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How Far Can Horos Go? What To Do When Working With Limited Sharing, Access, and Mobility

If you’ve used Horos, a free open-source DICOM viewer for Mac computers, you may know about the helpful tools accessible at your fingertips. The locally installed program allows users to view images in 3D, generate multiplanar reconstruction (MPR) images, and even perform DICOM sends over a network.  All of this for free? Yep. Horos is a great app that happens to be supported by Purview, a software-driven healthcare company whose mission is to open access to medical expertise, improving patient outcomes.

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Preventing Catastrophic Outcomes at the Track - We Can Do Better

Even when Mage “placed” in the Florida Derby several weeks ago in an impressive run, no one would have imagined he’d win the run for the roses at Churchill Downs.  While 15-1 odds are sizable for a Derby winner, the odds of seven horses dying in the days leading up to the Kentucky Derby were more remote.  Both beat the odds. As of this week, there was an eighth death, as Rio Moon suffered a, “catastrophic injury to his left leg,” according to NBC News

While the insiders who make their livings on or around the racetrack know that injuries and even the death of a horse is not entirely preventable, Churchill Downs might want to take some lessons from other venues and racing associations who have gotten out in front of this issue.

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Second Opinions for Children - An Interview with Dr. Jesse Skoch, Neurosurgeon at Cincinnati Children's Hospital

Prior to the emergence and adoption of telemedicine, when your child became sick, you would start at your local pediatrician, and when it was serious, you would seek the best local specialty care, often from your local hospital. If you were lucky, your local hospital would either have a great pediatric department, or you would actually have access to a hospital that specialized in pediatric medicine. If it was complex or rare, and your local area did not have the expertise your child needed, you would need to choose between settling with the best they could offer, or seeking out the hospital with the right specialty. 

This can mean packing your family up, and traveling to get the right kind of treatment and medical expertise your child needs. You may travel to multiple facilities before finding the right expertise or desired treatment. The list of burdens and disruptions this places on families is long, from potentially exposing a child’s fragile immune system throughout the journey, to disruption of schooling, a parent’s ability to work, medical and travel costs, as well as overall continuity. This all during a time where you want to bring some level of predictability and stability back into your child’s and your family’s lives. For some families, this has meant permanently relocating. For others, traveling or moving is simply not possible, and you must settle with the best expertise accessible locally. 

Fortunately, that was then. While there is still room to grow, many children’s hospitals have recognized this need and have dramatically expanded access to care through online second opinion and consultation programs. Some of the nations top ranked children’s hospitals, from the east to west coasts, now offer online consultation services. This list includes, but is not limited to:

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Online Pre-Surgical Reviews: A Step Towards Improving Patient and Physician Experience Along With Throughput, That Everyone Can Get Behind

In a rural town in the United States, Jordan’s infant son, Milo, was born with a cranial abnormality. Upon medical evaluation at their local hospital, the infant was diagnosed with craniosynostosis, a congenital disorder characterized by premature fusion of cranial sutures leading to a misshapen skull and potential brain growth restriction. Milo required major surgery to address his condition, but due to the scarcity of specialized healthcare services in their region, particularly for such a complex procedure, the family could not access the necessary medical expertise. Desperate for support, Jordan researched her son's condition and located a children's hospital with a top-ranked Craniofacial surgeon. Yet, the facility was nearly one thousand miles away from their hometown, and due to financial constraints, such as the cost of transportation, lodging, and time off from work, Jordan doubted their ability to make the trip across the country for the surgical evaluation. She worried that even if they could get there, what would happen if her son was not a good candidate for the surgery? It was not a realistic option for them to visit multiple hospitals in person to receive second opinions, and she felt stuck. Jordan’s story represents the struggle of many Americans to access quality medical care for their children without facing significant geographic and financial barriers. For this reason, many families seek answers closer to home, instead of receiving care from top experts, which can reduce positive healthcare outcomes.

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