The Brain-Gut Connection and Why Integrated Treatment is Essential

The Brain-Gut Connection and Why Integrated Treatment is Essential

Perhaps the idea of a “gut-feeling” is not completely far off. 

A lot of new evidence is coming out about the intimate relationship between the human gut and brain. Even a couple decades ago, the idea that the bacteria in our gut impacts our brain and mental health would have been laughed at. However, this brain-gut connection is very real. 

Trayt Community Perspective: Autism and the Brain-Gut Connection

Trayt Community Perspective: Autism and the Brain-Gut Connection

Some medical experts are starting to call the gut the “second brain”, and with good reason. Not only do the tens of trillions of microorganisms in the gut weigh roughly the weight of a human brain (2-5 pounds), but these important, tiny microbiota also influence our health and mood in ways we never understood before. One condition in particular that has shown a causal relationship between the brain-gut connection is Autism Spectrum Disorder (ASD).

The EMR and Physician Burnout

The EMR and Physician Burnout

Ask any physician what the most frustrating aspect of their work is and a majority will start to gripe about their Electronic Medical Records (EMRs). Ever since their inception in 1979 and then laws mandating an industry-wide adoption of electronic health record systems by 2014, EMRs have become an indispensable part of our healthcare organizations. In fact, the American Recovery and Reinvestment Act (ARRA) put out by President Obama didn’t just encourage EMR use, but also provided additional funding to professionals who adopted them. What originally seemed like a brilliant way to streamline the collection and dispersal of patient health information, has arguably ended up causing more frustrations for those working in the industry and patients alike.  

Trayt Community Perspective: EMRs are for Billing, not Improving Patient Outcomes

Trayt Community Perspective: EMRs are for Billing, not Improving Patient Outcomes

“Psychiatrists and other mental health professionals are very frustrated and unhappy with most current EMR formats and requirements. These versions are very time -consuming to complete and take considerable time away from providing treatment. Their purpose appears to be to to justify the billing code charges by documenting the diagnosis of the patient and then itemizing which procedures from a pre-packaged, approved list the doctor applied during that particular patient encounter. It is something akin to what the itemized billing a car-owner would receive if they brought their car in for repairs.”

Trayt Community Perspective: Social Determinants of Health

Trayt Community Perspective: Social Determinants of Health

"75% or all mental disorders have their onset by the age of 25. The peak period of onset for depression, bipolar disorder, substance use disorder and personality disorder occurs in adolescence. These findings logically lead to calls for safe interventions as early as possible in the course of the mental illness to avoid the direct and indirect damage to young lives caused by mental disorders. The first step to intervention is, however, identification and access. Despite acknowledgement of the urgent need for effective early intervention of mental disorders in youth, less than 20% of children and adolescents who need mental health care receive services. This means that there are millions of children falling through the cracks. Large-scale efforts are needed to flip these statistics beginning with integrated and coordinated efforts for early identification and assessment."

The Role of Societal and Economic Norms in Predicting Health Outcomes

The Role of Societal and Economic Norms in Predicting Health Outcomes

2018 has been an exciting year for Trayt. We launched our enterprise platform and deployed at the largest children’s hospital in the world. Our most important learning from this process was that our patient population is diverse and they have complex conditions that require multiple caregivers and clinicians. Families have an average commute of 90-minutes to get to providers and they have the burden of documenting and sharing information across the system of care. They have cultural and language barriers and they could not afford the cost of care since insurance doesn’t cover much of the services.

Why it's Important to Consider Adverse Childhood Experiences

Why it's Important to Consider Adverse Childhood Experiences

In other words, as the number of ACEs increase so does risk for conditions such as ischemic heart disease, alcoholism, suicide attempts, unintended pregnancies, smoking, financial stress, and sexual violence among others. In fact, after controlling for other risk factors, a recent study published in the Journal of the American Medical Association, showed that significant childhood trauma was correlated with worse health outcomes and more cases of adult psychiatric disorders.

Trayt Community Perspective: Balancing Privacy and Transparency to Improve Patient Outcomes

Trayt Community Perspective: Balancing Privacy and Transparency to Improve Patient Outcomes

We need to change the conversation in healthcare from “Privacy” to “Transparency.” They are not mutually exclusive, but the discussion must change to patient-centered health to create transparency across providers while taking all measures to protect patient privacy and ensure data security. Today, the conversation in healthcare remains focused on “Privacy” as the key topic and we keep over engineering it, leaving the burden of transparency and data sharing on the patients. We need a paradigm shift in healthcare.

Transparency Vs. Privacy in Healthcare: Finding the Balance that Improves Treatment and Protects Patients

Transparency Vs. Privacy in Healthcare: Finding the Balance that Improves Treatment and Protects Patients

Sharing your personal health data is not something to take lightly. However, uncertain diagnoses and unusual comorbidities can leave patients desperate to gain any insight into their condition. Worried patients often join online threads and Facebook groups to share their symptoms, hoping someone else can shed some light on their condition. They start to self-diagnose and choose their own treatment paths. This can be dangerous though and has been shown to lead to health complications that are at times irreversible.

How Developmental Disorders Impact Marriages: A Closer Look

It’s true that having a child with a developmental disorder (DD) is never easy; the accompanying uncertainty and stress of finding quality treatments, diagnoses and balance can take a toll on a couple’s marriage. However, the media’s portrayal of the impact of DDs on families and marriages often generalizes, painting a truly bleak and somewhat misleading picture -- one that makes divorce seem like it’s looming around the corner for every family.