Posted on January 1, 2018

Insights From Parents Interviewed About Their Children’s Mental Health Problems:

Virgil Stucker posted this information on his web site. Key Understandings That Emerged From Interviews  With Parents Of Children With Mental Health Problems: For parents, the emotional and mental health of adult children is a primary concern Experience of the mental health system in general has been negative A sense of frustration or confusion permeates […]

Posted on December 25, 2017

Chronic Pain And The Brain: ‘Crooked: by Cathryn Jakobson Ramin 2017

Chronic Pain And The Brain: ‘Crooked: by Cathryn Jakobson Ramin 2017 For patient after patient seeking to cure chronic back pain, the experience is years of frustration. Whether they strive to treat their aching muscles, bones and ligaments through physical therapy, massage or rounds of surgery, relief is often elusive – if the pain has […]

Posted on December 23, 2017

Mental Health In The Workplace: To Treat Or Not To Treat? That Is The Question

Groundbreaking UK Mental Health/Productivity Report Published on Published on December 18, 2017   Scott Wallace, PhD (Clinical Psychology) In October, the UK government released a ground-breaking critical report on productivity costs of poor mental health. One of the most compelling and comprehensive reports that this author has witnessed in 30 years of workplace mental health and EAP. The […]

Posted on December 14, 2017

A Second Opinion Provided For A Patient In Rural Mexico: Raymond Rupert MD, MBA.

More and more, baby-boomers, digital nomads and others are choosing to settle in Central and South America and parts of Asia. In turn, RCM is meeting an increasing number of calls from around the world for our consulting services and second opinions.  A case in point, we recently completed a case for a patient living deep […]

Posted on December 8, 2017

The Use Of Genetic Testing When Applying For Insurance: Raymond Rupert MD, MBA.

In Canada, insurance companies cannot deny insurance to applicants based on the results of genetic testing. That is the rule. However, our team turned this on its head by using the results of genetic testing to assist a client attempting to purchase insurance. The team at Rupert Case Management Inc. arranged for the genetic testing. […]

Posted on November 28, 2017

Homecare Costs Can Be Overwhelming. Policy Should Address This Issue!

A recent poll from the Associated Press and the National Opinion Research Center shows 77% of older Americans would prefer to receive care in their own homes. That’s no surprise. How many seniors would opt instead for a nursing home or space over their son-in-law’s garage? Preferences may not lead to practicality, though. *It’s hard […]

Posted on November 15, 2017

Triple Blinded versus Double Blinded Studies: Time For A Change.

Is it time for triple-blinded studies? Double blinding, where both researchers and clinical trial participants don’t know who’s getting which treatment, is the gold standard for scientific research. But a new study suggests there may be a need for a third blind — of the peer reviewers vetting research before it’s published. Researchers at Google analyzed 500 […]

Posted on October 28, 2017

Teaching Immune T Cells To Kill Cancer Cells: STAT NEWS Damien Garde

BOSTON — Dave Matthews describes his cancer as “the monster inside me.” It’s the one thing he cannot control. After six months of treatment and a grueling eight rounds of chemotherapy, Matthews’s lymphoma had stopped responding to medicine’s best efforts. For most patients, that’s the end of the line. Matthews’s doctors, however, gave him one […]

Posted on October 20, 2017

Healthcare Is Both Global And Local At The Same Time: Raymond Rupert MD, MBA.

Providing Global Triage For Patients Located Anywhere: Treatment options for complex patients can be both local and global, at the same time. Our focus at Rupert Case Management is serving patients located anywhere with global triage services. Case Study: Hans is an 84 year old engineer living in Guatemala. He developed severe back pain associated […]

Posted on October 17, 2017

Using Liquid Biopsy To Design Targeted Therapy For Children With Eye Tumours: Jama Opthalmology:

Retinoblastoma (Rb) is one of the first tumors to have a known genetic etiology. However, because biopsy of this tumor is contraindicated, it has not been possible to define the effects of secondary genetic changes on the disease course. Objective  To investigate whether the aqueous humor (AH) of Rb eyes has sufficient tumor-derived DNA to perform […]

Posted on October 16, 2017

Immune Surveillance For Cancer: How It Works Or Does Not Work.

Understanding how incompletely cleared primary tumors transition from minimal residual disease (MRD) into treatment resistant, immune-invisible recurrences has major clinical significance. We show here that this transition is mediated through the subversion of two key elements of innate immune surveillance. In the first, the role of TNFalpha changes from an antitumor effector against primary tumors […]

Posted on October 13, 2017

40% of workers in Canada suffer from depression Ipsos study.

by David Keelaghan  13 Oct 2017 Depression and mental illness is affecting a significant amount of Canadian workers, reveals a new survey from Ipsos. The study, commissioned by the Great-West Life Centre for Mental Health in the Workplace, shows that four out of every ten workers have suffered from depression. It’s a problem even more pronounced with […]

Posted on October 5, 2017

What If Canada Had A $20 Per Visit User Fee?

The revenue potential from even small user fees is substantial. Recent research has calculated that, if in the fiscal year 2004-2005 provincial/territorial governments had pegged all future increases in physician fee-for-service payments to changes in the CPI and allowed extra billings to cover fee inflation. By 2014-2015 governments could collectively be saving up to $4 […]

Posted on September 27, 2017

Lost in Thought — The Limits of the Human Mind and the Future of Medicine – NEJM.

Authors; Ziad Obermeyer, M.D., and Thomas H. Lee, M.D. N Engl J Med 2017; 377:1209-1211September 28, 2017 In the good old days, clinicians thought in groups; “rounding,” whether on the wards or in the radiology reading room, was a chance for colleagues to work together on problems too difficult for any single mind to solve. […]

Posted on September 25, 2017

Patient in vegetative state for 15 years improves with vagus nerve stimulator: Raymond Rupert MD, MBA

It is reported in Current Biology: Volume 27, Issue 18, pR994–R996, 25 September 2017 Following the theory that vagus nerve stimulation functionally reorganizes the thalamo-cortical network, we tested its effects on the cortical activity of a patient lying in a vegetative state for 15 years following traumatic brain injury. Behavioral, electroencephalographic (EEG) and 18F-FDG PET recordings […]

Posted on September 25, 2017

With Mental Health In The Workplace- Where Does A Company’s Responsibility Start Or Stop? Raymond Rupert MD, MBA.

An Occupational Health Case Study:  We got a call from an employment lawyer representing his client. The client was a large veterinary clinic. An employee at the clinic who is an animal handler had spoken to co-workers about this thoughts about suicide. In addition, he was self harming by cutting his arms. The HR person […]

Posted on September 18, 2017

What Healthcare Can Learn About Quality From Lamborghini: Raymond Rupert MD, MBA.

This story tells us what it takes to be “world class” in the delivery of quality and outcomes. Healthcare is similar to luxury auto manufacturing. Both are one off businesses. Creating solutions one at a time. Healthcare has much to learn from Lamborghini in terms of quality control. In 1958, Ferruccio Lamborghini purchased a Ferrari […]

Posted on September 18, 2017

What a devoted father did to help his daughter avoid brain surgery: Raymond Rupert MD, MBA.

Our goal at Rupert Case Management is to help families access world class solutions for complex health problems. This is not a trivial exercise. Choosing the right solution requires extensive investigation into the global ecosystem of advanced treatment options. To deliver world class solutions there are certain requirements: cumulative experience from having completed thousands of […]

Posted on September 12, 2017

How Much Does It Cost To Develop A New Cancer Drug? Try $648,000,000. Ed Silverman Pharmalot.

How much does it cost to develop a cancer drug? A new analysis finds the magic number is $648 million, which is substantially less than an earlier — albeit controversial — estimate of $2.6 billion for the cost to develop any and all new medicines, in general. As with that earlier estimate by the Tufts Center for […]

Posted on September 6, 2017

Nature Heals- Rebecca Lawton in Aeon Magazine.

The longer the trip, the more healing occurs,’ says the geologist Peter Winn, who has been leading expeditions down the Colorado River in the Grand Canyon since the 1960s. ‘Healing happens for people almost without exception.’ The most dramatic transformations that he’s observed have been in disabled military veterans on 16-day kayaking trips organised by […]