Jul 17, 2020

Xealth: Digital Healthcare Start-up

Digital Transformation
healthcare technology
digital health tools
medical devices
Emily Cook
2 min
digital communication prescribing platform
We take a look at Xealth, the digital health care platform connecting patients and doctors as part of EHR workflows...

Xealth is a Seattle based digital health prescribing platform. It’s mission is to enable medical professionals to easily prescribe and monitor digital health tools for their patients from EHR (electronic health records) workflows. The aim is to increase communication with patients and using Xealth, care teams and physicians can monitor patient engagement, further assisting them with tools such as:

  • Patient education
  • Online third-party apps and programs
  • Device monitoring
  • Non-clinical services such as ride shares, food delivery and e-commerce product recommendations

They’ve partnered with health vendors such as BabyScripts, Emmi Solutions and Glooko to provide patients with trusted products.

HOW IT WORKS:

Xealth operates on a 5 point system which enables healthcare teams to specifically order digital content and services which patients can then access from the provider’s portal, allowing them to independently manage their health.

  1. CENTRALIZE 

The first step is to activate all digital tools such as content, programs and apps from a central location. These can then be linked to specific demographics, the diagnosis and insurer in order to manage when each appears.

2. ORDER

Care teams can order digital healthcare via Xealth’s prescribing and analytics platform to improve patient education, knowledge and engagements. This tool can also be automated if any events change such as appointments and cancellations.

3.DELIVER

Once the necessary tools have been ordered, they are then delivered to the patient in the most convenient way such as on their phone, tablet or laptop through a trusted app. 

4.MONITOR

Through the use of charts and the digital platform, healthcare professionals can monitor patients' engagement as well as being notified, to help improve care teams efficiency.

5. ANALYSE

Lastly, care teams can analyse the effects of more engaged patients as well as measure outcomes and effectiveness of Xealth’s digital tools. These tools consist of prescribed content, apps and services as well as connected medical devices across the entire system. 

A new market report by Adroit Market Research on the Digital Transformation in Healthcare features Xealth as being one of the top market players in the field. The report looks at the modern healthcare market, observing the growth prospects, challenges and trends that impacts the growth rate of the industry. The report has predicted that there will be a “13.5% Growth Rate for Digital Transformation in Healthcare Market by 2025” and that Xealth will be a big part of this alongside FitBit, HealthVault, Apple and more big tech companies.

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Jun 14, 2021

Long haul Covid, the brain and digital therapies

#longcovid
#digitaltherapy
#neuroplasticity
#covid19
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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