helped to figure out which occasion managed the Senate, by some means he felt like he lost.

“You may perhaps have won, but despair can definitely convince you that you basically lost,” Fetterman reported on CBS Sunday Early morning. “And that was the start out of a downward spiral.”

Discharged:Sen. John Fetterman discharged from Walter Reed just after receiving treatment for depression

John Fetterman opens up about his depression

The downward spiral intensified from his November election to staying sworn into office in January. He was not acquiring out of bed. He wasn’t ingesting. He became robotic, likely from appointment to appointment as directed by staffers, he stated in the course of the job interview.

It attained a fever pitch on Feb. 15, when he checked himself into the clinic. It was also his son, Karl’s 14th birthday, a assumed that made him tear up during the job interview.

“It will make me sad,” Fetterman stated. “You know, the working day that I go in was my son’s birthday and I hope that for the rest of his lifestyle, his birthday, it’s be joyous and you never have to recall that your father was admitted.”

‘Stigma is not nevertheless broken’:Lawmakers share tales on psychological wellbeing with Fetterman hospitalized

CBS anchor Jane Pauley instructed the working day marked his renewal and a birthday for the two of them to celebrate.

“That’s a fantastic way to look at it,” Fetterman stated. “Seeking ahead to undertaking that.”

Fetterman will return to the Senate April 17. Involving now and then he is expending time at his dwelling in Braddock, Pennsylvania in the vicinity of Pittsburgh and producing up for misplaced time.

When requested if the 53-year-aged politician has any aspirations further than the Senate, he targeted on loved ones.

“You know, my aspiration is to take my son to the restaurant that we have been supposed to go (to) during his birthday but couldn’t because I experienced checked myself in for despair,” he said, “and remaining the variety of father, the kind of spouse and the form of senator that Pennsylvania justifies.”

Returning:John Fetterman will return to the Senate in April following therapy for melancholy

Candy Woodall is a Congress reporter for United states These days. She can be attained at cwoodall@usatoday.com or on Twitter at @candynotcandace.

April 3, 2023

Bella Hadid gives health update after jaw infection and details struggles with Lyme disease

Two weeks right after celebrating 5 months of sobriety, Bella Hadid has revealed the comprehensive record of her well being struggles with Lyme ailment, the tick-borne disease she at first contracted back in 2012.

The 26-yr-outdated IMG Model’s most recent well being scare came just after going through emergency root canal surgical procedure a yr ago and building a minimal-grade an infection beneath the neighboring tooth, which she now strategies on having extracted Monday.

Bella’s health professionals prescribed her antibiotics and Motrin 800 for the jaw an infection after she landed in Florida a thirty day period ago, and she shared a selfie of her pores and skin ‘breaking out randomly, I get what feels like lesions.’

‘I appear ill as a doggy in comparison to what I seem like now,’ Hadid – who features 66.5M TikTok/Instagram followers – described through TikTok on Sunday.

‘Basically, the nerve suffering from my jaw finished up heading down my whole meridian of my overall body, and to the touch, almost everywhere all the way down my physique by means of all my lymph nodes. This pain, man. A little something serious distinctive. Authentic distinctive.’

Tale time! Two weeks immediately after celebrating five months of sobriety, Bella Hadid has uncovered the considerable historical past of her wellness struggles with Lyme disease, the tick-borne ailment she originally contracted back in 2012

The 26-12 months-outdated IMG Model’s most current health and fitness scare came after undergoing emergency root canal surgical procedure a 12 months back and acquiring a lower-grade an infection underneath the neighboring tooth, which she now designs on possessing extracted Monday

The 50 {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}-Dutch, half-Palestinian beauty claimed most of her photographs/selfies look like [the selfie from Florida] ‘on a standard basis when I’m flaring up.’

‘You can only marvel why my facial area alterations the way it won’t and this is why. End of tale,’ Bella continued.

‘That’s why I loathe wanting in the mirror or taking pictures specifically currently, truly seeking to throw up at the sight of myself consistently. Decades and years of this. If I am all dolled up probably I’ll consider for the girls, but person is it tricky to do this as your occupation when also emotion/wanting unwell like this.’

Hadid additional: ‘And if you look back at do the job pics from the past eight years you can inform the variance between me when my Lyme flares up and me when I am balanced. She’s a different female. I come to feel so bad for her my very little body.’

The About You collaborator said she appears to be like and feels like that image ‘most days’ and apologized for ‘the way that I shot addresses and strategies in that state for thirty day period.’

‘This is me on a decent working day by the way,’ Bella went on.

‘I would never be able to make one of these films if I was at perform possessing a flare up, or not experience harmless/tranquil in my environment as I am with my mom and horses the earlier 4 months. I experimented with my greatest so I could try out to update you fellas prior to the extraction.’

Hadid included: ‘Thank you for seeing this and being aware of a small much more about me that is a huge aspect of my daily life. It indicates much more to me than you even know and I sense nearer to you guys now. Really like you all a whole lot a ton a lot. My angels.’

‘I get what feels like lesions’: Bella’s doctors approved her antibiotics and Motrin 800 for the jaw an infection just after she landed in Florida a thirty day period in the past, and she shared a selfie of her skin ‘breaking out randomly’ (pictured in early March)

Hadid explained through TikTok on Sunday: ‘I glimpse ill as a canine in contrast to what I look like now’

The fifty percent-Dutch, 50 {35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}-Palestinian natural beauty mentioned: ‘Basically, the nerve ache from my jaw ended up likely down my overall meridian of my physique, and to the touch, all over the place all the way down my human body by all my lymph nodes. This ache, person. Anything genuine diverse. Real different’

Bella continued: ‘You can only ponder why my experience improvements the way it won’t and this is why. Conclusion of tale. That is why I despise on the lookout in the mirror or taking images primarily recently, definitely wanting to toss up at the sight of myself consistently. Many years and a long time of this. If I am all dolled up it’s possible I will try for the women, but male is it tricky to do this as your career though also feeling/hunting ill like this’

Hadid included: ‘Thank you for observing this and recognizing a little more about me that is a large aspect of my each day everyday living. It implies a lot more to me than you even know and I experience nearer to you men now. Appreciate you all a great deal a lot a whole lot. My angels’

Prior to officially getting diagnosed with Lyme at age 16 – the DC-born, Malibu-elevated beauty was incorrectly diagnosed with ADHD at age 14 and began self-medicating at age 15 mainly because she was ‘so frustrated and sick’

Bella – who commenced homeschooling and stopped using horses due to mind fog – reported no a person believed she was chronically ill except for her mother Yolanda Hadid, who was diagnosed with Lyme the similar calendar year in 2012.

The 59-calendar year-old former Ford Model comprehensive her journey looking at ‘106 doctors’ and going through a Stem Cell transplant, Hyperbaric oxygen remedy, Chelation treatment, colon hydrotherapy, among the other therapies in her 2017 book Believe Me.

‘After several misdiagnosis for two many years, she commenced driving me everywhere and almost everywhere on our own, unwell herself, to discover the medical doctors that could heal me. I just turned 15/16 I imagine,’ Hadid recalled.

‘I was now carrying out IVs and random holistic therapies here and there, but just items that felt like a Band-Assist to me. My initial Lyme remedy that I try to remember where the physicians actually could treat me and convey to me what was mistaken with me was in Reno at University of Nevada and a year or two afterwards, my mom drove the each of us, unwell herself, throughout the border to Tijuana, Mexico. To the kindest small town medical professional.

‘After that, in excess of the several years, the flood gates opened and Lyme began to be much more noticeable through blood and Kinesiology. My mom’s e book essentially talks about all of the treatment options I did, and about what it appeared like for her baby to be unwell like her, it is really just a bit traumatizing for me to go through now.’

Again in 2017, the Ramy guest star informed InStyle that that she took ’30 pills’ and self-administered ‘two pictures a working day in the keester’ to adequately perform with Lyme sickness.

Throwback: Prior to officially getting identified with Lyme at age 16 – the DC-born, Malibu-elevated elegance was incorrectly identified with ADHD at age 14 and commenced self-medicating at age 15 simply because she was ‘so depressed and unwell (pictured in 2012)

Shared battle: Bella – who commenced homeschooling and stopped riding horses because of to mind fog – stated no one particular believed she was chronically unwell besides for her mom Yolanda Hadid (L, pictured in 2017), who was diagnosed with Lyme the exact same yr in 2012

The 59-calendar year-outdated former Ford Model in-depth her journey viewing ‘106 doctors’ and undergoing a Stem Cell transplant, Hyperbaric oxygen therapy, Chelation treatment, colon hydrotherapy, between other therapies in her 2017 ebook Believe that Me

Hadid recalled: ‘After a lot of misdiagnosis for two many years, she started out driving me anyplace and almost everywhere on our own, unwell herself, to come across the medical professionals that could mend me…Over the years, the flood gates opened and Lyme started to be far more seen as a result of blood and Kinesiology. My mom’s book essentially talks about all of the therapies I did, and about what it appeared like for her baby to be sick like her, it can be just a little bit traumatizing for me to study now’

April 3, 2023

U.S. military sees alarming trend in loss of fitness among soldiers: ‘The numbers have not gotten better’

After attaining 30 lbs in the course of the COVID-19 pandemic, U.S. Army Staff Sgt. Daniel Murillo is ultimately obtaining back into battling shape.

Early pandemic lockdowns, unlimited several hours on his notebook and heightened pressure led Murillo, 27, to access for cookies and chips in the barracks at Fort Bragg in North Carolina. Fitness centers have been shut, organized exercise was out and Murillo’s commitment to get the job done out on his own was small.

“I could detect it,” claimed Murillo, who is 5 toes, 5 inches tall and weighed as substantially as 192 pounds. “The uniform was tighter.”

Murillo wasn’t the only provider member dealing with additional pounds. New research discovered that obesity in the U.S. armed forces surged all through the pandemic. In the Military by yourself, practically 10,000 active obligation soldiers produced being overweight among February 2019 and June 2021, pushing the amount to just about a quarter of the troops researched. Increases have been viewed in the U.S. Navy and the Marines, much too.

“The Military and the other expert services will need to aim on how to deliver the forces back to physical fitness,” claimed Tracey Perez Koehlmoos, director of the Centre for Health and fitness Products and services Exploration at the Uniformed Expert services College in Bethesda, Maryland, who led the exploration.

Obese and overweight troops are a lot more most likely to be injured and much less probably to endure the bodily demands of their occupation. The navy loses far more than 650,000 workdays each individual calendar year because of extra bodyweight and being overweight-connected health prices exceed $1.5 billion each year for latest and former support users and their households, federal research demonstrates.

Much more modern data won’t be accessible until finally later this calendar year, reported Koehlmoos. But there is no signal that the trend is ending, underscoring longstanding worries about the readiness of America’s battling forces.

Obese soldiers — Army Team Sgt. Daniel Murillo conducts bodily training at Ft. Bragg on Wednesday, Jan. 18, 2023, in Fayetteville, N.C. Weight problems in the U.S. navy surged during the COVID-19 pandemic. (AP Image/Chris Carlson)AP

Military leaders have been warning about the affect of being overweight on the U.S. military for a lot more than a 10 years, but the lingering pandemic effects spotlight the have to have for urgent motion, stated retired Maritime Corps Brigadier Typical Stephen Cheney, who co-authored a new report on the trouble.

“The numbers have not gotten better,” Cheney said in a November webinar held by the American Safety Undertaking, a nonprofit feel tank. “They are just acquiring worse and worse and worse.”

In fiscal yr 2022, the Army failed to make its recruiting goal for the first time, slipping quick by 15,000 recruits, or a quarter of the requirement. That is largely for the reason that three-quarters of Us residents aged 17 to 24 are not qualified for army service for a number of reasons, such as additional body weight. Remaining overweight is the largest individual disqualifier, impacting far more than 1 in 10 possible recruits, in accordance to the report.

“It is devastating. We have a spectacular nationwide protection problem,” Cheney stated.

Added body weight can make it challenging for services users to fulfill main health requirements, which vary dependent on the military services branch. In the Army, for instance, if soldiers just can’t move the Military Beat Exercise Examination, a not long ago up-to-date measure of ability, it could end result in probation or stop their army professions.

Koehlmoos and her workforce analyzed health care documents for all energetic obligation Military soldiers in the Military Wellbeing Process Details Repository, a extensive archive. They appeared at two durations: ahead of the pandemic, from February 2019 to January 2020, and throughout the disaster, from September 2020 to June 2021. They excluded troopers without the need of full records in both of those durations and all those who had been pregnant in the calendar year just before or in the course of the research.

Of the cohort of nearly 200,000 troopers who remained, the researchers uncovered that just about 27{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} who ended up nutritious just before the pandemic turned chubby. And almost 16{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} of people who ended up previously chubby grew to become overweight. Prior to the pandemic, about 18{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} of the troopers were overweight by 2021, it grew to 23{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc}.

The researchers relied on conventional BMI, or system mass index, a calculation of excess weight and top employed to categorize body weight status. A human being with a BMI of 18.5 to 25 is deemed balanced, even though a BMI of 25 to a lot less than 30 is regarded as overweight. A BMI of 30 or greater is classified as obese. Some gurus claim that the BMI is a flawed evaluate that fails to account for muscle mass or fundamental wellness standing, although it continues to be a commonly used software.

In Murillo’s circumstance, his BMI during the pandemic reached virtually 32. The North Carolina Military soldier knew he necessary support, so he turned to a armed forces dietician and started a stringent work out regime by the Army’s Holistic Wellness and Health and fitness, or H2F, software.

“We do two runs a 7 days, 4 to 5 miles,” Murillo said. “Some mornings I needed to give up, but I hung in there.”

Bit by bit, above months, Murillo has been able to reverse the trajectory. Now, his BMI is just above 27, which falls inside of the Defense Department’s standard, Koehlmoos said.

She located boosts in other services branches, but centered to start with on the Army. The research squares with traits famous by the Facilities for Disorder Handle and Avoidance, which warned that in 2020, nearly 1 in 5 of all service users were overweight.

The constant creep of weight problems between service associates is “alarming,” claimed Cheney. “The state has not approached obesity as the issue it seriously is,” he added.

Placing on added kilos through the pandemic was not just a armed forces problem. A survey final 12 months of American grown ups identified that almost 50 percent reported getting weight immediately after the initial calendar year of the COVID-19 emergency. One more research observed a sharp increase in weight problems among the young children during the pandemic. The gains came in a nation in which a lot more than 40{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} of American grown ups and approximately 20{35112b74ca1a6bc4decb6697edde3f9edcc1b44915f2ccb9995df8df6b4364bc} of young children wrestle with being overweight, according to the CDC.

“Why would we consider the armed forces is any various than a human being who is not in the armed forces?” claimed Dr. Amy Rothberg, an endocrinologist at the University of Michigan who directs a pounds-decline plan. “Under pressure, we want to retail store energy.”

It will consider broad steps to address the dilemma, such as seeking at the food supplied in armed forces cafeterias, knowledge slumber designs and dealing with provider members with issues these as PTSD, or article-traumatic tension problem, Rothberg explained. With regards to weight problems as a chronic condition that requires thorough care, not just willpower, is important. “We need to have to meet up with navy associates where by they are,” she claimed.

A new group of effective anti-being overweight medications, which include semaglutide, marketed as Wegovy, could be a impressive assist, Rothberg reported. TRICARE, the Protection Department’s wellbeing system, covers these types of prescription drugs, but uptake continues to be low. Considering that June 2021, when Wegovy was accepted, just 174 services members have acquired prescriptions, TRICARE officials explained. Novo Nordisk, which would make Wegovy, funded the security group’s report, but didn’t affect the exploration, Rothberg claimed.

“People are operating tricky at their fat and we have to give them what ever applications we have,” Rothberg said.

Jonel Aleccia of The Linked Push wrote this tale.

The Connected Press Wellness and Science Division receives support from the Howard Hughes Professional medical Institute’s Science and Academic Media Team. The AP is solely accountable for all information.

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Think Healthcare shares tips for healthy eating for National Nutrition Month

Dr. Erika Rothgeb shares tips for healthful eating for Countrywide Nutrition Month

Author: John Morales

How the FHIR Data Standard Advances Patient-Centered Care, Healthcare AI Innovation

World Interoperability and Availability of Vital Well being Data

How U.S. Health care Benefits from FHIR

FHIR’s Critical Role in Enabling AI in Healthcare

Last Ideas

John Fetterman reveals mental health spiral in tearful interview

Bella Hadid gives health update after jaw infection and details struggles with Lyme disease

U.S. military sees alarming trend in loss of fitness among soldiers: ‘The numbers have not gotten better’

Think Healthcare shares tips for healthy eating for National Nutrition Month

Local doctor with transgender son says bill blocks ‘best treatment’ for transgender youth