All posts by Eva Patel

Coronavirus and the Loneliness Epidemic

Mask-Wearing/Social Distancing for People who are Deaf/Hard of ...

Image from bridgesrc.org

Eva Patel

From football games to in-person classes to family barbeques, the coronavirus pandemic has transformed our social lives.

At the end of March, when the United States had approximately 20,000 cases a day, 44% of Americans said their life had changed in a major way. In 2017, Vivek Murthy, the past U.S. Surgeon General, described loneliness as a major public health issue in the US. A January 2020 report from Cigna also reported that 60% of Americans over 18 felt lonely — the highest level of loneliness in American history. Coronavirus might make the  loneliness epidemic worse. Social distancing — which is proved to slow the spread of coronavirus and help flatten the curve — might also feed into America’s loneliness epidemic. And although loneliness is defined more by a lack of meaningful social connection than simply face-to-face interactions, a 2018 Cigna study shows that those who have daily in-person interactions are 38% more likely to say their overall mental and physical health is good compared to those who never have in-person interactions. 

Older adults are at an increased risk for loneliness, and as the highest at-risk group for coronavirus, they are also more likely to follow stricter social distancing guidelines, contributing to isolation. Loneliness has some concrete health risks, such as premature death, suicide, depression, heart disease, and stroke. Although loneliness is not something strictly defined by DSM-5, it is an increasingly recognized aspect of health. Many mental health experts advocate for the term “physical distancing”. Social distancing implies disconnecting from friends, family, and support networks at a time when these support networks are most needed.  

https://www.bbc.com/worklife/article/20200408-coronavirus-how-lockdown-helps-those-who-fear-the-phone

https://www.cdc.gov/aging/publications/features/lonely-older-adults.html

https://www.nbcnews.com/think/amp/ncna945446 

https://www.psychologytoday.com/us/blog/cutting-edge-leadership/202004/unfortunate-allies-the-coronavirus-and-loneliness

https://www.pewsocialtrends.org/2020/03/30/most-americans-say-coronavirus-outbreak-has-impacted-their-lives/

https://time.com/5833681/loneliness-covid-19/

Zoom and Telehealth during Coronavirus

Telehealth Continues To Change The Face Of Healthcare Delivery ...

Image from forbes.com

Eva Patel

With the rise of coronavirus cases in the United States, workplaces and schools have had to adjust to remote video communication. From the rise of working from home via video conferencing and the surge of telehealth, this outbreak has accelerated changes and brought challenges for all. 

Telehealth, or telemedicine, is defined as the transfer of medical services or information remotely through communication technologies. Telemedicine allows people to get medical care from the comfort and safety of their home. Healthcare privacy law enforcement is relaxed, allowing use of everyday video apps, and Medicare and Medicaid have expanded what they will pay for with commercial insurers following suit.  

Through the CARES Act, Congress has allocated two hundred million dollars to medical groups to install the technology needed for a widespread expansion into telehealth.  Physicians at hospitals over the U.S. have seen a major spike in telehealth services. Physicians at Stanford Medicine have also reported feelings of empathy through telemedicine, and have said that video calling patients rather than communicating through their PPE has allowed them to form a greater connection.

However, with the rise of communication technology comes a rise in security issues. Zoom, for example, has faced “Zoombombing,” where intruders join Zoom meetings with the intent to disrupt. Zoom CEO, Eric Yuan, has apologized for the Zoom security threats and released Zoom 5.0 on April 27 to combat Zoombombing.

Telehealth may also come with its own issues; over-billing and over-utilization of telehealth has been a major concern that could come with relaxing anti-fraud guardrails on telehealth. Krista Drobac, the executive director of the Alliance for Connected Care, contests that any industry faces the risk of fraudsters, and that the benefits of telehealth outweigh any potential risks. The rise in telehealth also poses a technical challenge with many private practices not equipped for telehealth. 

Everyone is adjusting to these unprecedented times and new technology – as patients and physicians, students and teachers, we are all learning together. 

https://www.nytimes.com/article/zoom-privacy-lessons.html

https://khn.org/news/coronavirus-fuels-explosive-growth-in-telehealth-%E2%80%95-and-concern-about-fraud/

https://www.npr.org/2020/04/03/826129520/a-must-for-millions-zoom-has-a-dark-side-and-an-fbi-warning

https://fortune.com/2020/04/09/virtual-health-care-telehealth-coronavirus/

https://www.washingtonpost.com/news/powerpost/paloma/the-health-202/2020/04/08/the-health-202-coronavirus-means-americans-are-finally-embracing-virtual-health-care/5e8cf38d602ff10d49adf807/