Breakthroughs | KERA News

Breakthroughs

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Breakthroughs is a KERA News series devoted to the latest innovations in health, science and technology — with a North Texas accent.

Lauren Silverman / KERA

Traditionally, ambulance crews arrive with sirens blaring — ready to rush someone to the hospital. In Fort Worth, some paramedics are doing the opposite and scheduling visits to treat patients in their homes. It's known as "mobile integrated health care," and a ridealong shows it's gaining traction.

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Texas allows parents to have their kids opt out of vaccinations for measles, mumps and other diseases. Two years ago, California stopped allowing those exemptions; a similar Texas effort fell short. This session in Austin, the sponsor of that bill isn't trying to end the "conscientious" exemption. His allies are using a different strategy.

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This week, President-elect Trump called for a quick repeal and replacement of the Affordable Care Act, also known as Obamacare. The majority of Texans get healthcare through their employers, but over the past few years the number of people in Texas who’ve signed up through the Affordable Care Act has grown. Changes in the White House and Congress will affect both groups of Texans.

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In the past few months there have been several outbreaks of mumps — a handful of cases linked to a Halloween party in Dallas and more to cheerleading contests in North Texas. As for measles, there have been fewer cases in Texas. But in 2013, there was an outbreak tied to a church northwest of Dallas. 

With that in mind, some experts predict Texas could soon be at the center of a nationwide debate over highly contagious diseases and vaccinations.

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In Texas, the number of adults with diabetes is expected to quadruple over the next 30 years. Currently, about one in 12 adult Texans – about 2 million people – have been diagnosed with diabetes, with more than 700,000 in North Texas alone.

To get a glimpse of where Medicaid may be headed after Donald Trump moves into the White House, it may be wise to look to Indiana.

That's where Seema Verma, Trump's pick to run the Centers for Medicare and Medicaid Services, comes from. And that's where she put her stamp on the state's health care program for the poor.

Stephanie Kuo/KERA

Doctor-patient interactions are typically routine, with doctors understanding little of their patients’ lives beyond the exam room. But medical schools are ushering in a culture shift in medicine – one that’s focused on more than just a patient’s symptoms.

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When a patient’s heart stops, responding quickly is a matter of life or death. A new study out of UT Southwestern shows some hospitals respond faster than others — with a life-saving medication.

Lauren Silverman / KERA News

Last year, a federal judge declared the Texas foster care system broken. That’s no small-scale problem. There are more than 30,000 children in Texas foster care each year, and national studies indicate up to 80 percent of them have at least one chronic medical condition. 

Baylor Scott & White Research Institute

According to the World Health Organization, tuberculosis now kills more people worldwide than HIV/AIDS, and cases of the disease have increased in Texas. In 2015, there were more than 1,300 cases of tuberculosis reported in the state.

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