Case Studies
FEATURED CASE STUDY:
Use of Interreality Care for Severe CHF
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Mr. Sanchez has multi-organ system failure and was admitted/readmitted 6 times over 5 months in early 2016. The last time he was readmitted, he had a cardiac arrest when he walked into the ER. Mr. Sanchez had to be intubated and stayed at the ICU/hospital for 15 days. It was estimated he only had 6 months to live. Multiple physician groups recommended end of life hospice or nursing homes.
In September, 2016, Duxlink's specialty team of cardiologists, pulmonologists, ARNPs, and testing groups started intensive Interreality Care with a combination of on-site (in person) care and on-line (remote telemedicine) care. Now Mr. Sanchez can get around without his walker and is peacefully staying at home with his family without being admitted to the hospital ONCE since 9/2016!
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Clinical Information Platform for Sob and edema
Ms. NB is a 94-year old whose past medical history consists of leukemia, hypertension, coronary disease, and heart failure. In August, her shortness of breath and edema were getting much worse. Her pulse ox would drop from the 90s to low 80s just from walking 10 to 15 ft, making it difficult for her to go out to eat at the diner only 200 ft away from her apartment. In addition, she had an ulcer developing on her left shin. NB's prognosis was extremely poor. The patient and her family were very concerned and hoped to get her through Thanksgiving (same day as her birthday) and Christmas.
To accomplish the task, Duxlink assembled a special team of physicians, technologists, and office coordinators to provide intensive Interreality care with on-site visits and on-line care. After a series of tests and monitoring, an individualized treatment plan was implemented. The collective parts of Duxlink's cloud-based Clinical Information Platform were used to manage the patient's care. The EMR and the online imaging system allowed medical experts to review her patient information remotely. Finally, the monitoring system allowed clinicians to review her submitted weight, blood pressure, pulse ox, and heart rate in real time and make immediate clinical decisions for frequent adjustment and fine tuning.
Over 2-3 weeks of live monitoring and on-time aggressive medical treatments through Duxlink's Clinical Information Platform, NB responded quickly, experiencing significant water loss (~14 lbs), a decrease in shortness of breath, improved lab values, and stabilized blood pressure and heart rate. Since mid-November, Ms. B has been doing very well, her heart failure resolved with evidence of heart failure index, ProBNP levels dropped from 6,000 to <1,500 (normal cut off = <1,800). Her ulcer was healed and she started enjoying walking and dining out as before. She was able to enjoy a big birthday party during Thanksgiving, entertaining over 100 family and friends from all over the US.
To accomplish the task, Duxlink assembled a special team of physicians, technologists, and office coordinators to provide intensive Interreality care with on-site visits and on-line care. After a series of tests and monitoring, an individualized treatment plan was implemented. The collective parts of Duxlink's cloud-based Clinical Information Platform were used to manage the patient's care. The EMR and the online imaging system allowed medical experts to review her patient information remotely. Finally, the monitoring system allowed clinicians to review her submitted weight, blood pressure, pulse ox, and heart rate in real time and make immediate clinical decisions for frequent adjustment and fine tuning.
Over 2-3 weeks of live monitoring and on-time aggressive medical treatments through Duxlink's Clinical Information Platform, NB responded quickly, experiencing significant water loss (~14 lbs), a decrease in shortness of breath, improved lab values, and stabilized blood pressure and heart rate. Since mid-November, Ms. B has been doing very well, her heart failure resolved with evidence of heart failure index, ProBNP levels dropped from 6,000 to <1,500 (normal cut off = <1,800). Her ulcer was healed and she started enjoying walking and dining out as before. She was able to enjoy a big birthday party during Thanksgiving, entertaining over 100 family and friends from all over the US.
evaluating ECG reports and treating a-fib remotely in Arizona
I have a history of atrial fibrillation and had an ablation in the past. I always have concerns and sometimes fears if the A Fib is back again when I don’t feel well. Sometimes, I have had to go to the emergency room or doctor’s office at the moment of questioning. This is even harder when I travel either on business trips or vacations with my wife, especially in our motorhome. When we heard about the Duxlink VIP Arrhythmia Service, I was actually in doubt how and if it would help me. Anyway, I enrolled into the program before my long trip, since there were no other options.
This April, my wife and I traveled to Tucson, AZ in our motorhome for a month. The day when we arrived in Tucson, I felt my heart go into A Fib. I immediately took an ECG using the device linked with my iPhone and forwarded it to the cardiologist. Within the hour he was back to me adjusting medication and giving advice. I continued to work with the cardiologist over the next day and a half sending ECG tracing and blood pressure readings to him. With immediate treatment of adjusting medication and following frequent monitoring, my heart was converted back to regular rhythm! He was able to monitor my condition for the rest of our entire trip of the month.
This is a wonderful service! It saved our trip, not having to spend countless hours waiting in a hospital Emergency Rooms and allowing me to work with a cardiologist who can monitor my heart rhythm and change medication on hourly basis. In addition, it allowed me to continue on with our trip, with the confidence, that if there were further complications they could be addressed right away.
I wholeheartedly recommend this service. It is worth each and every penny!
Mr. K.K
This April, my wife and I traveled to Tucson, AZ in our motorhome for a month. The day when we arrived in Tucson, I felt my heart go into A Fib. I immediately took an ECG using the device linked with my iPhone and forwarded it to the cardiologist. Within the hour he was back to me adjusting medication and giving advice. I continued to work with the cardiologist over the next day and a half sending ECG tracing and blood pressure readings to him. With immediate treatment of adjusting medication and following frequent monitoring, my heart was converted back to regular rhythm! He was able to monitor my condition for the rest of our entire trip of the month.
This is a wonderful service! It saved our trip, not having to spend countless hours waiting in a hospital Emergency Rooms and allowing me to work with a cardiologist who can monitor my heart rhythm and change medication on hourly basis. In addition, it allowed me to continue on with our trip, with the confidence, that if there were further complications they could be addressed right away.
I wholeheartedly recommend this service. It is worth each and every penny!
Mr. K.K
Testimonials
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Dr. Shen and the rest of his staff over there with the telemedicine, they're right there no matter what happens. You know if I need help 24 hours a day, 7 days a week there's somebody there and that's the biggest confidence builder. Patsy J |
Without the Duxlink SNAC service diagnosed me for acute heart attack in my bedroom, I would not survived. My family called 911 for my chest pain a month ago and the paramedics from the ambulance determined that I did not need to go to hospital. I thought this episode of chest pain was the same. Thanks to the gods, the tele-cardiology monitor showed it was real heart attack this time. My cardiologist at Duxlink picked up and treated me on time. I would not survived of this heart attack and subsequent cardiac arrest without the telemedicine device and the service.
Stanly M
Stanly M
The cardiac monitoring has provided me a piece of mind over 1 year. When I had arrhythmia while I traveled 2000 miles away from home, my cardiologist diagnosed my arrhythmia immediately. After the right medication on time, my heart rhythm back to normal quickly without going to emergency room to see other doctor I don't know.
Kelby K
Kelby K
My initial blood pressure was 230/120 mmHg when we met the cardiologist at Duxlink. And I did not realize that I had renal failure, heart failure and a small stroke. After one month intensive monitoring and treatment, even many times a day communication with my doctor directly, my health back to normal and I can enjoy jogging again. The most important to me is that I did not need to stay at hospital a single day with my busy work and travel schedule during this process.
Eustace L
Eustace L
My hidden arrhythmia was missed by over the counter ECG after my bypass surgery. Without the specialty cardiac monitor and Duxlink service, I would probably had a stroke already.
Ramez H
Ramez H
