12 minute read

How A Plastic Tube Is Playing A Pivotal Role In The COVID-19 Pandemic

TopDocRX, Revolutionizing Chronic Care Solutions

As opposed to acute care, chronic care is targeted at long-term illnesses. TopDocRX understands the expense that comes with maintaining the care of chronically ill patients. Annually, the total cost of chronic care treatments in the U.S. is roughly $1.65 trillion. This is why TopDocRX offers solutions like remote patient monitoring that brings down the cost of delivering chronic care solutions. TopDocRX also recognizes the challenges of chronic care treatment that can lead to therapeutic competition As patients deserve the best when it comes to their care and don’t deserve to get stuck in the middle of insurance and medical practice and hospital and in-home care agency competitive squabbles, TopDocRX’s telehealth solutions help to create a higher standard as the new common denominator across the medical landscape, which is a direct win for patients and chronic care patients in particular.

TopDocRX’s Chronic Care Solutions Just Work

The TopDocRX call center, staffed by over 900 telehealth workers which includes nurses and physicians, provides an ever-present, on-call solution for patients around the country. Think of this as a virtual hospital with specialists in every field available at your fingertips through their award-winning app. Starting with only a simple 20 minute call from our certified and trained nurses, your patients will have direct access to these professionals, without the many bureaucratic overhead costs associated with traditional chronic care. Get the help you need and want when you need and want it. As their nurses work with your patients, they will also tailor and build the needed program that is perfect for each patient. No matter the level of care needed, they will build the appropriate program required. After compatibility has been established, enrolling your patients into their Remote Patient Monitoring (RPM) platform becomes our top priority for you and your patients. This is because the technological advances that RPM brings to the table allows TopDocRX’s staff to monitor patients 24/7 from the comforts of their own homes.

TopDocRX, the Ultimate Remote Patient Care Monitoring System

Caring remotely for patients is now an everyday reality, and the waiting rooms are nearly empty as a result. With RPM, you can easily keep an eye on your patients more safely even than in-person visits! However, the following reasons have been listed as the most common deterents among physicians from choosing RPM solutions in the past:

As if these reasons were not enough, the actual costs (staff training, RPM kit, initial office setup, software costs, etc.) for a 300-patient practice ranges anywhere between $143,500.00 and $260,000.00! With such skyrocketing costs and no clear return on investment in sight, it’s no surprise that very few medical practices adopted the burgeoning RPM technological developments.

Legal compliance Lack of a proper billing system (over 80% of medical bills contain errors) Lack of FDA-approved electronic equipment

Low patient retention, and

Patient-unfriendly platforms

Considering how primary care practices were expected to lose up to $15 billion in 2020, additional costs were the last thing that any practice would consider incurring. This game has now completely changed thanks to TopDocRX’s RPM system which is the donefor-you remote patient monitoring system that practices have wanted but not been able to execute as a solo venture. That is why the TopDocRX RPM system is here to assist your patient care efforts free of charge… that is, to you and your patients. Once you outsource to TopDocRX, you can have highly effective and qualitative care direct to chronic and acute care patients using specialized monitoring equipment and personnel. Furthermore, using our VAC (Visual, Audio, and Kinesthetic) method of communication, our staff constantly receives training on how to see, hear, feel, and solve any patient issue simply and professionally.

Which Kind of Medical Practices Will Benefit the Most from TopDocRX RPM?

As a physician, especially one with a packed waiting room, you need to share your attention with a vast array of patients, regardless of their current medical conditions. At such times, the ability to sift through data and deliver patientcare-relevant conclusions quickly becomes paramount. TopDocRX RPM was designed to be your solution here by collecting and analyzing the data for you automatically and behind the scenes.

If you find yourself in need of a virtually costfree digital assistant backed by over 900 medically trained personnel to assist you with your practice’s growth, TopDocRX gives you the ability to scale your medical practice infinitely. With its comprehensive data collection, TopDocRX RPM allows you to implement patient care more straightforwardly; you will benefit your patients by reaching conclusions to support patient care faster and more efficiently. In turn, your patients are able to respond promptly to their medical issues and avoid specific health issues in the future. RPM is the ounce of prevention that is better than a pound of cure.

Once the system is in place (which takes about a day of work in total from the applications and inoffice equipment setup and demonstration), keeping an eye on your patients' health will never be easier! You can choose to monitor your patients and data directly or have our medical staff do it for you. However, while TopDocRX RPM has vast applications for all patients and practices, it works best for:

Chronic care patients - These are patients with chronic diseases such as diabetes, depression, Alzheimer's, or multiple sclerosis who can then enjoy their freedom at home without supplementary physical human supervision. Critical care patients - TopDocRX RPM helps monitor patients in hospices.

Telehealth direct access chat to nurses 24/7 Telehealth video access to doctors 24/7 900+ call center staffers ready to assist their needs Real-time, automated data and insights

Why Should I Outsource to TopDocRX RPM?

The answer is multiple, yet simple – first off, outsourcing to TopDocRX will allow you access to the TopDocRX Connect, the first genuinely comprehensive virtual care platform, meeting the patient at the point of care. They provide preventative, 24/7 healthcare to high-need patients in detail while collecting enough data for you to draw faster, more effective, and cost-efficient conclusions to support patient care! They provide all the medical devices and wearables necessary for data collection, as well as the patient health kits, to the patient while following, of course, all HIPAA and FDA regulations! As for the patients, they will enjoy copious benefits for a service that is covered by Medicare and Medicaid:

Second, the platform allows you and your personnel to immediately respond to any drastic changes in your patients’ health, track their medicine intake, and send push notifications when needed. You will be able to track your patients’ heart rate, glucose, step count, and any other essential variables to their health on a straightforward interface, friendly to young and old users alike!

Third, the platform offers trustworthy billing services. For other RPM systems, billing is frequently accompanied by errors, namely in over 80% of cases, so TopDocRX has automated as much of this as possible for you.

Are you ready to introduce your patients to the wonderful modern world of remote patient monitoring, providing better care for them, better patient retention for you, and allowing you to scale your business infinitely? This truly is a business growth proposition… literally in a box. If you are ready to get started, that is fantastic! It is time for you to take the next step towards improving your patient care and contact TopDocRX here.

If you aren’t quite ready to get started and have additional questions call 1-855-904-1047 or schedule a consultation here.

Microvascular Testing System

TopDocDX presents a real-life picture to the patient, with all its positive and negative influences. Therefore, physicians will have an enhanced understanding of the patient's overall health.

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15-minute Non-invasive Onsite Diagnostic Tests

This clinically powerful and noninvasive testing system for hidden diseases in asymptomatic patients provides the patient with an inside-out look on their health.

Early Detection of Chronic Disease in Asymptomatic Patients Diagnose Complex Symptoms Increase Patient Compliance with Treatments

How A Plastic Tube Is Playing A Pivotal Role In The COVID-19 Pandemic

By Ionuț Raicea

Years before the pandemic, a medical student saw a 19-year-old young woman coming to the ICU with postpartum complications. After being put on ventilation, her condition deteriorated even further; she contracted a very antibioticresistant infection called ventilator-associated pneumonia (VAP). Unfortunately, the woman's immune system gave up, and she passed away.

The medical student had to relay the tragic news to her family; "this newborn child does not have a mother because she got an infection. " This whole experience left our student baffled with questions surrounding the quality of breathing tubes. After identifying the breathing tube as the problem, he realized that someone needed to make a better breathing tube. Such a device would need to prevent fluid, bacteria, viruses, and other pathogens from reaching the lungs, but more importantly, it would need someone to devote themselves to creating it. "And I said, 'I'm going to make a breathing tube that will prevent cases like this from ever happening again. '"

His name is Benjamin Wang, MD, and we are pleased to say that he honored his pledge. Today, Dr. Wang founded NeVap, a company producing breathing tubes that have been instrumental in saving the lives of COVID-19 patients. Our Top Doctor Magazine team was delighted to learn about Dr. Wang's work and its role in the pandemic. We employed Dr. Wang's knowledge to write a thorough article on how an overlooked detail is becoming critical in caring for the sickest patients during the pandemic. Let us learn how Dr. Wang's approach could be the turning point in the battle against ventilatorassociated pneumonia and COVID-19!

Although frequently critical, invasive mechanical ventilation is not devoid of risks. Because of the invasive nature of endotracheal or tracheostomy tubes, oropharynx or stomach secretions, rich with bacteria, will almost always leak along with the airway device into the patient's lungs. The longer a patient spends on a ventilator, the higher their risk. The inability to protect the patient's lower respiratory tract leads to numerous cases of VAP and unnecessary fatalities amongst COVID-19 patients (44%-50% rate of VAP in COVID-19 patients).

The Introduction of Single Port Subglottic Suctioning

Ventilator systems were improved by creating breathing tubes that could drain secretions before entering a patient's lungs. Over the past 15 years, single port subglottic (i.e., under the tongue) suctioning endotracheal and tracheostomy tubes have been clinically beneficial by reducing VAP incidence (40%-67%), antibiotic exposure, length of mechanical ventilation, and mortality. Compared with previous technology, subglottic suctioning is a clear step forward.

However, this new technology is not without flaws. For example, respiratory care practitioners must often deal with subglottic suction blockage due to entrapment of airway tissue, often exceeding 50% within 5-15 minutes. In addition, due to both the device's efficacy and reduced clinical benefits, only approximately 20% of hospitals currently utilize this class of breathing tube. Consequently, using these tubes effectively in Operative or Emergency settings hasn't been possible, further limiting the number of patients who can benefit from these devices. To improve the safety of mechanical ventilation, Dr. Wang and his NeVap team set about creating a solution that could improve the efficacy of subglottic suction drainage in the ICU and bring this technology into other settings to benefit patients who would otherwise not be helped. They determined that a breathing tube that could reduce aspiration in all settings without engaging airway tissue could benefit clinicians and patients without requiring any additional equipment. Thus, the NeVap Aspire Subglottic Suction Endotracheal Tube, or ASSET, was born after several years of development.

The ASSET tube uses 24 suction fenestrations and a tissue blocker to significantly reduce suction blockage while providing more effective suction removal of the secretions that cause VAP. The tissue helps point suctioning away from the patient's tissue and decreases the distance between the suction source and airway fluid. In testing, NeVap ASSET removes ten to fifteen times more secretions responsible for VAP when compared to other tubes. It has been successfully used in a variety of patients during surgical procedures and emergencies.

Dr. Wang and his team have devoted nearly a decade to develop what he believes to be the most logical and straightforward way to prevent VAP. Aside from superior design, NeVap ASSET is already benefiting patients in ways no other breathing tube has been able. Patients who need transplant surgeries, cardiac surgeries, trauma patients, and even COVID-19 patients benefit from better infection prevention due to the NEVAP breathing tube. In addition, this simple device benefits patients without using any chemical or pharmacological agents, so its infection prevention benefits can be used indefinitely. Moreover, with the average VAP treatment costing hospitals over $40,000/case, the NeVap ASSET is a clinically significant innovation and a critical way to save hospitals.

With professional societies like CHEST reporting the high rates of VAP in COVID-19 patients, it is clear the critical role innovative devices like the NEVAP ASSET tube play in combating the pandemic. Keeping ICUs from becoming overcrowded and helping patients recover without mechanical ventilation should be every hospital's goal. Over 30,000 NEVAP tubes have been sold worldwide, and the device is winning the trust of clinicians worldwide. In the coming months, we hope more hospitals will take a hard, honest look at this breathing tube that is making a difference during the pandemic and ushering in an age of safer mechanical ventilation.

An Exclusive Interview with Terri Ross

By Yuko Tabasa

An Industry Leader Shares 3 Secrets to Running a Successful Aesthetics Practice

nI the hyper-competitive field of Aesthetics Practices and Medi-spas, it’s never been more vital to have a comprehensive system in place to ensure the practice’s growth and profitability. Terri Ross is a world-renowned practice management consultant with years of leadership experience in the sales divisions of Fortune 500 medical device companies, corporate sales training programs, and was recruited as a business growth consultant by some of Beverly Hills’ top plastic surgeons such as Garth Fisher, MD, Paul Nassif, MD, David Amron, MD, and Andrew Frankel, MD. Her new company, Aesthetics Practice Accelerator (APX), takes the experience of launching and growing medical aesthetic practices in competitive markets such as Beverly Hills and gives medical professionals worldwide a proven platform for optimizing their business and increasing their bottom line. In her interview with Top Doctor Magazine, Ross tells us some of her many secrets that APX has identified as critical to a successful aesthetics practice.

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