How to Prevent Back to School Germs

As the back to school season approaches, it’s important to take steps to prevent the spread of germs in the classroom and at home. With so many children coming together in one space, the risk of illness spreading is high. However, by practicing good hygiene habits and taking preventative measures, you can help keep yourself and your family healthy.

1. Wash Your Hands

One of the simplest and most effective ways to prevent the spread of germs is by washing your hands frequently. Encourage your child to wash their hands throughout the day, especially before eating and after using the restroom. Use warm water and soap, and lather for at least 20 seconds before rinsing.

2. Use Hand Sanitizer

In addition to washing your hands, hand sanitizer can be an effective way to kill germs. Keep a small bottle of hand sanitizer in your child’s backpack for use when hand washing is not possible.

3. Teach Good Cough and Sneezing Etiquette

Coughing and sneezing are common ways for germs to spread. Teach your child to cover their mouth and nose with a tissue when coughing or sneezing. If a tissue is not available, encourage them to cough or sneeze into the crook of their elbow instead of their hands.

4. Keep Hands Away from Face

It’s easy for germs to enter the body through the eyes, nose or mouth. Encourage your child to keep their hands away from their face unless they have just washed their hands.

5. Disinfect Surfaces

Germs can live on surfaces for several hours, so it’s important to disinfect items as they go to and from school. Use an all-purpose cleaner or disinfectant wipes to keep these surfaces like backpacks and lunchboxes clean.

6. Stay Home When Sick

If your child is feeling sick, it’s important to keep them home from school to prevent the spread of germs. Make sure your child knows the importance of staying home when they are not feeling well and encourage rest and proper hydration.

ExperCARE is here to serve you when someone does bring home an icky, back-to-school germ! We are open 7 days a week, extended hours, accept insurance, and you never need an appointment. Visit one of our convenient locations today.

Five ExperCARE Health Tips for Getting Ready for Back to School

As we approach the back-to-school season, it’s important to take the necessary steps to ensure that both you and your child are ready for the new school year. Aside from purchasing school supplies and uniforms, it’s important to focus on your health in preparation for the busy months ahead. We’ve compiled a list of the top 5 health tips for getting ready for back-to-school season.

1. Get up-to-date on Vaccinations and Sports Physicals

It’s important to make sure that your child’s vaccinations are up-to-date before beginning the new school year. Many schools require certain vaccinations, and some vaccines may take several weeks to take effect, so it is best to schedule any necessary appointments with your healthcare provider well in advance.

Need a Sports Physical? ExperCARE is offering $25 Sports Physicals at all ExperCARE locations. Book ahead or walk in any time. We are here to help you get ready for Fall sports!

2. Establish a Sleep Schedule

As the summer months come to a close and the school year begins, it is important to establish a sleep schedule for your child. This will ensure that they are well-rested and alert during school hours. Below is the most recent recommendation from the American Academy of Pediatrics.

  • Ages 3-5 years: 10-13 hours (including naps)
  • Age 6-12 years: 9-12 hours
  • Age 13-18 years: 8-10 hours

3. Prepare Healthy Meals

Preparing healthy meals for your child is an important aspect of ensuring their overall health and wellbeing. Make sure that their meals consist of a variety of fruits, vegetables, whole grains, and lean proteins. It’s also important to pack healthy school lunches and snacks to ensure that they are getting the nutrients they need throughout the day.

4. Encourage Physical Activity

Physical activity is essential for maintaining good health, and it can also improve academic performance. Encourage your child to engage in physical activities that they enjoy, such as swimming, biking, or dancing. Additionally, make sure that they have access to after-school activities that promote physical activity, such as sports teams or dance classes.

5. Prepare for Emergencies

It’s important to have a plan in place in case of emergencies, such as injuries or illnesses that occur during the school day. Make sure that you have updated emergency contact information on file with your child’s school, and that your child knows how to contact you in case of an emergency. Additionally, it’s important to have a well-stocked first aid kit at home in case of minor injuries or illnesses.

By following these top health tips, both you and your child will be well-prepared for the upcoming school year. Remember, making your health and wellbeing a top priority will set the foundation for a successful  school year.

Earlier this week, ExperCARE Founder and CEO, Catherine Grant sat down with WSAV to discuss how urgent cares can assist members of the community with their healthcare needs.

Article: Urgent care centers serve as alternative to emergency rooms

SAVANNAH, Ga. (WSAV) — WSAV News 3 previously reported that emergency wait times have gone up in Chatham County.

We learned how urgent care centers can be used as a possible alternative to emergency rooms in some cases.

The CEO of a local urgent care company shared some reasons why these emergency rooms are filling up so much.

I learned that these long wait times can be decreased by people simply going to the urgent care or their primary care physician.

“People often feel like their only option is to seek care in an emergency room- even when its not an emergency,” said Grant.

Grant insists that people should still follow protocol, and head to the emergency room for any severe or extreme symptoms and trauma.

But she says that many people are calling 911 for the wrong reasons, and that is contributing to these long wait times.

“It often comes down to education of where is the best place to seek help.”

She says urgent care can be used to treat bone breaks-sprains-infections and for many more types of routine assessments.

Although many urgent cares don’t offer emergency transportation, they are capable of handling many of the issues that people call 911 for.

“As medical services continue to evolve- talking to everybody about where these services can be sought is a huge part in getting people to the right place and seeking the right access of care.”

While urgent cares have expanded their capabilities over the years – Grant acknowledges that trust has to be built for people to turn to them instead of emergency rooms

Grant also points out that in some instances urgent care can be much more affordable than heading to the emergency room.

“There are many urgent cares that are in network with insurance. There are situations where urgent cares can cost 10 to 15 times less than an emergency room setting.”

Although urgent care can be a viable alternative in some cases–Grant says you can always call and make sure they have the capabilities to handle your problem before heading over.

LINK TO STORY

Men’s Health Month: Raising Awareness and Taking Action

June is Men’s Health Month, a time to raise awareness about the health issues that affect men and encourage them to take action to improve their well-being. Men’s health is often overlooked and under-discussed, but it’s important to prioritize it in order to live a long and healthy life. Here are some key areas of men’s health to focus on this month:

1. Mental Health
Men are often reluctant to seek help for mental health issues, but it’s important to prioritize mental health just as much as physical health. Depression, anxiety, and other mental health conditions can have a serious impact on quality of life. Encourage the men in your life to seek professional help if they are struggling with mental health issues.

2. Heart Health
Heart disease is the leading cause of death for men in the United States. Men can reduce their risk of heart disease by making healthy lifestyle choices, such as eating a healthy diet, exercising regularly, and not smoking.

3. Prostate Health
Prostate cancer is the most common cancer among men, but it can often be treated successfully if caught early. Encourage the men in your life to talk to their doctor about prostate cancer screening.

4. Testicular Health
Testicular cancer is rare, but it’s important for men to be aware of the signs and symptoms and to perform regular self-exams. Encourage the men in your life to talk to their doctor if they notice any changes in their testicles.

5. Sleep
Sleep is essential for overall health and well-being, but many men struggle with getting enough quality sleep. Encourage the men in your life to prioritize sleep by setting a consistent sleep schedule, creating a relaxing bedtime routine, and avoiding screens before bed.

By raising awareness about these key areas of men’s health and encouraging men to take action, we can improve the health and well-being of men everywhere. Let’s make Men’s Health Month a time to prioritize health and wellness for all men. ExperCARE is open 7 days a week, extended hours, and accepts insurance. Walk in any time or book an appointment at any of our convenient locations today!

Summer is here and it’s time to enjoy the great outdoors! But before you head out, it’s important to take precautions and protect yourself from the harmful effects of UV rays. Here are some ExperTIPS to keep in mind:

1. Wear Protective Clothing
One of the easiest ways to protect yourself from UV rays is to wear protective clothing. This includes long-sleeved shirts, pants, and hats with wide brims. Look for clothing made with UPF (Ultraviolet Protection Factor) fabric, which is specifically designed to block out UV rays.

2. Use Sunscreen
Sunscreen is a must-have when spending time outdoors.

According to the CDC’s Sun Safety information it is recommended that you put on broad spectrum sunscreen that filters out both UVA and UVB rays and has an SPF of 15 or higher before you go outside. Don’t forget to put a thick layer on all exposed skin. Get help for hard-to-reach places like your back. And remember, sunscreen works best when combined with other options.

Sunscreen is not recommended for babies who are 6 months old or younger. The U.S. Food and Drug Administration recommends keeping infants out of the sun during midday and using protective clothing if they have to be in the sun.

SPF: Sunscreens are assigned a sun protection factor (SPF), which is a number that rates how well they filter out UV rays. Higher numbers indicate more protection. You should use a broad spectrum sunscreen with SPF of 15 or higher.

Reapplication: Sunscreen wears off. Put it on again if you stay out in the sun for more than 2 hours and after swimming, sweating, or toweling off.

Expiration date: Check the sunscreen’s expiration date. Sunscreen without an expiration date has a shelf life of no more than 3 years. Its shelf life is shorter if it has been exposed to high temperatures.

3. Seek Shade
When possible, seek shade during the hottest parts of the day, typically between 10 a.m. and 4 p.m. This is when the sun’s rays are the strongest. If you’re at the beach or pool, consider bringing an umbrella or setting up under a shady tree.

4. Wear Sunglasses
Protect your eyes from UV rays by wearing sunglasses with UV protection. Look for sunglasses that block out 99-100% of both UVA and UVB rays.

5. Stay Hydrated
Drinking plenty of water is important for overall health, but it’s especially important when spending time outdoors. Be sure to bring a water bottle with you and drink regularly to stay hydrated.

By following these UV safety tips, you can enjoy the outdoors while protecting yourself from harmful sun rays.

While we hope you won’t need us, we’re here for you throughout the summer. ExperCARE is open 7 days a week, extended hours, and we treat all ages. Stay safe and have fun!

Did you know that May is Urgent Care Awareness Month? This month, we recognize the importance of urgent care centers in providing timely and convenient medical care to patients.

Urgent care centers, such as ExperCARE, are facilities that provide medical care for non-life-threatening illnesses and injuries. They are a great alternative to emergency rooms, which can often have long wait times and high costs. Urgent care centers are typically open outside of regular business hours, making them a convenient option for patients who need medical attention quickly. All ExperCARE centers are open Monday – Friday from 8:00 a.m. to 7:00 p.m. and Saturday-Sunday 8:00 a.m. – 4:00 p.m. No appointment is ever needed, however, you can book ahead for your convenience at any ExperCARE location!

During Urgent Care Awareness Month, it’s important to remember the benefits of these facilities. They offer a wide range of medical services, including treatment for minor illnesses and injuries, X-rays, lab testing, and vaccinations. Additionally, they often have shorter wait times than emergency rooms and are more affordable than traditional medical facilities. At ExperCARE, most all patients are in and out in less than 60 minutes!

Urgent care centers can be especially beneficial for those who do not have a primary care physician or who need medical attention when their doctor’s office is closed. They are also a great option for those who need medical attention while traveling or who are unable to get an appointment with their regular doctor. Urgent Cares bridge the gap between primary care and emergency care, offering a crucial resource for individuals in need of immediate attention.

At ExperCARE, patients can use their insurance or we offer affordable cash pay options.

Urgent Care Awareness Month is a reminder of the important role that urgent care centers play in providing accessible and affordable medical care to patients. If you or a loved one needs medical attention for a non-life-threatening condition, consider visiting an ExperCARE today and see why we’re the regions most-loved, first-choice, for on-demand healthcare.

This month, ExperCARE Founder and CEO, Catherine Grant, had the opportunity to speak with Pooler Magazine to share how ExperCARE is transforming the future of healthcare, company growth, and serving the community. Read more below!

Story:

Catherine Grant, founder and CEO of ExperCARE, is changing the way healthcare is done in the greater Savannah area. She has a mind for seeing what could be and taking the steps to make it happen.

“I love medicine because I love solving complex problems,” Catherine says. “I love the ability to problem solve, apply what I know, understand people and develop relationships, and then try to leave things better than I found them.”

Beginnings in Medicine

Catherine started college at Armstrong Atlantic State University in 1999 with the plan to attend medical school but when she discovered the physician assistant field, she knew that was what she wanted to do. The career path allowed her to work in a variety of specialties instead of a single focus and provided the work-life balance for a future family.

She attended South University, where she received her Bachelor of Science in Physician Assistant Studies and then onto The Medical University of South Carolina and graduated with honors with a Master of Science in Physician Assistant Studies.

After working as a physician assistant (PA) in a number of specialties including plastic and reconstructive surgery, orthopedic surgery, physical medicine and rehabilitation and moonlighting in urgent care, Catherine knew she wanted to do things differently.  She envisioned an customer-focused model and refused  to settle for mediocrity.

“Working in the healthcare system is what inspired me to start my own business,” Catherine says. “I’ve never done well in an environment that was just aiming to be a seven.”

The Growth of ExperCARE

In June 2009, Catherine and her partner opened the first location of ExperCARE in Richmond Hill under the original business name The Urgent Care Center of Richmond Hill.

“Our initial tagline was about providing access to high quality health care close to home,” Catherine says. “While a lot has changed with the business in almost 14 years, I have to say that primary mission still stands.”

Their community-focused approach to care with on-demand availability proved to be popular with patients in Richmond Hill. The clinic quickly expanded its services beyond urgent care to include walk-in routine care and occupational health.

With rave reviews coming from the Richmond Hill location, it was only a matter of time before people in Savannah began asking Catherine when there would be a location closer to their home.

In 2016, that idea became a reality with the opening of the Mall Boulevard location of ExperCARE in Savannah. In 2020, they opened a downtown Savannah location and in 2022 added a fourth location in Pooler. Their growth continues with locations in Statesboro, Hinesville and Rincon opening later this year.

“With the growth in Pooler and how many people are flocking to the area, we knew it was going to be important for us to have a presence there because there’s nothing like ExperCARE there,” Catherine says. “I’m pretty grateful for the ability to continue to grow at the pace we have while retaining the things that people love about ExperCARE.”

The ExperCARE Experience

ExperCARE’s mission was born out of a rejection of the cookie-cutter approach to care and an emphasis on creating a patient-first experience enhanced by technology.

“Consumer desires are changing. People don’t want to have to take off from work to go to the doctor,” Catherine says. “They want to be able to go before or after work or on the weekends. They want to live life on their terms.”

Patients never need an appointment to visit ExperCARE, and all four locations are open seven days a week to accommodate busy schedules. ExperCARE is in network with most insurance but also offers affordable, transparent self-pay rates.

“[I think people choose ExperCARE] because we are so focused on how we make people feel. Our aim is for them to leave and say ‘I’d be crazy to go anywhere else,’” Catherine says.

ExperCARE went above and beyond during the COVID-19 pandemic. They were one of the first providers to offer COVID testing in the area, and worked hard to keep a consistent supply of tests and PPE even through supply shortages. Catherine takes pride in her team’s performance and dedication to the community during those uncertain times.

“I’m proud of my team’s ability to adapt and navigate in a dynamic, ever-changing environment and seeing my team step up and continue to do whatever it takes,” Catherine says.

Heart of a Leader

Catherine taught future PAs at South University for several years. Although she no longer teaches (there), she has had the pleasure of having some former students work at ExperCARE as part of their professional journey.

“Seeing smart, eager minds come together and being able to pour into them as they learn and grow is just one of the most enjoyable things I’ve done,” Catherine says. “Seeing them years later practicing medicine and changing lives and thinking you maybe even had the smallest part in that is really cool.”

From nine employees at the start to approximately 70 today, Catherine has built a team that reflects the ExperCARE values both personally and professionally.

“For any position, it’s really looking at our culture and the DNA of our organization. Our organizational values are integrity, compassion, enthusiasm, leadership and teamwork,” Catherine says. “Those values are that unchanging pillar to our overall culture.”

She places a high value on professional development with an onboarding process that includes some required reading of books about leadership, and twice yearly team gatherings build morale among the staff.

“It’s all about really getting to know the people you work with and understanding what their goals are and how we can help them get there,” Catherine says. “Sometimes that’s going to be in our organization. Sometimes we’re a stepping stone to a future goal. I think the more you can embrace that and really serve them, they will continue to serve our patients, their families and the community.”

Serving the Community

Catherine makes a difference in her community through her involvement in organizations like United Way of the Coastal Empire, where she is a member of the Board of Directors and has been recognized as part of the organization’s Women Who Rule campaign. She is also a board member of the Richmond Hill Downtown Development Authority, forging public-private partnerships to enhance the area’s economy.

Because of the drive and passion that she puts behind the causes she cares about, Catherine is a prolific fundraiser. In 2017, she chaired the Bryan County United Way annual campaign and shattered their fundraising record. She has also raised more than $63,000 for Alzheimer’s research as a participant in the Alzheimer’s Association Dancing Stars of Coastal Georgia in 2015.

She has continued to be involved with Dancing Stars of Coastal Georgia as a committee member, partner and as a pro dancer.

Outside of work, Catherine enjoys spending time with her husband and three daughters. She and her family attend Compassion Christian Church, and her faith drives her decision making process in choosing causes to be involved with and her philosophy in patient care.

Looking to the Future

As ExperCARE continues to grow, so too does Catherine’s motivation to make an impact on the healthcare industry as an entrepreneur.

“I get motivated when I see how broken the healthcare system is,” Catherine says. “There’s so much room for improvement. It just takes people who know the system to think outside the box and be willing to innovate and make it better.”

 

View Pooler Magazine HERE!

This past week, ExperCARE Founder and CEO, Catherine Grant was featured on WTOC.

Article: Urgent cares see increase in patients due to high wait times at emergency rooms

BRYAN COUNTY, Ga. (WTOC) – Emergency rooms in our area are being overwhelmed with patients every day.

WTOC checked in with urgent care providers to see how this is affecting them.

The CEO of Expercare said their urgent care facilities in Bryan and Chatham counties saw a surge of patients during peak COVID times but now they’re starting to see a normal influx of patients walking through their doors.

Catherine Grant says everyone can help with high emergency room wait times by coming to urgent cares when experiencing minor issues.

She says they can see anywhere from 30 to 100 patients a day but wait times in the urgent cares are much shorter than in emergency rooms.

She says any time you’ve been in a trauma related accident or feel like you have a life-threatening emergency you should go to the hospital.

“If you’ve got sudden loss of vision or sudden vision changes or sudden stumbling, something that’s indicating something going on in the brain. Sub sternal chest pain that radiating to the shoulder and concerns for that potentially being a heart attack,” said Grant.

She says it’s vital the community works together during this healthcare crisis.

Copyright 2023 WTOC. All rights reserved.

LINK: https://www.wtoc.com/2023/02/17/urgent-cares-see-increase-patients-due-high-wait-times-emergency-rooms/

February is American Heart Month. This month marks a month to raise awareness of the risks of Heart disease, promote easy ways people can focus on their heart health, and advocate cardiovascular health. As a part of American Heart Month, ExperCARE will feature several recipes throughout the month from the American Heart Association. Up first, a fan favorite…

American Heart Association Recipe

BBQ Pulled Pork Sliders with homemade Potato Chips

Ingredients

Servings  6

For the BBQ Sauce and Sandwiches:

  • 1/4 cup unsweetened, plain applesauce
  • 2 tablespoon sugar-free peach preserves
  • 1 teaspoon apple cider vinegar
  • 12 whole-wheat slider buns
  • 12 slices thinly sliced green apple (about 1 apple)
  • 12 slices thinly sliced red onion (about 1/2 an onion)

For the Homemade Potato Chips:

  • 1 medium Idaho baking potato
  • non-stick Cooking spray
  • 1/2 teaspoon pepper
  • 2 baking sheets
  • parchment paper

For the Pulled Pork:

  • 1 1/2 teaspoon dried thyme
  • 1 teaspoon garlic powder
  • 1 teaspoon chili powder
  • 1/2 teaspoon paprika
  • 1/2 teaspoon black pepper
  • 2 1/2-3 pound lean, cut pork loin roast (all visible fat discarded)
  • 1/2 cup unsweetened, plain applesauce
  • 1/4 cup apple cider vinegar
  • 2 teaspoon honey
  • 1/2 cup low-sodium chicken broth
  • 1/2 cup water
  • 1 small onion (coarsely chopped)

Directions

For the BBQ Sauce and Sandwiches:

  1. Whisk together applesauce, preserves, chili powder and vinegar to make BBQ sauce.
  2. Toss sauce with pulled pork. Fill each slider bun with about 1/4 cup pork, apple slices and red onion slices.

For the Homemade Potato Chips:

  1. Preheat oven to 350 degrees F.
  2. Slice potato as thinly as possible, into about 1/8 inch thin slices.
  3. Place one sheet of parchment paper on one of the baking sheets. Spray evenly with cooking spray and place one layer of potato slices. Spray another coat of cooking spray over the potatoes. Place another sheet of parchment paper. Turn the other baking sheet upside down on top of the baking sheet with the potatoes.
  4. Bake for 20 minutes. Uncover top baking sheet and parchment paper, sprinkle with pepper and bake for an additional 15 minutes.
  5. Remove any chips that begin to turn too brown before the 15 minutes is over. Let cool and serve with pork sliders.

For the Pulled Pork:

  1. In a small bowl, combine thyme, garlic powder, 1 tsp. chili powder, paprika and pepper. Rub evenly over pork. Set aside.
  2. In a small bowl, whisk together 1/2 cup applesauce, 1/4 cup vinegar, honey, chicken broth and water. In crock-pot, scatter onions to cover the bottom of dish. Place pork on top of onion and pour applesauce mixture over pork. Cook on low setting for 6-7 hours.
  3. Remove meat from crock-pot and discard remaining cooking liquid. When cool enough to touch, shred pork by hand or with two forks, discarding any fat and/or bones. (Optional- remove onions with serrated spoon).

In honor of Black History Month, we are featuring four black healthcare innovators and pioneers you should know about!

  

Dr. Jane Cooke Wright

1. Dr. Jane Cooke Wright

The daughter of one of the first African American graduates of Harvard Medical School, Wright grew up with a keen interest in healthcare. Her father, Dr. Louis Wright, was also the first Black doctor appointed to a staff position at a municipal hospital in New York City, and in 1929, the city hired him as police surgeon — the first African American to hold that position.
After earning her medical degree, Dr. Jane Cooke Wright worked alongside her father at the Cancer Research Foundation in Harlem, which her father established in 1948. Together, father and daughter researched chemotherapy drugs that led to remissions in patients with leukemia and lymphoma.

In 1952, when her father died of tuberculosis, Wright became the head of the Cancer Research Foundation at age 33. She created an innovative technique to test the effect of drugs on cancer cells by using patient tissue rather than laboratory mice. She advanced to work as the director of cancer chemotherapy at New York University Medical Center, and she was an associate dean at New York Medical College.

The New York Cancer Society elected Wright as its first woman president in 1971. Her research helped transform chemotherapy from a last resort to a viable treatment for cancer. {site: Everydayhealth.com}

 

Otis Boykin

2. Otis Boykin

The inventor Otis Boykin patented 28 electronic devices during his career. He developed resistors for electronic components that made the production of televisions and computers much more affordable, but Boykin became best known for improving the pacemaker. The pacemaker uses electrical impulses to help people maintain a regular heartbeat. Boykin came up with a control unit that regulated the pacemaker with more precision. He died of heart failure in 1982. {site: Everydayhealth.com}

 

Dr. Patricia Bath

3. Dr. Patricia Bath

Patricia Bath was the first African American to complete an ophthalmology residency with New York University’s School of Medicine, in 1973. Two years later, the UCLA School of Medicine appointed her as the first female faculty member in its department of ophthalmology. Believing that “eyesight is a basic human right,” Dr. Bath went on to cofound the American Institute for the Prevention of Blindness.

In the early 1980s, Bath studied laser technology and saw its potential for eye surgery. In 1986, she invented the Laserphaco probe, a device and method for cataract treatments. When she patented the instrument, in 1988, she became the first African American female doctor to receive a patent for a medical invention. {site: Everydayhealth.com}

 

Mae Jemison

4. Mae Jemison

Dr. Mae Jemison is most famous for becoming the first Black woman astronaut to go into space, in 1992. Jemison, however, is also a trained physician who has dedicated her life to improving global health.

Jemison joined the Peace Corps in 1983 and worked as a medical officer for two years in Africa. Her work in the Peace Corps taught her about healthcare in developing countries. Later, as an astronaut, she learned about satellite telecommunications. She combined those two skill sets to form the Jemison Group, which develops telecommunications systems to improve healthcare delivery in developing countries.

Jemison says she takes inspiration from Martin Luther King Jr. in focusing on what she sees as unacceptable disparities in the quality of healthcare in the United States and third-world nations. “We talk about taking proper care of people, but we don’t do it,” she said. “We lack the commitment. Martin Luther King was about doing things. He didn’t just have a dream, he got things done.” {site: Everydayhealth.com}

To learn about even more black healthcare pioneers and, click here.
(https://www.everydayhealth.com/healthy-living/african-american-pioneers-who-changed-healthcare/)