DVIDS – News – I Am Navy Medicine: Hospital Corpsman 3rd Class (SW/AW) Anthony Johnson

When U.S. Army Lt. Gen. Ronald J. Place, Defense Health Agency (DHA) director called on Naval Hospital Bremerton (NHB), little did a newly arrived Navy petty officer realize he would be front and center during the visit.

Hospital Corpsman 3rd Class (Surface Warfare and Aviation Warfare qualified) Anthony Johnson was selected by his directorate to be recognized by the visiting DHA director for his dependable work on the job and his leadership efforts guiding junior Sailors.

“It was an honor to even be recognized with the short amount of time I had been onboard. I was not aware and was definitely caught by surprise when told to report immediately after completing my Basic Life Support instructor course that day. I love knowing that even if nothing is being said around you, your Chain of Command is always paying close attention and recognizing the hard work and effort we all put in daily,” said Johnson, who was hand selected to assist NHB’s Healthcare Benefits operations and Referral Management Center in helping service members and their families navigate enrollment complexities, electronic health record MHS GENESIS registration and coordination of care needs.

“I tried to learn as much as possible to become a valuable asset to the Healthcare Operations Department and Referral Management Center,” Johnson said, helping conduct daily primary care manager (PCM) assignments and management of patient empanelment for 37 PCMs with approximately 33,800 patients.

He also assisted in coordinating and updating TRICARE enrollment and benefits for more than 7,000 Sailors assigned in the Pacific Northwest, along with handling counseling and management of billing concerns, coordinating virtual appointments and serving as a liaison between NHB and claim(s) advisors.

Johnson is currently the leading petty officer of the Multi-Service Unit managing14 enlisted Sailors in support of nine nurses.

The added responsibility and increased reliability is part of the path that Johnson has followed from Gulfport, Miss. to Atlanta, Ga. where he graduated from Stone Mountain High School in 2001. After time spent unhappily working in construction as a welder, he chose to pursue his interest in medicine, drawing inspiration from his mother in doing so.

“My mother dealt with medical issues for many years of my life since middle school. I always wanted to know the why and the how this medicine or that medicine works, or what is causing the symptoms, how to treat it, etc.,” explained Johnson. “I am the oldest of three boys raised by a single parent, who battled cancer since I was 12 years old, which grew my interest in medicine. Plus, I like helping people in need anytime I can.”

“I kept good grades, played sports in school, but never knew what I wanted to do until later in life when I decided to go after my interest in medicine,” continued Johnson. “I have a daughter who’s growing so fast on me, recently turning 14 years old in October and wants to become a pediatrician. I hope to continue in the rate that I love until

Read More

Dr Anthony Loschner Expounds on the Benefits of AI in Pulmonary Medicine

Artificial intelligence (AI) frees up time for clinicians, noted Anthony L. Loschner, MD, assistant professor and associate program director, Critical Care Fellowship Program, Virginia Tech Carilion School of Medicine.

Despite limitations to the perception of artificial intelligence (AI), there is value in that it frees up time for clinicians to devote to more meaningful work and clinical activities, noted Anthony L. Loschner, MD, assistant professor and associate program director, Critical Care Fellowship Program, Virginia Tech Carilion School of Medicine.


Are there limitations to how AI is currently used in pulmonary medicine?

I’m a glass-half-full type of guy, so I think all of it’s good right now. There are some limitations, I think, in the perception of AI—adopting it, because you don’t have to look far into artificial intelligence, not just in medicine, but throughout the industry—and a lot of speculation on how dangerous it could be.

Stephen Hawking said that a concern of his was that AI would develop a conflict with our own interests, and then hence compete with us. And so that’s a scary thing. I think that’s a barrier to get over. Job loss is another one. However, I don’t really see it that way. I see it as a great job aid, where it can offload some of the more data mining and data interpretation to the computer, allowing the clinician to allow time for more meaningful work and clinical activities.

Pulmonary function test [PFT], I think, has a really good future in AI. Pulmonary function testing allows itself for AI because it’s data rich; [there are] many numbers and the pattern recognition within those numbers.

A group in Belgium just published a paper with fantastic, humbling, results really where when a pulmonologist is sure, or absolutely sure, of their interpretation, the quality of their interpretation, they were only about half the time right actually. So when we’re the most confident in our interpretation, about half the time we’re right, and then it sort of diminishes and equals a computer from there.

So that’s awesome, because pulmonary function tests do take time to read; it’s very manual in its interpretation, and this study shows that it can be flawed, deviating from guidelines and just errors. Also, because if there’s a large amount of PFTs to be reviewed, reading fatigue sets in and then mistakes can happen.

Also, public health and occupational health uses for pulmonary function tests wouldn’t require a physician and cost with AI. Huge amounts of PFTs can be interpreted and only the abnormals be reviewed by a physician or refer to a pulmonologist for further review.

Source Article

Read More

Dr. Anthony Fauci unleashes on White House coronavirus approach days before election

As President Donald Trump fights his way through the final days of the presidential campaign denying the pandemic — by lashing out at doctors, disputing science and slashing the press for highlighting rising coronavirus case counts — the long-running rift between the White House and Dr. Anthony Fauci burst into the open Saturday night.

Anthony S. Fauci wearing a suit and tie: WASHINGTON, DC - MARCH 17: (L-R) U.S. President Donald Trump, joined by members of the Coronavirus Task Force, speaks as National Institute Of Allergy And Infectious Diseases Director Dr. Anthony Fauci looks on during a press conference about the coronavirus outbreak in the press briefing room at the White House on March 17, 2020 in Washington, DC. The Trump administration is considering an $850 billion stimulus package to counter the economic fallout as the coronavirus spreads. (Photo by Drew Angerer/Getty Images)

© Drew Angerer/Getty Images
WASHINGTON, DC – MARCH 17: (L-R) U.S. President Donald Trump, joined by members of the Coronavirus Task Force, speaks as National Institute Of Allergy And Infectious Diseases Director Dr. Anthony Fauci looks on during a press conference about the coronavirus outbreak in the press briefing room at the White House on March 17, 2020 in Washington, DC. The Trump administration is considering an $850 billion stimulus package to counter the economic fallout as the coronavirus spreads. (Photo by Drew Angerer/Getty Images)

For months as Trump undercut his own medical experts, sidelined scientists and refused to take basic steps to control the virus while mocking former Vice President Joe Biden for wearing a mask, the nation’s top infectious disease specialist held his tongue and took the President’s attacks in stride as he continued to plead with the American people to socially distance and wear masks.

But Fauci’s restraint appeared to have evaporated in a Washington Post interview that was published Saturday night, in which he called out the White House for allowing its strategy for fighting the virus to be shaped in part by a neuroradiologist with no training in the field of infectious disease and said he appreciated chief of staff Mark Meadows’ honesty when he admitted to CNN’s Jake Tapper during a recent interview that the administration has given up controlling the spread of the virus.

At a time when Trump is downplaying the rising cases in the vast majority of states, dangerously holding huge rallies with few masks and no social distancing, and lodging the false and outlandish claim that doctors are exaggerating the number of Covid deaths for profit, Fauci told the Post that the nation is “in for a whole lot of hurt.”

“All the stars are aligned in the wrong place” as the country heads indoors in colder weather, Fauci told the newspaper in an interview late Friday — a day when the US set a global record for the most daily cases and the nation surpassed 229,000 deaths. “You could not possibly be positioned more poorly.”

View Trump and Biden head-to-head polling

Fauci, who is widely trusted by the public after a lengthy career serving under six presidents from both parties, said Meadows was being candid in the interview last weekend where he told Tapper it was not possible to control the virus. Fauci has adopted the polar opposite strategy by repeatedly telling Americans that they can change the trajectory of the virus and save lives if they adhere to mask use, social distancing protocols and other safety precautions.

“I tip my hat to him for admitting the strategy,” Fauci told the Post of Meadows’

Read More

U.S. adds 73K more cases; Dr. Anthony Fauci says end of COVID-19 ‘not even close’

Oct. 28 (UPI) — The United States’ top infectious diseases expert says the COVID-19 pandemic isn’t even close to being finished, as another 73,000 cases were added nationwide — bringing the tally for the past week well over a half-million.

There were about 73,200 new cases on Tuesday, according to updated data from Johns Hopkins University. Over the past seven days, there have been about 503,000 new cases.

There were nearly 1,000 coronavirus deaths Tuesday, the most in a week, the data showed.

“Unfortunately, we’re right now in the middle of what’s going to be referred to … as the mother of all outbreaks over the last hundred years,” Dr. Anthony Fauci, the longtime director of the National Institute of Allergy and Infectious Diseases, said during a discussion at the Yale Institute for Global Health.

“And we’re not even close to being finished with it yet.”

For weeks, Fauci and other top health experts have warned of rising cases in the coming months as the pandemic enters a period of colder weather, when more people gather indoors, and flu season.

Fauci said he’d hoped the United States would use the summer to get a better grip on the health crisis before the winter months, but said “we are not well positioned” to handle the outbreak over the next few months.

“We need to continue with masks, safe distancing, and the other public health measures that we are adhering to now for at least a year,” he added.

Since the start of the pandemic, there have been 8.78 million infections and about 226,800 deaths in the United States, according to Johns Hopkins. Worldwide, there have been 44 million cases and almost 1.2 million deaths.

Tuesday, President Donald Trump listed “ending the pandemic” as one of the accomplishments of his first term.

“From the outset of the COVID-19 pandemic, the administration has taken decisive actions to engage scientists and health professionals in academia, industry, and government to understand, treat, and defeat the disease,” the White House said in a statement.

Trump has repeatedly clashed with scientists, including Fauci, and dismissed their proposals and advice for controlling the crisis. Trump has also consistently ignored safety guidelines like distancing and wearing masks at a number of gatherings at the White House and on the campaign trail.

Fauci has previously said mixed messages coming from the Trump administration about the pandemic has been a major obstacle in defeating the coronavirus.

“I am very disturbed by the intensity of divisiveness we are seeing,” Fauci told the Yale Institute for Global Health. “I have received serious threats to my life, there are federal agents guarding my office.”

In Wisconsin, health officials reported a record Tuesday for deaths in a single day. The state’s positivity rate has risen to about 26%. They also say hospitals are becoming overwhelmed and facing staff shortages.

“There is no way to sugarcoat it, we are facing an urgent crisis and there is an imminent risk to you and your family

Read More

Infectious Disease Expert Contradicts Anthony Fauci, Reveals How Thanksgiving Travel Could Be Safe

While Dr. Anthony Fauci is warning against large family gatherings and travel for the upcoming Thanksgiving holiday in the U.S., another health expert is saying that those who utilize proper precautions should be okay to do some traveling over the holidays.

Speaking to WPTV, an NBC affiliate station, Dr. Kleper De Almeida, an infectious disease specialist with JFK Medical Center in Atlantis, Florida, said that he felt travel could take place over the holiday season, including Thanksgiving, so long as those choosing to travel did so in a smart and safe way.

“As long as people take the measures that we should be applying every day, it would be safe to travel,” he said. “We need to be very mindful of that while we travel to protect ourselves from exposure, and in doing so, minimizing the risk of bringing it back to our communities.”

De Almeida’s comments directly contradict ones made by Fauci, who is the head of the National Institute of Allergy and Infectious Diseases and has been seen as the face of COVID-19, as he repeatedly warns Americans of rising infection rates and encourages mask use and social distancing. However, while those measures can help slow the spread, he has warned against letting them be the sole means of protection when it comes to considering a larger gathering for Thanksgiving and even admitted that he was taking precautions by not spending the holiday with his own daughters.

“That is unfortunately a risk, when you have people coming from out of town, gathering together in an indoor setting,” Fauci said. It is unfortunate, because that’s such a sacred part of American tradition—the family gathering around Thanksgiving. But that is a risk.”

The CDC echoed Fauci’s concerns with their guidelines for the holiday season, and traditional events that draw large crowds, like the Macy’s Thanksgiving Day Parade in New York, are going virtual to try and prevent the spread.

The United States currently stands at more than 8 million total COVID-19 infections reported and 218,000 deaths, with more than 70,000 new cases reported Friday, the largest increase since July. According to statistics from the New York Times, a total of 29 states continue to report high numbers of cases, while 16 other states are starting to report upticks.

In the past seven days, states that have seen high surges in percentages of cases have been North and South Dakota, which have seen more than 500 cases per 100,000 residents, with Montana, Wisconsin and Nebraska also reporting high numbers, with more than 300 cases per 100,000 residents. Currently, the only states that have seen less than 100 infections per 100,000 people (less than 0.001 percent), have been Vermont, Maine, Hawaii, New Hampshire, New York, Oregon, California, Washington, New Jersey, Massachusetts, Maryland, Arizona, Pennsylvania, Connecticut, Virginia, Florida, Delaware, Georgia and Louisiana.

Fauci said the government would not make any future COVID-19 vaccine obligatory for the general public Fauci said the government would not make any future COVID-19 vaccine obligatory for the general public Photo: POOL / Al Drago

Source Article

Read More