Satyanarayan H. on LinkedIn: #healthcare (2025)

Happy Tuesday.We need something to cheer up the bottom of the week. And here is an impressive, record breaking drone show in Shenzhen city, China from last week. Enjoy and have a productive week ahead.

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What does health insurance do? The conversation in the attached screenshot sums it up.We have a distorted market in healthcare. For drugs, there is a middleman called PBM between the insurance and the drug companies. The PBM negotiates a higher rate than the cash price - usually 2x or 3x and then receives an under the table rebate from the drug company. It passes of portion of this rebate to the insurer. The end effect is that the bottom price for the consumer is increased. The consumer believes that their insurance saved them a lot of money.#healthcare

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If you have a child under 18 in school, in addition to their homework, they bring over 23 different strains of respiratory viruses home. If you have been sneezing, coughing, or if your asthma is acting up and wondering why your allergy medications not helping, it is because your symptoms are triggered by one or more of these viruses rather than the allergens. Based on the New Vaccine Surveillance Network (NVSN) data being tracked by the Centers for Disease Control and Prevention which is the source for the image below, in the order of probability, your virus is likely to be Rhinovirus, SARS-CoV-2, Enterovirus D-68, and Parainfluenza, followed by Adenovirus.Like NVSN, there are several other high-quality, epidemiological data sets available for public, healthcare providers, data enthusiasts, and entrepreneurs. We can obtain useful epidemiological intelligence by tapping into these different datasets, to educate public and guide treatments. There are opportunities to develop new applications and build startups, and intellectual properties but you need a team of motivated, & talented engineers, domain experts, entrepreneurs, and investors.Are you one of them?I would like to hear your thoughts. Please feel free to share, comment, and reach out.#healthcare #entrepreneurship #data #investment

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Why so much negativity against physicians?Recently, £inked-in’s algo tried to herd me into its collaborative article C-R-A-P by attempting to make me believe that I was one of the top experts in the “physician voice”. It fronted a loaded question, “You witness a physician undermining a nurse’s authority. How will you address this challenging situation?” which already had 18 expert answers! I was troubled by the framing of this question. Let’s look at the facts about the authorities in a real-life scenario.In healthcare, there is something called “Physician Orders” that every healthcare professional and administrator knows or should know about. Without an order from a physician, not a single penny can move out from the $4.3 trillion healthcare pie. It is a fact. In hospitals and physician offices, nurses carry out the orders from physicians aka “Physician Orders”. Nurses can get into trouble if they do not carry out “Physician Orders” or act alone without a “Physician Order”. Physicians must and do respect nurses and the values they add to the treatment team. Now, where this “Physicians undermining nurse’s authority” is coming from?This is the herd mentality you see in the video. £inked-in and its algos want to make the physicians believe they shouldn’t issue “Physician Orders”.I conducted a micro experiment. I scanned the top 20 collaborative articles on the £inked-in page of “Working with physicians”. Every single one of them is loaded with negativity.Here is an example: “You're challenging a physician's course of action. How do you handle the power dynamics?”Welcome to the Herd Mentality.#Healthcare #Physicians

How good is a stethoscope?The pulmonary exam is incomplete without lung auscultation. Yet, most telemedicine appointments today are limited to video visits, lacking the ability to listen to the lungs or hearts using a physician’s stethoscope. At Access Pediatric, we utilize digital connected stethoscopes to remotely auscultate the lungs and hearts of our patients.How often do physicians agree with each other when they listen to the same lung sounds, or even with themselves when presented with the same lung sounds on different occasions?This question was addressed in 1986 by Dr. Cynthia Murlow and others in a seminal study titled “Observer Variability in Pulmonary Examination,” and again in 2016 by the European Respiratory Society Task Force on lung sounds in a study called “Wheezes, crackles and rhonchi: simplifying description of lung sounds increases the agreement on their classification: a study of 12 physicians’ classification of lung sounds from video recordings.” These studies were published in the Journal of General Internal Medicine and the BMJ Open Respiratory Research, respectively.Both studies found that the agreement between physicians on identifying and classifying abnormal lung sounds was poor. The best kappa (a statistical measure of agreement) was around 0.7 for the detection of wheezing, which roughly translates to physicians agreeing with each other only about 50% of the time. The agreement on other lung sounds was even lower.Until recently, overcoming this inter-observer variability was challenging. However, advancements in technology and #artificialintelligence (AI) are changing the landscape.Lung sounds vary over time. Certain sounds, such as wheezing, ronchi, or crackles, can come and go or change character at different times. For instance, they may appear only during soccer games in someone with exercise-induced asthma. When the patient visits a doctor’s office, their lung sounds might be clear. What if we could continuously monitor the lung sounds of this patient and catch abnormalities as they occur during the soccer game? What if we could use #AI to identify, classify, and quantify these abnormal lung sounds?At Access Pediatric, we have these capabilities thanks to our partnership with Strados Labs. Using cutting-edge #telehealth and remote monitoring services, combined with #AI and the Virtual First model, we provide expert medical care to children from the comfort of their homes.

I think he was thinking about the future of pediatrics.According to 2021 data from the Association of American Medical Colleges (AAMC), only 35% of physicians in pediatrics are men, and this percentage is steadily declining. As we look to the future of #pediatrics, it’s clear that the field faces a growing gender imbalance.The current trajectory, shaped by affirmative action policies, appears to be making it increasingly difficult for men to enter and thrive in pediatrics. With medical school admissions emphasizing diversity, equity, and inclusion (DEI), men—particularly those from overrepresented groups—are often overlooked.For Asian men, and especially Indian men, the challenges are compounded. Despite being labeled as an overrepresented minority, they find themselves stuck in mid-level roles, facing barriers such as the J1 waiver program and green card backlogs.In an AAMC-controlled future, where policies continue to target perceived “sexism” and accusations of “mansplaining,” it’s a precarious path. Men in pediatrics might face a cold, lonely journey, with little support for their advancement and, sadly, safe return from these challenges is uncertain.Let’s strive for a more balanced future in medicine where all physicians, regardless of gender or background, have equal opportunities to contribute and succeed.#FutureOfPediatrics #EqualOpportunity #MedicalDiversity

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🌍 Today is the International Day of Clean Air for Blue SkiesDid you know that we inhale billions of particles every day? These tiny particles can greatly impact our health. Here's a breakdown:🌿 In rural areas, we breathe in about 110 billion PM2.5 particles daily.🏙️ In polluted urban environments, that number can skyrocket to 550 billion!Particulate matter (PM2.5) from vehicles, construction, and even forest fires can stay in the air for extended periods, contributing to serious health conditions like heart disease, stroke, and asthma.On average, each of us breathes in 11,000 liters of air daily—let’s ensure it’s clean! We must protect the air we breathe for a healthier tomorrow.Let’s work together to make clean air a reality for everyone. 💙#CleanAirForAll 🌬️ #HealthyLungs #AirQualityMatters #CleanAirDay #InternationalDayofCleanAir #WHO

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Happy Labor Day!𝓗𝓸𝓼𝓹𝓲𝓽𝓪𝓵𝓼 𝔀𝓲𝓽𝓱 𝓤𝓷𝓲𝓸𝓷𝓲𝔃𝓮𝓭 𝓓𝓸𝓬𝓽𝓸𝓻𝓼:𝑀𝒶𝓈𝓈𝒶𝒸𝒽𝓊𝓈𝑒𝓉𝓉𝓈 𝒢𝑒𝓃𝑒𝓇𝒶𝓁 𝐵𝓇𝒾𝑔𝒽𝒶𝓂: Multiple hospitals within this system, including Salem Hospital and Brigham and Women's Faulkner Hospital, have unionized doctors.𝑀𝑜𝓃𝓉𝑒𝒻𝒾𝑜𝓇𝑒 𝐻𝑒𝒶𝓁𝓉𝒽 𝒮𝓎𝓈𝓉𝑒𝓂: Doctors at Montefiore have formed a union through the Committee of Interns and Residents (CIR).𝒮𝓉𝒶𝓃𝒻𝑜𝓇𝒹 𝐻𝑒𝒶𝓁𝓉𝒽 𝒞𝒶𝓇𝑒: Residents and fellows at Stanford have unionized through CIR.𝒢𝑒𝑜𝓇𝑔𝑒 𝒲𝒶𝓈𝒽𝒾𝓃𝑔𝓉𝑜𝓃 𝒰𝓃𝒾𝓋𝑒𝓇𝓈𝒾𝓉𝓎 𝐻𝑜𝓈𝓅𝒾𝓉𝒶𝓁: Doctors at this hospital have unionized through CIR.𝒦𝒶𝒾𝓈𝑒𝓇 𝒫𝑒𝓇𝓂𝒶𝓃𝑒𝓃𝓉𝑒: While not a single hospital, Kaiser Permanente is a large healthcare system with multiple facilities where doctors have unionized.𝓗𝓸𝓼𝓹𝓲𝓽𝓪𝓵𝓼 𝔀𝓲𝓽𝓱 𝓤𝓷𝓲𝓸𝓷𝓲𝔃𝓪𝓽𝓲𝓸𝓷 𝓔𝓯𝓯𝓸𝓻𝓽𝓼 𝓲𝓷 𝓟𝓻𝓸𝓰𝓻𝓮𝓼𝓼:𝒩𝑒𝓌 𝒴𝑜𝓇𝓀-𝒫𝓇𝑒𝓈𝒷𝓎𝓉𝑒𝓇𝒾𝒶𝓃: Doctors at this hospital system are actively organizing to form a union.𝒞𝑒𝒹𝒶𝓇𝓈-𝒮𝒾𝓃𝒶𝒾 𝑀𝑒𝒹𝒾𝒸𝒶𝓁 𝒞𝑒𝓃𝓉𝑒𝓇: There are ongoing efforts to unionize doctors at Cedars-Sinai.𝒰𝒞𝐿𝒜 𝐻𝑒𝒶𝓁𝓉𝒽: Doctors at UCLA are exploring the possibility of unionization.#healthcare #physicians

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