May 25, 2021

Five minutes with Kin + Carta's Ashley Pagliaro

2 min
We ask Kin + Carta's Principal UX Researcher Ashley Pagliaro for her perspective on the strategic side of digital transformation in healthcare

Digital transformation requires major organisational changes, but the global pandemic forced many firms to make these changes suddenly and at great speed. 

CIOs have had to quickly rethink how their teams are configured, how they interact with each other, and how they serve their customers. This is no different in healthcare, with remote working and telehealth services becoming the norm almost overnight. 

Consulting firm Kin + Carta works with companies as diverse as pharma giant GSK and digital mental healthcare provider XenZone. The company supports healthcare clients through the process of digital transformation, even establishing a CIO community for individuals to network and exchange ideas. 

We asked Ashley Pagliaro, Kin + Carta's Principal UX Researcher, about digital transformation and common mistakes healthcare providers make. 

How has the pandemic impacted the healthcare sector, in terms of digital transformation? 
The pandemic rapidly accelerated digital transformation in that what were once nice-to-haves are now must-haves. We have seen this acceleration in the following areas: patient access to virtual care, a shift to automated service interactions like chatbots and virtual assistants, and an increased focus on data aggregation and analytics. 

What are some common mistakes healthcare organisations make when digitising their processes? 
Healthcare organisations lessen their likelihood of a successful digital transformation when they attempt to transform in a silo, focus on technology solutions instead of business challenges, fail to prioritise initiatives, and ignore data-informed insights.

How does Kin + Carta support healthcare organisations on this journey? 
Kin + Carta supports healthcare organisations through its solid partnership during every step of the digital transformation journey. With a focus on generating value, our team excels at identifying strategic opportunities, developing new products and services, and marketing connected experiences. We do this while having the industry expertise to recognise the unique needs and challenges of the healthcare industry. 

What does Kin + Carta's CIO community provide?
Today's CIOs are being asked to lead more than ever before. And in the ever-changing digital landscape and times of economic uncertainty, CIOs are also under more pressure than other senior executives across the organisation to drive change and prove ROI.

Kin + Carta’s CIO Hub is a space for CIOs and senior IT leaders to stay on top of the technological landscape and make connections with peers and specialists to support their continued growth. Through intimate roundtables, CIOs ask burning questions, seek new insights from peers, uncover actionable strategies and solutions, and gain personal guidance on ongoing or upcoming initiatives.

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Jun 14, 2021

Long haul Covid, the brain and digital therapies

4 min
Neuroplasticity expert Ashok Gupta tells us about the symptoms of long Covid, how it affects the brain, and digital therapies

It is estimated that around 10% of people who get Covid-19 develop long haul Covid, a debilitating condition that can last many months and cause breathlessness, exhaustion and pain. 

Research is underway to find out who is more likely to get it and how to treat it. Here neuroplasticity expert and owner of Harley Street Solutions in London Ashok Gupta tells us how the condition affects the brain. 

What is long Covid exactly? 

Long Covid is when patients who have experienced Covid-19 go on to have continuing symptoms for weeks and months afterwards. These symptoms can include breathlessness, exhaustion, brain fog, gastric issues, pain, and post-exertional malaise. It is estimated that around 10% of Covid-19 infections may result in developing long haul symptoms, and in the USA, this may be affecting over 3 million people.

How does it affect the brain?
Here at our clinic, we hypothesise that it is due to a malfunction in the unconscious brain, creating a conditioned response that keeps the body in a hyper-aroused state of defensiveness. At the core of this hypothesis is the idea that we are here because our nervous system and immune system have evolved to survive. We are survival machines!

When we encounter something such as Covid-19, the brain perceives it as life threatening, and rightly so. And in the era of the pandemic, with more stress, anxiety and social isolation, our immunity may be compromised, and therefore it may take longer for the immune system to fight off the virus and recover. 

If the brain makes the decision that this is potentially life threatening and we get to the stage where we’re overcoming the virus, a legacy is left in the brain; it keeps over-responding to anything that reminds us of the virus. Even if we’ve fought off the virus, the brain will react in a precautionary way to stimuli reminiscent of the virus. 

The brain may get stuck in that overprotective response, and keeps stimulating our nervous system and our immune system, just in case the virus may still be present.

What symptoms does this cause? 

These signals cause a cascade of symptoms including breathlessness, extreme fatigue, brain fog, loss of taste or smell, headaches, and many others. And these are caused by our own immunes system.

In the case of long-haul Covid, symptoms in the body get detected by a hypersensitive brain which thinks we’re still in danger. The brain then chronically stimulates the immune and nervous systems, and then we have a continuation of a chronic set of symptoms.

This isn’t unique to long-haul Covid. Many patients develop chronic fatigue syndrome, sometimes known as “ME”, for example, after the flu, a stomach bug, or respiratory illness. Covid-19 may be a severe trigger of a form of chronic fatigue syndrome or ME.

How does long-haul Covid affect mental health? 
Anxiety is a very common symptom in long haulers. It can be frightening to wonder about what may be happening in your body, and what the prognosis is going to be for one’s long term health. Reaching out for support for mental health is crucial for long-haulers.

How does neuroplasticity treatment work for long-haul COVID patients?
We have been working with patients for two decades with a brain retraining programme using neuroplasticity or “limbic retraining.” 

We believe that through neural rewiring, the brain can be “persuaded” that we are no longer in danger and to come back to homeostasis. But to be very clear, we are not saying it is psychological in any way, but we believe there are novel ways of accessing the unconscious brain. 

We recently worked successfully with a 56-year-old male with long-haul Covid, who prior to contracting Covid-19 in March of 2020 was running half-marathons and cycling, but afterwards he struggled to get off the sofa for months. Within 3 months he’s now back to 100% and  running half marathons again.

At our clinic, we train the patient to be able to recognise those subtle unconscious danger signals on the periphery of consciousness. This, coupled with supportive techniques and the natural hallmarks of good health such as sleep and diet help prepare the patient to respond to perceived threats that might trigger the response. 

The natural state of our brain is to default to protection. The brain prioritises survival and passing on our genes to the next generation, over any other impulse. It cares more about that than you feeling healthy and well. Protective responses are evolutionary, and are the right thing for the brain to do – it’s survival. 

What digital therapies or apps are proving effective at treating long-haul Covid? 
It seems that long haul patients are availing themselves of many online therapies and services, including meditation apps and wellness websites. We have an online neuroplasticity “brain retraining” video course called the “Gupta Program” which hosts 15 interactive videos and many audio exercises. This is proving very popular with long haul patients, and we are currently conducting a trial to test the effectiveness of this therapy. 

What is the danger of leaving long-haul Covid untreated?
The longer it goes untreated, we hypothesise that it may become more entrenched in the brain, and  become chronic in the longer term. Therefore we advise all patients to get help and advice as soon as possible.

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