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iPhone X kicks off a new generation at a hefty cost

Winston Sih | posted Tuesday, Oct 31st, 2017

Pros

  • All-new design is slick and seamless
  • Face ID doesn’t just work—it works well
  • TrueDepth camera makes way for interactive augmented reality

Cons

  • It’s expensive
  • No Home button means you have to learn a whole new set of gestures
  • You better put a case on it—or else

When Apple first announced the 10th-anniversary iPhone at their September event in Cupertino, Calif., analysts questioned the decision to stagger the launch of two premium smartphones—and whether a stray from their traditional annual launch strategy would do them more harm than good.

Many enthusiasts decided to wait and see how iPhone X stacked up to its recently-launched sibling. While lineups for iPhone 8 were shorter than previous releases, carriers are reporting record-breaking preorder demand for iPhone X. But is a smartphone really worth a whopping $1,300? We were among the first to put iPhone X through its paces.

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Redesigned from the inside out

The first thing you notice when picking up iPhone X is the gorgeous design. Everything has been reimagined. From the edge-to-edge 5.8-inch Super Retina OLED display, to the glass front and back that Apple touts as the ‘most durable ever in a smartphone,’ the stunning curvature of the edges makes this design an engineering feat and resembles a piece of artwork.

 

image2iPhone X remains water- and dust-resistant, featuring speakers 35 per cent louder, and is compatible with Qi-enabled wireless chargers. The device will turn heads and start conversations—though you’re best to throw a case on it, especially if you’re prone to dropping things. You know who you are.

No more Home button

First the headphone jack, now the home button. They finally did it. iPhone X is the first iPhone to do away with the one button that does virtually everything. Instead, users will need to learn a new series of gestures in iOS 11—like swipe up to go to your home screen; double press on the side button to activate Apple Pay; and hold the side and volume button to power off.

There was a learning curve for the first while. You’ll be reaching for the Home button annoyed it’s no longer there, and then cycle through the gestures. You get used to it—and is the price you pay for an all-screen display.

If you’re the type who likes using your smartphone with one hand, the new gestures may complicate things.  There are more swipes from the top, bottom, and sides. Unless you have long thumbs, you may need two hands to perform certain actions.

 

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Facial recognition is the new fingerprint scan

For those who have become accustomed to the fingerprint authentication (known as Touch ID), iPhone X introduces a new facial recognition technology. I was blown away by how quick it learns your face and how effortless it is to use.

Face ID uses a new, front-facing TrueDepth camera that maps over 30,000 invisible dots to your face. It is stored securely on your device and is accurate to 1 in 1,000,000 that a random person can unlock your device. It also adapts to changes in appearance like facial hair growth, and cosmetic makeup.

It is used to do everything from unlock your device, authenticate into apps, and pay for purchases through Apple Pay. And none of the information is uploaded to the cloud, similar to Touch ID.

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Cameras and AR

Camera enthusiasts will see a step-up in quality through not one, but two 12-megapixel rear cameras with dual optical image stabilization. This includes an updated Quad-LED True Tone flash that lights images more evenly and gives you more vibrant and accurate colours.

 

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The popular portrait mode that was once for the rear cameras on iPhone 7 Plus and iPhone 8 Plus is now coming to iPhone X’s front-facing camera—something that will delight selfie takers and up their social media game.

The same TrueDepth camera that maps your face for security also unlocks a whole new world through augmented reality technology. Apple continues to double down on AR as a future way of interacting with the real world, and apps including Snapchat and IKEA are making use of ARKit. New Animojis in iMessage enable users to have 10-second clips of emojis mimicking your expressions and facial movements captured. A lot of fun to use and without a doubt going to be popular with the tweens—that is, if they can afford one.

Is it worth it?

And for the age-old question… The phone is expensive. Over $1,000 expensive. iPhone X will run you $1,319 and $1,529 for the 64GB and 256GB variants, respectively. So is it worth throwing down a month’s mortgage payment on a smartphone that is made of all-glass? It depends on which features are important to you.

iPhone X is without a doubt one of the slickest devices I’ve seen in a long time. The build quality is unlike many other smartphones on the market today. The iPhone changed the smartphone industry and paved way for a lucrative app market. It is the combination of well-built hardware, easy-to-use software, and the potential of apps to personalize the mobile computing experience that put iPhone on the map a decade ago. And the tech giant is hoping to do that all over again.

As preorder sales have proven already, enthusiasts who want to be part of that experience will line up overnight or wait upwards of six weeks to get hold of a device. But for many others, iPhone 8—even iPhone 7—will suffice, especially if the Home button is still of great value. Though, iPhone 8 will still make a dent in your wallet at just under $1,000, off contract.

Apple hopes that choice and category redefinition will help boost sales, after the wait-and-see approach of iPhone 8 resulted in shorter lineups at retail stores.

Rogers Communications is the parent company of this website.

Shortness of Breath, by Dr. Zach Levine

BT Montreal | posted Tuesday, Oct 24th, 2017

Shortness of breath (aka dyspnea) is the feeling of not being able to get enough air.  It is very uncomfortable and quite common.  It results from the brain sensing that the tissues are not getting enough oxygen, or CO2 is too high.

 

Shortness of breath is one of the most common reasons people go to the ER (along with chest pain, injuries, abdominal pain, back pain, headache, and infections).  Almost everyone experiences it at some point in their life.

 

Dyspnea is a normal symptom of heavy exertion but becomes pathological if it occurs in unexpected situations[2] or light exertion.

 

In 85% of cases it is due to lung disease, heart disease, or psychological causes, specifically asthma, pneumonia, cardiac ischemia, interstitial lung disease, congestive heart failure, chronic obstructive pulmonary disease, or psychogenic causes,[2][3] such as panic disorder and anxiety.[4] Treatment typically depends on the underlying cause.[5]

 

Causes range from the benign to the life-threatening:

 

Lung and airway causes: pneumonia

Cancer

Asthma

COPD

Pneumothorax (punctured lung)

Airway blockage from mass or infection

 

Being physically deconditioned (in bad shape) and exerting yourself

 

Cardiac (heart) problems:

Heart failure causing fluid backup into the lungs

Inflammation or swelling on the pericardium (the lining around the heart)

Inflammation of the heart muscle

 

Circulatory problems heart and lungs):

Pulmonary embolus (blood clot in the lungs)

 

 

Blood problems:

Anemia (low oxygen delivery to tissues due to low levels of hemoglobin in

blood)

 

Hormone problems:

Hypothyroidism

Adrenal Gland insufficiency

 

Nerve problems:

Amyotrophic Lateral sclerosis (Lou Gherig’s Disease)

Guillane Barre Syndrome

Myasthenia Gravis

 

Psychiatric Problems:

Panic Attack

Generalized Anxiety Disorder

 

With so many causes for shortness of breath, what is one to do when one feels short of breath?  The safest thing to do is, of course, to see a doctor.  In a very brief period of time the doctor can rule out almost all of the causes and narrow it down to a handful of possibilities.

 

When discussing your case with you, the doctor will ask you how long the symptom has been present, what makes it better or worse, and what other symptoms you are suffering from.  In addition the doctor will find out about your medical history, medications, and recent illnesses.  The doctor will certainly ask whether you smoke, the major cause of COPD (chronic lung disease) and lung cancer, and whether you have been exposed to things that are potentially harmful to the lungs, such as asbestos.

 

Then the doctor will examine you.  First he or she will check your vital signs — your heart rate, blood pressure, oxygenation, and temperature.  Then they will listen to your heart and lungs and possibly examine other parts of you, if needed.

 

Finally, testing may be necessary.  Tests may include x-ray or CT scan of the lungs, pulmonary function tests to see how well you are able to inhale and exhale, and blood tests, and possibly more specialized testing.

 

Once all of this is done the doctor can give you a clear diagnosis and treatment plan.  Once you have this you no longer dealing with the fear of the unknown.

Online Medical Searches By Dr Zach Levine, ER physician MUHC

BT Montreal | posted Tuesday, Oct 10th, 2017

Online Medical Searches

By Dr Zach Levine, ER physician MUHC

People search the web about health

In a pew study over one year:

59% of people looked up health info

35% used the internet to try and diagnose their ailment

When people look up their symptoms they get the correct diagnosis 34% of the time

Medical questions:

— Most common online general health questions

·         Is bronchitis contagious?

·         Is pneumonia contagious?

·         How much water should I drink?

·         How many calories should I eat?

·         What is lupus?

·         How far along am I?

·         When do you ovulate?

·         What is gluten?

·         How long does the flu last?

·         Men search about urinary and erectile issues

·         Questions about non-western medicine

— Most common online symptom questions (mayo precedings/13)

Flu

Gallbladder infection

Measles

Listeria

Sinus Infection

Gastritis

Anxiety Attack

H. Pylori infection

Heat Stroke

Lactose intolerance

— Most commonly searched diseases

Diabetes

Depression

Anxiety

Hemorrhoid

Yeast infection

Lupus

Shingles

Psoriasis

Schizophrenia

Lyme disease

Vs.

Why people actually present to to the doctor

1. Skin disorders, including cysts, acne and dermatitis.

2. Joint disorders, including osteoarthritis.

3. Back problems.

4. Cholesterol problems.

5. Upper respiratory conditions.

6. Anxiety, bipolar disorder and depression.

7. Chronic neurologic disorders.

8. High blood pressure.

9. Headaches and migraines.

10. Diabetes.

And

What actually kills people (biggest killers in Canada)

Cancer

Heart disease

Stroke

Chronic lung disease

Trauma

Diabetes

Alzheimer’s disease

Influenza and pneumonia

Suicide

Kidney disease

Analysis:

1. Why the differences between what people Google and what they ask their doctor?

Embarrassment, forget, don’t have doctor, and they try to get a diagnosis online.  Also, they ask what’s on their mind at the time.  More likely to look up calories, water intake online.

2. Why the difference between what people as their doctor and what the doctor addresses?

Doctors focus on the big killers, ie cardiovascular disease, cancer risk factors and screening.  Patients focus on what’s ailing them and what worries them

3. Men vs women internet health – women search more, more well-informed, search for their families.  Women are often the reason men finally come to get things checed out

4. Increasing mental health concerns — unclear if incidence is going up but people are more aware of it, and look it up online

5. Mind body health relationship, integrative health — people understand that the mind and body are intimately connected, and that mental health is important to physical health.  And people like non-medicinal and natural treatments (but make sure there’s evidence)

6. The main point — you are not alone.  Millions have already searched that.  You can and should talk to your doctor about it.

—————————————————————————————————————————————————————————————————————————————————

_Details below_______________________________________________________________________________

Not much relationship between the top killers and what people search.

People search what they really want to know and what scares but may be embarrassed or afraid to ask.  People aren’t that scared of the top killers but they want to feel better (mental health), they look how to treat themselves (hemorrhoids, yeast infections).  And some things may have subtle symptoms — eg/Lyme disease.

Categories of questions (gomerblog):

1.    Too embarrassed to ask doctor — gonorrhea from toilet seat, anal sex

2.    Worries — is this cancer?

3.    Google second opinion – weight loss without exercise or diet, avoiding flu without the shot, lyme disease

Increasing searches about mental health issues point to both increasing awareness and maybe incidence (conflicting studies).  There is still stigma so people should talk about it, and doctors should ask about it.

Doctors and patients agendas often aren’t the same — docs may focus on the cardiovascular killers while patients are worried about their health now.

Lupus is a chronic inflammatory disease that occurs when your body’s immune system attacks your own tissues and organs. Inflammation caused by lupus can affect many different body systems — including your joints, skin, kidneys, blood cells, brain, heart and lungs.

(incidence about 1/1000 people, more in women and people of colour)

Lyme disease – spread by tick bite

Stage 1 – circular rash (approximately 50% get it), flulike illness

Stage 2 – headaches, joint pains,

Stage 3 – problems with memory mood sleep, fatigue, arthritis

Increasing in QC — 32 cases in 2011, about 200 this year (esp in eastern townships and monteregie, southwest of montreal – not many deer on the island of Montreal

Gender differences men v women internet health searches.  2015 study by Bidmon or Terlutter

RESULTS:

Women were more engaged in using the Internet for health-related information searching. Women used the Internet for health-related information searches to a higher degree for social motives and enjoyment and they judged the usability of the Internet medium and of the information gained by health information searches higher than men did. Women had a more positive attitude toward Web 2.0 than men did, but perceived themselves as less digitally competent. Women had a higher health and nutrition awareness and a greater reluctance to make use of medical support, as well as a higher personal disposition of being well-informed as a patient. Men may be more open toward the virtual patient-physician relationship.

CONCLUSIONS:

Women have a stronger social motive for and experience greater enjoyment in health-related information searches, explained by social role interpretations, suggesting these needs should be met when offering health-related information on the Internet. This may be interesting for governmental bodies as well as for the insurance and the pharmaceutical industries. Furthermore, women may be more easily convinced by health awareness campaigns and are, therefore, the primary target group for them. Men are more open to engaging in a virtual relationship with the GP; therefore, they could be the primary target group for additional online services offered by GPs. There were several areas for GPs to reinforce the virtual patient-physician relationship: the fixing of personal appointments, referral to other doctors, writing prescriptions, and discussions of normal test results and doctor’s notes/certificates of health.

Mind and body are intimately intertwined

Integrative medicine (UCI new $200B grant) – uses both western and complementary tx

Complementary – in addition to western

Alternative – instead of western

complementary/alternative tx — natural products, yoga, chiropractic and osteopathic manipulation, meditation, and massage therapy, acupuncture, hypnotherapy, homeopathy, naturopathy