Physicians Office Resource - May 2019

Physicians office Resource 2019 Issue 5

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Resources for You, Your Patients, & Your Practice

WHICH HEMATOLOGY ANALYZER IS RIGHT FOR YOUR PRACTICE? Page 4 , 14, & 15

also in this issue Telehealth Education: What Do We Actually Need? Page 6 MDescapes: Luxurious Destinations and Special Discounts for Physicians Page 23 Have You Intentionally or Unintentionally Become A High Complexity Lab? Page 40

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2019 Issue 5

Physicians office Resource™

PHYSICIANS office RESOURCE

Resources for You, Your Patients, & Your Practice Published by Medical Education Resources, LLC Publisher Aaron R. Medaris amedaris@physiciansofficeresource.com CEO Andrew C. Nimmo acnimmo@physiciansofficeresource.com President John D. Pasquale jpasquale@pharmaconnect.com Business Manager Marci J. Hills mhills@physiciansofficeresource.com

GETTING THE MOST FROM THIS GUIDE There are two simple ways to request information about the products and services found in Physicians Office Resource.

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Go to www.PhysiciansOfficeResource.com and enter the four-digit reference number found next to the product or service into the search field, then request additional information, schedule a demo, or speak with a sales agent all with just a simple click of a button.

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Travel Editor Brandi L. Brower Editorial Board Michael Paquin, FHIMSS Barry Craig, MLT (NCA), CLC Staff Writer Dylan J. Chadwick Creative Director Production Manager Keith A. Katsikas Jr Copyright ©2019

To continue your free subscription of Physicians Office Resource magazine, please fill out the Business Reply Card (BRC) located within this magazine and drop in any United States Post Office mailbox.

If you are a manufacturer of medical products or provide services to medical professionals and would like to advertise your products or services to the nation’s top physicians doing in-office testing, call 801-380-6094 or visit: POR.io for more information.

Thank you!

5/21/19 9:05 PM

THIS HEART HEALTH MONTH, PREVENT HEART DISEASE IN YOUR OFFICE

HEART DISEASE AFFECTS EVERYONE

Heart disease can happen to anyone – not just aging adults. To be heart healthy, patients must be in the know. The Alere Cholestech LDX® System provides lab accurate results in five minutes that can lead to coachable moments for improved heart health.

Identifying CVD risk is quick and easy with fingerstick sampling from a CLIA-waived instrument With in-visit test results, you can get your patient on the road to a healthier heart faster Know your patients’ numbers with a complete lipid profile with glucose on the same test cassette

THE ALERE CHOLESTECH LDX ® IS AVAILABLE FROM ABBOTT. TO LEARN MORE, VISIT LDX.POR.IO.

#6400

© 2019 Abbott. All Rights Reserved. All other trademarks referenced are trademarks of their respective owners. CVD177640 10004525-01 1/19

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2019 Issue 5

PHYSICIANS office RESOURCE

Physicians office Resource ™

table of contents

MDescapes Luxurious Getaways & Exclusive Deals for POR Magazine Readers

23

articles in this issue This enclave is a British Overseas Territory that lays 10 miles north of dual-sovereign Sint Maarten (Dutch) and Saint Martin (French). It’s known as the culinary capital of the Caribbean. For a strip of paradise, only 35 square miles, it’s dotted with delectable dining distinctions, but only one five-star resort that boldly asseverates “Arriving is belonging.” So, where is this magical place? Where can I find this best-kept secret?

Recently named the #1 island in the Caribbean by readers of Travel + Leisure magazine, it may not be a secret for long. Learn more about Four Seasons Anguilla on page 26

also featured in this issue

Which Hematology Analyzer is Right for Your Practice?

3-Part diff? 5-Part diff? CLIA Waived? Urgent Care? Physicians office? Clinic? Small workload? Large workload? Maybe something in between? You have questions, we have answers. With a variety of hematology analyzers on the market, explore which one is best for your practice. View these featured hematology products on pages 14 & 15

Telehealth Education: What Do We Actually Need?

As we go through our careers, we are given the responsibility of educating the next generation of students and residents to become proficient and competent in medicine. In telehealth, which also requires training my colleagues, is it necessary? If so...

6

Have You Intentionally or Unintentionally Become a High Complexity Lab?

40

There may be circumstances when laboratories consider the option to modify an FDAcleared or approved test system.

These may be due to the specific needs of the population served; or based on cost/benefit analyses of instrumentation and reagent use; or based...

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How can something so small be so BIG? MIZE

 MIZE THE HASSLE OF ESR TESTING IN YOUR LAB

#6401

Fast, accurate, and reliable results in just 15 seconds directly from the primary EDTA tube.

ALCORSCIENTIFIC.COM

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2019 Issue 5

PHYSICIANS office RESOURCE

TELEHEALTH EDUCATION: WHAT DO WE ACTUALLY NEED? Aditi U. Joshi, M.D. Medical Director of JeffConnect, and Assistant Professor Emergency Medicine at Sidney Kimmel Medical College at Thomas Jefferson University

As we go through our careers, we are given the responsibility of educating the next generation of students and residents to become proficient and competent in medicine. In telehealth, which also requires training my colleagues, is it necessary? If so, what should be part of it? Part of the equivocation with this question of creating telehealth education is at the core of the practice: since I strongly stress that telehealth is a way of practicing medicine rather than a new branch of medicine, what real need is there for creating education?

We are talking about this from some experience.

Our program is all encompassing: We run a number of telehealth programs so we have created education for different levels including administrators, medical students, residents, a fellowship and for our faculty.

Most of the curriculum entails the basics of telehealth, regulatory, webside manner, basic tech, and troubleshooting and how to go through a visit.

It turns out there are some necessary parts of training, and it depends on who you are educating.

This sounds intuitive but, for example, we assumed that because younger generations were better at tech, they would take more easily to telehealth visits. It turns 6

out more experienced physicians convert their practice online much more easily. Meaning it takes less time to train someone on tech than it does to train and get experience as a physician. Technology savviness isn’t a replacement for clinical experience.

For anyone looking for tips on the clinical aspect or learning how to do a visit, some of the education and training I’ve found to be necessary in my experience fall into the following large buckets: 1. Technology. Basics that include how to download apps, using a camera and microphone, basic troubleshooting when things aren’t working.

2. “Webside” manner: a translation of bedside manner to video. How to look at the camera, have an appropriate background, and create a professional environment.

This actually takes practice since it can be awkward initially. Some of the concerns that good bedside manner is more difficult on video is not necessarily true. If you’re good at bedside manner, yes, it’s easier to translate but practice and setting the stage for

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success always helps.

or three days later. Seeing those gaps made me counsel my ED patients more thoroughly and changed what 3. History and physical exam. Tips on creatively I highlighted. This is a valuable skill that I learned on doing an exam over telehealth, utilizing the camera, video and translated back to my in-person practice. the patient, and other members of household.

We are still improving our education and training as How do you get actionable information to make we change our uses of telehealth and evaluate the a decision for the next steps? Yes, this is possible. gaps and needs of our various learners. There is an This is such a big topic we art to telehealth “It turns out more experienced created an entire course. and as more physicians convert their pracpeople come tice online much more easily.

4. Disposition. Follow-up, onboard, we’re Meaning it takes less time to discharge counseling and going to learn train someone on tech than it planning, and effectively even more creative does to train and get experianswering patient questions. ways to use this ence as a physician. Technolmodality for better, ogy savviness isn’t a replaceNothing has changed my more efficient ment for clinical experience.” practice more than having health care.

Aditi U. Joshi, MD to do this over video. It becomes evident how little Dr. Aditi Joshi MD, MSc is an experienced Emergency Medicine patients understand about their disease progression Physician and telehealth expert working on improving healthcare through or their discharge instructions until you see them a technology. Through over 6 years of working in Telemedicine on both few days later with questions that should have been a startup and academic hospital, she has a keen interest in making technology palatable and effective for both patients, providers, and health preemptively answered. It isn’t necessarily our fault; care systems. Dr. Joshi is Medical Director of JeffConnect, Thomas aside from the time constraints in our clinics and Jefferson University Hospital’s on-demand telemedicine program and an emergency departments, we don’t practice chronic care Assistant Professor in the Department of Emergency Medicine at Sidney and don’t always realize what a patient experiences two Kimmel Medical College at Thomas Jefferson University.

Read this and other articles at www.PhysiciansOfficeNews.com 2019 Issue 5.indd 7

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Jacob’s birthday party No, my migraine wants me to lie down in the dark Yes, I will attend

Š 2019 Teva Pharmaceuticals USA, Inc.

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FRE-41678

March 2019

5/21/19 9:05 PM

Less migraine.

More moments.

TM

Help patients say yes to more moments AJOVY® (fremanezumab-vfrm) injection is the only anti-CGRP treatment for the prevention of migraine with quarterly and monthly dosing options1 More migraine-free days with AJOVY in clinical trials1

INDICATION

AJOVY is indicated for the preventive treatment of migraine in adults.

IMPORTANT SAFETY INFORMATION

Contraindications: AJOVY is contraindicated in patients with serious hypersensitivity to fremanezumab-vfrm or to any of the excipients.

Hypersensitivity Reactions: Hypersensitivity reactions, including rash, pruritus, drug hypersensitivity, and urticaria were reported with AJOVY in clinical trials.

Most reactions were mild to moderate, but some led to discontinuation or required corticosteroid treatment.

Most reactions were reported from within hours to one month after administration. If a hypersensitivity reaction occurs, consider discontinuing AJOVY and institute appropriate therapy.

Adverse Reactions: The most common adverse reactions (≥5% and greater than placebo) were injection site reactions.

Please see Brief Summary of full Prescribing Information on the following page.

To learn more, visit AJOVYhcp.com CGRP: calcitonin gene-related peptide.

Reference: 1. AJOVY® (fremanezumab-vfrm) injection Current Prescribing Information. North Wales, PA: Teva Pharmaceuticals USA, Inc.

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BRIEF SUMMARY OF PRESCRIBING INFORMATION FOR AJOVY® (fremanezumab-vfrm) injection, for subcutaneous use SEE PACKAGE INSERT FOR FULL PRESCRIBING INFORMATION 1 INDICATIONS AND USAGE AJOVY is indicated for the preventive treatment of migraine in adults.

2 DOSAGE AND ADMINISTRATION 2.1 Recommended Dosage Two subcutaneous dosing options of AJOVY are available to administer the recommended dosage: • 225 mg monthly, or • 675 mg every 3 months (quarterly), which is administered as three consecutive subcutaneous injections of 225 mg each.

When switching dosage options, administer the first dose of the new regimen on the next scheduled date of administration. If a dose of AJOVY is missed, administer as soon as possible. Thereafter, AJOVY can be scheduled from the date of the last dose.

2.2 Important Administration Instructions AJOVY is for subcutaneous use only.

AJOVY may be administered by healthcare professionals, patients, and/or caregivers. Prior to use, provide proper training to patients and/or caregivers on the preparation and administration of AJOVY prefilled syringe, including aseptic technique [see Instructions for Use in full Prescribing Information]: • Remove AJOVY from the refrigerator. Prior to use, allow AJOVY to sit at room temperature for 30 minutes protected from direct sunlight. Do not warm by using a heat source such as hot water or a microwave. Do not use AJOVY if it has been at room temperature for 24 hours or longer.

• Follow aseptic injection technique every time AJOVY is administered.

• Inspect AJOVY for particles or discoloration prior to administration. Do not use if the solution is cloudy, discolored, or contains particles.

• Administer AJOVY by subcutaneous injection into areas of the abdomen, thigh, or upper arm that are not tender, bruised, red, or indurated. For multiple injections, you may use the same body site, but not the exact location of the previous injection.

• Do not co-administer AJOVY with other injectable drugs at the same injection site.

4 CONTRAINDICATIONS AJOVY is contraindicated in patients with serious hypersensitivity to fremanezumabvfrm or to any of the excipients [see Warnings and Precautions (5.1)].

5 WARNINGS AND PRECAUTIONS 5.1 Hypersensitivity Reactions Hypersensitivity reactions, including rash, pruritus, drug hypersensitivity, and urticaria, were reported with AJOVY in clinical trials. Most reactions were mild to moderate, but some led to discontinuation or required corticosteroid treatment. Most reactions were reported from within hours to one month after administration.

If a hypersensitivity reaction occurs, consider discontinuing AJOVY, and institute appropriate therapy.

6 ADVERSE REACTIONS The following clinically significant adverse reactions are discussed in greater detail in other sections of the labeling: • Hypersensitivity Reactions [see Warnings and Precautions (5.1)] 6.1 Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug, and may not reflect the rates observed in clinical practice.

The safety of AJOVY was evaluated in 2512 patients with migraine who received at least 1 dose of AJOVY, representing 1279 patient-years of exposure. Of these, 1730 patients were exposed to AJOVY 225 mg monthly or AJOVY 675 mg quarterly for at least 6 months, 775 patients for at least 12 months, and 138 patients for at least 15 months. In placebo-controlled clinical trials (Studies 1 and 2), 662 patients received AJOVY 225 mg monthly for 12 weeks (with or without a loading dose of 675 mg), and 663 patients received AJOVY 675 mg quarterly for 12 weeks. In the controlled trials, 87% of patients were female, 80% were White, and the mean age was 41 years.

The most common adverse reactions in the clinical trials for the preventive treatment of migraine (incidence at least 5% and greater than placebo) were injection site reactions. The adverse reactions that most commonly led to discontinuations were injection site reactions (1%). Table 1 summarizes adverse reactions reported in the 3-month placebo-controlled studies (Study 1 and Study 2), and the 1-month follow-up period after those studies.

Table 1: Adverse Reactions Occurring with an Incidence of At Least 2% for Either Dosing Regimen of AJOVY and At Least 2% Greater Than Placebo in Studies 1 and 2 Placebo AJOVY AJOVY Monthly 225 mg Monthly 675 mg Quarterly (n= 668) (n= 667) (n= 290) % % % Injection site reactionsa 43 45 38 a Injection site reactions include multiple related adverse event terms, such as injection site pain, induration, and erythema.

Adverse Reaction

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AJOVY® (fremanezumab-vfrm) injection 6.2 Immunogenicity As with all therapeutic proteins, there is a potential for immunogenicity. The detection of antibody formation is highly dependent on sensitivity and specificity of the assay. Additionally, the observed incidence of antibody (including neutralizing antibody) positivity in an assay may be influenced by several factors, including assay methodology, sample handling, timing of sample collection, concomitant medications, and underlying disease. For these reasons, comparison of the incidence of antibodies to fremanezumab-vfrm in the studies described below with the incidence of antibodies in other studies to other products may be misleading. Clinical immunogenicity of AJOVY was monitored by analyzing anti-drug antibodies (ADA) and neutralizing antibodies in drug-treated patients.

The data reflect the percentage of patients whose test results were positive for antibodies to AJOVY in specific assays.

In 3-month placebo-controlled studies, treatment-emergent ADA responses were observed in 6 out of 1701 (0.4%) AJOVY-treated patients. One of the 6 patients developed anti-AJOVY neutralizing antibodies at Day 84. In the ongoing long-term open-label study, ADA were detected in 1.6% of patients (30 out of 1888). Out of 30 ADA-positive patients, 17 had a neutralizing activity in their post-dose samples. Although these data do not demonstrate an impact of antifremanezumab-vfrm antibody development on the efficacy or safety of AJOVY in these patients, the available data are too limited to make definitive conclusions.

8 USE IN SPECIFIC POPULATIONS 8.1 Pregnancy Risk Summary There are no adequate data on the developmental risk associated with the use of AJOVY in pregnant women. AJOVY has a long half-life. This should be taken into consideration for women who are pregnant or plan to become pregnant while using AJOVY. Administration of fremanezumab-vfrm to rats and rabbits during the period of organogenesis or to rats throughout pregnancy and lactation at doses resulting in plasma levels greater than those expected clinically did not result in adverse effects on development [see Animal Data].

In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2-4% and 15-20%, respectively. The estimated rate of major birth defects (2.2-2.9%) and miscarriage (17%) among deliveries to women with migraine are similar to rates reported in women without migraine.

Clinical Considerations Disease-Associated Maternal and/or Embryo/Fetal Risk Published data have suggested that women with migraine may be at increased risk of preeclampsia during pregnancy.

Data Animal Data When fremanezumab-vfrm (0, 50, 100, or 200 mg/kg) was administered to male and female rats by weekly subcutaneous injection prior to and during mating and continuing in females throughout organogenesis, no adverse embryofetal effects were observed. The highest dose tested was associated with plasma exposures (AUC) approximately 2 times that in humans at a dose of 675 mg.

Administration of fremanezumab-vfrm (0, 10, 50, or 100 mg/kg) weekly by subcutaneous injection to pregnant rabbits throughout the period of organogenesis produced no adverse effects on embryofetal development. The highest dose tested was associated with plasma AUC approximately 3 times that in humans (675 mg).

Administration of fremanezumab-vfrm (0, 50, 100, or 200 mg/kg) weekly by subcutaneous injection to female rats throughout pregnancy and lactation resulted in no adverse effects on pre- and postnatal development. The highest dose tested was associated with plasma AUC approximately 2 times that in humans (675 mg).

8.2 Lactation Risk Summary There are no data on the presence of fremanezumab-vfrm in human milk, the effects on the breastfed infant, or the effects on milk production. The developmental and health benefits of breastfeeding should be considered along with the mother’s clinical need for AJOVY and any potential adverse effects on the breastfed infant from AJOVY or from the underlying maternal condition.

8.4 Pediatric Use Safety and effectiveness in pediatric patients have not been established.

8.5 Geriatric Use Clinical studies of AJOVY did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects.

Manufactured by: Teva Pharmaceuticals USA, Inc. North Wales, PA 19454 US License No. 2016 ©2019 Teva Pharmaceuticals USA, Inc. This Brief Summary is based on the full Prescribing Information for AJOVY AJO-002.

FRE-41620

March 2019

5/21/19 9:05 PM

Nail it with one swab.

Syndromic respiratory infection testing now CLIA-waived The BioFire® FilmArray® Respiratory Panel (RP) EZ uses a molecular syndromic approach to accurately detect and identify a wide range of pathogens—not just Flu A and B. As a healthcare provider, this means your patients can receive the right treatment the first time, potentially leading to higher patient satisfaction and lower costs. And as the name implies, it’s easy and can be performed right in your office or clinic.1 1 test. 14 respiratory pathogens. All in about an hour.

#6402

biofiredx.com

CLIA

BioFire RP EZ Pathogens Viruses Adenovirus Coronavirus Human Metapneumovirus Human Rhinovirus/Enterovirus Influenza A

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CLIA Certificate of Waiver required to perform testing.

For more information contact +1 801-736-6354 +1 888-844-7640ext. ext.1947 1947

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PHYSICIANS office RESOURCE

2019 Issue 5

PRODUCTFOCUS

#6403

COST-EFFECTIVE AI MEDICAL SCRIBE From Phraze

Are you frustrated with spending more time writing notes than seeing patients? Has the EHR become a “screen between” you and your patients? Are you interested in having a medical scribe, but find that the cost is prohibitive? Phraze’s is a cost-effective AI Medical Scribe software that analyzes the conversation between you and your patient. It then automatically produces a clinical note that is as beautiful as it is intelligent: saving you time and improving your connection to patients.

View Brochures, Videos & Mores at POR.io Enter Number 6403 in the Search Area

CLIA-WAIVED FOR RAPID DETECTION OF FLU A+B #6404

From BD Veritor

The CLIA-Waved BD Veritor™ Plus System for rapid detection of Flu A+B, combines speed and accuracy. It provides clear digital results in under 11 minutes and has demonstrated performance compared to molecular tests.[1] It is easy to use and has a low cost of ownership. The BD Veritor ™ Plus System is CLIA-Waved for Flu, RSV and Group A Strep.

[1] (BD Veritor System for Rapid Detection of Flu A+B, CLIA-waved kit package insert, 8087667 (14) 2018-06. BD Veritor System for Rapid Detection of Flu A+B, laboratory kit package insert, 8087666 (11) 2017-10., 2018-06.)

View Brochures, Videos & Mores at POR.io Enter Number 6404 in the Search Area 12

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WORRIED ABOUT CREATING ANTIBIOTIC-RESISTANT SUPERBUGS? A CBC with 3-part or 5-part differential can provide clues to help distinguish between viral and bacterial infections before you decide to treat.

Why invest in laboratory testing?

Horiba’s analyzers: • Provide fast and accurate results, allowing you to deliver more decisive patient care.

• Increase office efficiency by reducing call-backs to patients with test results • Increase patient satisfaction by eliminating wait time for results and repeat office visits

Micro ES 60 Hematology System 3-part diff

Pentra 60C+ Hematology System 5-part diff

Fast, accurate results in a small footprint

Advanced technology comparable to hospital analyzers

HORIBA Part #5360600241 HS Item # (129-7842) ea.

#6405

HORIBA Part #5300001398 HS Item #(111-3703) ea.

Pentra C400 Chemistry Analyzer Routine to specialty testing in a benchtop analyzer

#6406

HORIBA Part #5300001388 HS Item #(887-0033) ea.

#6407

Get Connected!

Lite

Easy • Patient Data Management

#6408

The LiteDM Patient Data Management System: • Provides an affordable way to connect up to four analyzers • Eliminates transcription errors by consolidating results to one report • Streamlines operations by connecting directly to EMR systems

Contact us at 888-280-1401 mail us at: medical-marketing.US@horiba.com Contact your Horiba Medical Representative for more information • www.horiba.com/us/en/medical

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TURN SMALL PLACES INTO SMART SPACES From Abbott

With reduced budgets, shrinking laboratory space and staffing challenges, many laboratories need a solution that lets them work smarter with less. The CELL-DYN Emerald 22 AL is a full per- formance, automated optical 5-part differential analyzer that delivers smarter results for small to midsize clinical laboratories.

• Compact Design • Walkaway Functionality • Ease Of Use • Smart Safety Features

PHYSICIANS office RESOURCE

2019 Issue 5

#6409

View Brochures, Videos & Mores at POR.io Enter Number 6409 in the Search Area

#6410

“ mInIIMIZE THE HASSLE OF ESR TESTING IN YOUR LAB

From ALCOR

miniiSED™ is the newest of the iSED® family of ESR analyzers from ALCOR Scientific. The miniiSED™ measurement of ESR is accurate and unaffected by variables associated with traditional methodologies, such as hematocrit. This single position, fully automated ESR analyzer works directly from primary EDTA tubes, requires 100 μL of sample, has an internal barcode reader, and produces results in 15 seconds! miniiSED™ is the ideal solution to ESR testing for small laboratories, POL’s, and emergency clinics. Proudly manufactured in the USA.

View Brochures, Videos & Mores at POR.io Enter Number 6410 in the Search Area

#6411

PENTRA 60 C+ HEMATOLOGY ANALYZER WITH 5-PART DIFFERENTIAL From HORIBA

Now you can have the same results hospitals and reference labs provide in a small, benchtop analyzer. The Pentra 60 C+ hematology analyzer provides a CBC with 5-part differential result using proprietary technology that ensures an accurate count and differential on the first run.

Reduce repeats and reflex to the microscope with Pentra hematology technology.

View Brochures, Videos & Mores at POR.io Enter Number 6411 in the Search Area

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FOCUSONHEMATOLOGY #6412

MICROS ES 60 HEMATOLOGY ANALYZER WITH 3-PART DIFFERENTIAL From HORIBA

Simple to use and easy to maintain with a zero maintenance concept, the Micros ES 60 is a small tabletop hematology analyzer with an integrated data management system. The analyzer provides a CBC with 3-part differential result in less than 60 seconds using only 10 µL of sample. Connect to the LiteDM Patient Data Management System for an affordable way to consolidate patient results to one report.

View Brochures, Videos & Mores at POR.io Enter Number 6412 in the Search Area

#6413

NOW IT’S MORE THAN JUST A BLOOD TEST From Sysmex

With its simplified operation, the Sysmex XP-300™ is ideal for clinics and physician office labs. It provides a CBC with 17 different parameters, including a 3-part WBC Differential. The XP-300+M combines the accuracy and reliability of a Sysmex CBC with the agility of Medicus Middleware. Features include EMR connectivity, instrument interfaces and a QC module.

View Brochures, Videos & Mores at POR.io Enter Number 6413 in the Search Area

#6414

FIRST EVER CLIA WAIVED HEMATOLOGY ANALYZER From Sysmex

Faster test results, clinical decisions and greater practice efficiency are coming to physicians’ offices with the first CLIA-waived CBC analyzer. Hematology diagnostics leader Sysmex is bringing more lab testing to the point of care.

One of the most common blood tests can be conducted reliably and accurately on-site, in as few as three minutes.

The device’s ease of use and innovative technology means in-house staff can operate it in just a few easy steps, without lengthy certification and training. The new Sysmex XW100 will improve health care efficiency and patient care.

View Brochures, Videos & Mores at POR.io Enter Number 6414 in the Search Area 15 2019 Issue 5.indd 15

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2019 Issue 5

PRODUCTFOCUS #6415

DEFINING MOBILE TELEDIAGNOSTICS

PHYSICIANS office RESOURCE

From MedPod

With the ability to deploy into a medical office in less than 2 minutes, MobileDoc is the ultimate portable practice. Revolutionary in its compact and mobile design, MobileDoc integrates best-in-class professional medical-grade devices with state-of-theart HD video and EHR connectivity. Physicians can provide care remotely that is on par or better than a face-to-face visit, including conducting basic exams, checking vitals, and performing specialty testing— shattering the boundaries of traditional care.

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OPTIMIZE PRODUCTIVITY AND EXPAND YOUR PRACTICE

#6416

From MedPod

The Medpod Medical Cart optimizes productivity and load balancing by enabling access to remote physicians during high volume periods or to reach low-density populations. Medpod’s proprietary software integrates with a wide range of professional medical devices and gives the remote provider control of the devices to conduct an examination that is on par with a face-to-face visit. Patient images, audio and data can be captured, annotated, tagged and uploaded in real-time or stored and forwarded into the EHR by either remote or local provider.

View Brochures, Videos & Mores at POR.io Enter Number 6416 in the Search Area

#6417

ACCURATE, ACTIONABLE RESULTS FROM THE LEADER IN POINT-OF-CARE LIPID TESTING From Abbott

The CLIA-waived Alere Cholestech LDX™ Analyzer is engineered for confidence, providing accurate, actionable, and readily accessible results that have set the standard in point-of-care lipid profile, cholesterol, and glucose testing. Results are easy to obtain.

Fingerstick sampling and a small sample size (40μL) makes results less painful and time consuming.

View Brochures, Videos & Mores at POR.io Enter Number 6417 in the Search Area

16

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A better way.

They’re Here Flu, RSV, Strep. Be Ready.

With confirmatory molecular results,

Cepheid’s CLIA Waived test menu delivers peace of mind to you and your patients.

#6418

#6419

#6420

Xpert Xpress Flu/RSV

Xpert Xpress Flu

Xpert Xpress Strep A

• One sample. One Cartridge.

Three results

• Qualitative, molecular detection and differentiation of influenza A and B

• Accurate, real-time PCR molecular testing for Group A Strep

• Qualitative, molecular detection and differentiation of influenza A, influenza B and RSV

• Sample types include nasal swab and nasopharyngeal swab

• Internal QC in each cartridge

®

®

• Room Temperature reagent storage

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• No confirmation required for negative results*

• Sample types include Nasal swab and Nasopharyngeal swab

For more information, call (888) 256-6990 For in vitro diagnostic use. * No culture confirmation required for negative results unless clinical symptoms persist, or there is an outbreak of acute rheumatic fever (ARF).

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#6421

CLIA-WAIVED BIOFIRE® FILMARRAY® RESPIRATORY PANEL (RP) EZ

PHYSICIANS office RESOURCE

2019 Issue 5

PRODUCTFOCUS

From BioFire

The BioFire RP EZ accurately detects and identifies 14 viral and bacterial pathogens—not just Flu A and Flu B— so you can provide your patients with the right treatment, the first time. The test is easy and can be performed right in your office or clinic, with results in about an hour. The BioFire RP EZ is designed to run on a single computer/ instrument configuration (EZ Configuration) of the BioFire® FilmArray® 2.0 System.

View Brochures, Videos & Mores at POR.io Enter Number 6421 in the Search Area

#6422

BIOFIRE® FILMARRAY® TORCH From BioFire

The BioFire® FilmArray® Torch is a fully integrated, random, and continuous access system designed to meet your laboratory’s syndromic infectious disease testing needs. The BioFire Torch offers a radically reduced benchtop footprint, saving precious space in the lab, and its scalability meets high throughput demands. BioFire® FilmArray® Link Software automatically uploads patient results. Fully compatible with all CLIA Moderate BioFire® FilmArray® Panels, the BioFire Torch helps you maximize efficiency and productivity.

View Brochures, Videos & Mores at POR.io Enter Number 6422 in the Search Area

#6423

LAB-ACCURATE RESULTS FOR ACR AND HBA1C From Abbott

With its compact size and panel of tests, the Afinion 2 system is ideal for point-of-care testing in physician offices, clinics, community health centers and hospital out-patient clinics. From just a small urine or fingerstick whole blood sample, lab-accurate results for ACR and HbA1c are made available during the consultation.

View Brochures, Videos & Mores at POR.io Enter Number 6423 in the Search Area

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The Adview 2 is still the only truly modular diagnostic station that grows with your needs. Start with blood pressure and choose temperature or pulse oximetry option at the time of purchase.

Bionet CardioCare 2000: $1,255.00 Schiller AT-2 Plus: $2,275.00* *add Spirometry: $1,000.00 Burdick ELI 250c: $3,188.00 Welch Allyn CP150 w/ Interp: $3,258.00

#6424

#6425

#6428 #6426

#6427

#6430

#6429

#6431 #6432

#6433

Coaxial Ophth, Fiber Optic Oto, Speucla Dispenser, Aneroid BP, Wall Transformer and Wall Board without Thermometer: $904.04 with Thermometer: $1,275.88

#6434

#6435

#6436

#6437

#6438

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#6439

MEMORY LOSS BIOMARKERS TO AID IN DIAGNOSIS IN PRIMARY CARE PRACTICES From Evoke Neuroscience

PHYSICIANS office RESOURCE

2019 Issue 5

PRODUCTFOCUS

The eVox® System is an FDA 510(k) cleared medical device to aid primary and specialty care physicians in diagnosis of memory loss and other cognitive disorders. eVox® measures memory loss biomarkers that may aid in detecting memory loss sooner, identifying the root cause of memory loss, and performing a differential diagnosis. eVox® procedures are performed in-office and are reimbursable by Medicare and commercial payers.

View Brochures, Videos & Mores at POR.io Enter Number 6439 in the Search Area

ACCUTEST PH® PHENAPHTHAZINE PAPER From Jant Pharmacal

#6440

Test papers give instant, easy-to-read results, with clear, bright matches at 0.5 intervals from pH 4.5 to 7.5. Color charts are lab-tested for precision accuracy.

Made in the U.S.A. with state-of-the-art materials.

An FDA-listed medical test product, used in hospitals and doctor’s offices around the world. Economical – approximately 100 tests/roll. Widely used in hospitals and doctors’ offices to detect the presence of amniotic fluid in vaginal secretions during late-term pregnancy, a sign of premature amniotic sac rupture.

View Brochures, Videos & Mores at POR.io Enter Number 6440 in the Search Area

#6441

SILARIS™ INFLUENZA A&B TEST From Sekisui Diagnostics

A molecular test utilizing polymerase chain reaction (PCR) technology providing accurate results for early diagnosis and proper management of influenza.

Accurate √ Molecular Results √ State-of-the art microfluidic cassette technology √ PCR test using proprietary OscAR™ Technology Affordable √ Single Test Diagnosis √ Controls in every kit √ Molecular reimbursement (CPT Code 87502) Simple √ Easy to Use √ Compact portable dock with no calibration required √ Room temperature storage

View Brochures, Videos & Mores at POR.io Enter Number 6441 in the Search Area 20

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#6443

#6442

#5316

Call 888-522-9939 or Visit medpod.por.io for More Information

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#6444

FULLY AUTOMATED QUANTITIVE IMMUNOASSAY ANALYZER

PHYSICIANS office RESOURCE

2019 Issue 5

PRODUCTFOCUS

From Sekisui

The FastPack® IP System is a fully automated quantitative immunoassay analyzer designed for use in the Physician Office laboratory. Utilizing sophisticated chemiluminescence technology, the FastPack® IP System provides the capability to produce complex immunoassay results in 12 minutes or less with a push of a button. Menu includes Vitamin D, Testosterone, TSH, Free T4 PSA and hCG.

View Brochures, Videos & Mores at POR.io Enter Number 6444 in the Search Area

#6445

IDEAL SYSTEM FOR LOW-TO-MODERATE VOLUME LABORATORIES From Sekisui Diagnostics

The SK™500 chemistry instrument and SEKURE Reagents offer an ideal system for low-to-moderate volume laboratories seeking exceptional throughput with minimal use of space and water. The SK500 is a compact and efficient instrument with a full menu of reagents specifically designed for and packaged for the system

View Brochures, Videos & Mores at POR.io Enter Number 6445 in the Search Area

#6446

RELIABLE DETECTION OF STREP A, FLU A, FLU B AND RSV From Cepheid

Cepheid’s GeneXpert Xpress® brings standardized molecular testing to any healthcare setting. Employing the highly accurate and easy to use lab in a cartridge technology in every GeneXpert system, the GeneXpert Xpress® is a true on-demand walkaway testing system that provides accurate and reliable detection of Strep A, Flu A, Flu B and RSV. Two or four-module configurations save valuable bench space and reduce the need for multiple testing platforms.

View Brochures, Videos & Mores at POR.io Enter Number 6446 in the Search Area 22

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MDescapes June 2019

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in this issue Exclusive Discounts and Luxurious Getaways for Readers of Physicians Office Resource. Page 24 The Four Seasons Anguilla: Leave The Stress of Everyday Life Far, Far Behind. Page 26

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June 2019

FOUR SEASONS ANGUILLA

MDescapes

Sun-seeking vacationers eager to learn more about Caribbean island culture while unwinding on the property’s luxurious white sand beaches and tranquil blue waters will find plenty of reason to celebrate on Anguilla this summer.

The Experience Anguilla package provides extra value with a fifth night free plus all the following: • • • •

Complimentary daily breakfast in Coba for 2 (per bedroom) Complimentary Kids For All Seasons activities Children under 12 eat free with each paying adult Rates starting at USD 550 for a Resort View

Additional Details at MyMDescapes.com

FOUR SEASONS ORLANDO Within the gates of Walt Disney World ® Resort, discover Central Florida’s only resort to receive the coveted AAA Five Diamond Award. A perfect blend of Four Seasons experiences and Disney offerings––for family time, for romance, or special events. Create a Four Seasons-only getaway in Orlando, with golf, spa, dining and a fun-filled island for kids, or make the Resort your base for a Disney adventure. No one brings dreams to life quite like Four Seasons and the magic of Disney.

Additional Details at MyMDescapes.com

$50 Daily Resort Activities Credit!

FOUR SEASONS COSTA RICA Nestled on a Pacific coast hillside and overlooking golden sand beaches, Four Seasons Resort Costa Rica at Peninsula Papagayo is your premier eco-adventure destination. This year, join us to experience Costa Rica’s renowned “pura vida” lifestyle and our exciting renovation. The Resort’s 181 guest rooms, suites and residences capture the exotic character of Costa Rica, with comfortable rattan and bamboo furnishings, local artwork and indigenous wood and stone finishes.

Additional Details at MyMDescapes.com

Reserve 5 Nights in Luxurious Accommodations and Receive 2 Additional Nights On Us!

FOUR SEASONS PUNTA MITA Sunshine and perfect temperatures year round, a secret landscape of astonishing beauty and the Pacific Coast’s most scenic beach. This and much more awaits you at Four Seasons Resort Punta Mita. With 173 rooms including 32 suites (all suites with private plunge pools), an option for everybody is available. In addition, Four Seasons private 4 and 5 bedroom Villas offer the true home away from home experience.

Additional Details at MyMDescapes.com

Receive a Third Night in Luxurious Accommodations FREE with Every Two Consecutive Paid Nights!

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2019 Issue 5.indd 24

All offers on this page are subject to availability at the time of reservation. Limited Time Only. Offers may not be combined with any other promotions/program benefits/offers/savings. Subject to change without notice.

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June 2019

MDescapes We’re close now. I look out my window and see the water and the thin strip of Caribbean land as the turboprop plane prepares to land. As we hover over the sparkling blue sea, from this vantage point, I can’t imagine how beautiful it will be once I’m swimming in it. We touch down, and the excitement is palpable as everyone on board is happy to be at their tropical destination.

A car service is waiting to drive me to my final destination, a local by the name of Makoy Romney. He assures me with a wink that he isn’t related to Mitt, as he helps me with my luggage. I ask him what he loves about his island home, this special place. “The people,” he answers quickly. “When Hurricane Irma hit our island very hard over a year ago, we were devastated. Everyone was without power for three months. But we all helped one another, brought our resources together and worked hard to rebuild. The people make our island what it is.” Is it any wonder that the motto of this magical place is: “Unity, Strength, and Endurance”?

What is this unique island? It’s small, just 16 miles long and 3.5 miles wide. Because it’s made up of mostly limestone and relatively flat, it has more of a desert climate than tropical. The turquoise water is a mesmerizing color contrasting with the sugary white sand which can be appreciated on any of the 33 pristine beaches.

Seven of these beaches have actually been rated as some of the most beautiful in the world.

It’s a quiet island known for its seclusion and safety. With only 15,000 people, it’s an intimate retreat where everyone knows one another. People don’t lock their doors because of the low crime.

There are no nightclubs, casinos, it’s not a party island. You can 26

count on one hand the number of traffic lights. There are no docks for the cruise ships, no fancy designer stores to shop in and with a no noise pollution law in place, there are no speed boats or jet skis whizzing by. Wealthy travelers choose this destination because it’s not overly crowded with throngs of tourists. Famous athletes, singing and film stars come not to be seen. Luxury vacationers want this tranquil quiet haven to unwind and indulge.

This enclave is a British overseas territory that lays 10 miles north of dual-sovereign Sint Maarten (Dutch) and Saint Martin (French) It’s known as the culinary capital of the Caribbean. So it’s a popular destination for foodies. For a strip of paradise at only 35 square miles it’s dotted with delectable dining distinctions. It nurtures and celebrates more than 100 restaurants ranging from world-class, elegant dining settings, sublime chef-driven eateries, and renowned beachside bungalows. Because much of the island seafood is caught just off its coast and served fresh daily; lobster, conch, red snapper, grouper, langoustines and crayfish are all devised in original or local customary preparation. Don’t forget to try the Anguillian Johnny Cakes on the side.

Now you’re wondering what this magical place is? Where can I find this best-kept secret? Recently named the #1 island in the Caribbean by the readers of Travel + Leisure magazine for the second consecutive year. It may not be a secret for long. Its name is derived from an Italian word which means “eel” in reference to the snake-like shape of the island. If you are Spanish, it’s Anguila, but the English pronunciation is Anguilla, rhymes with scintilla.

And you will have a scintilla amount of regret about visiting this

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sliver of paradise once you arrive.

Now, where to stay? Anguilla has several five-star resorts but only one boldly asseverates “Arriving is belonging.” The Four Seasons Resort and Residences is true to that assertion. Once my new island friend, Mr. Romney, drives down the palm-lined entrance I am welcomed with a tropical rum punch and a chilled essential oil infused towel to wipe away my travels. I’m greeted by the General Manager of the resort, Jose Adames, who’s striking handsome looks are worthy of Hollywood, and he assures me that my stay will be unforgettable.

Mark, the young bellman, whisks me to my room, 104.

He is so kind as he shows me the many amenities that are waiting for me. The helpful Four Seasons app allowed me to prep for my arrival with special requests such as a specific set-up time for turndown service, a body pillow, extra towels, a robe, and slippers. All are there waiting for me. I’m shown the powder room off the grand entrance, small kitchen area, and comfortable living room, then guided through the expansive bathroom with a soaking tub, spacious shower, double vanity, and walk-in closet. Mark leaves, and I’m tempted to crawl upon

the king bed and relax. The Four Seasons is famously touted for their comfortable mattresses and bedding which beckon me to rest upon. But the impressive view from the massive windows wins the battle, and I have to go out through the sliding doors onto the ample patio to take in the seascape. The waist-high glass partition acts as a protective barrier but allows the full vista as I lay back on one of the lounge chairs and watch the waves crash upon the rocky shore. *Note to self: a night dip in my private splash pool is a must. Yes, it’s true. I have arrived, and I already have a sense of belonging.

As beautiful as my suite is, I’m confident the resort grounds will be equally stunning. I must survey the entire holiday hotspot. The resort is perfectly perched on a point that evenly divides more than 3,000 feet of gorgeous shoreline. Flanked 28

on either side of the main structure are Meads Bay to the south and Barnes Bay to the north. The Four Seasons Resort has prominent real estate on both bays giving the guests the best of two water worlds. Out my door and just feet away are the Sunset Lounge and adults-only infinity pool. The open-air concept gives a feel of a grand seaside living room. The bar sets up high as guests can be served tropical cocktails and specialty drinks or enjoy libations a few steps down into a large area of many cozy couches and chairs.

A fun sushi Asian-fusion influence in the fare at this restaurant where nightly live music adds to the experience.

I watch several couples, arms enveloped or resting side by side as they take in the view on the edge of the infinity pool. What a romantic place this is, not that a single person can’t enjoy all of this breathtaking beauty but even a friend to share it with would make the destination that much more memorable. That is why I resort to photos. I try to capture the incredible sunset over the water to share with my family. When the setting sun is reflected on the saltwater infinity pool with its amazing amber glow and then magically morphs into a perfect purple pink. This must be what heaven feels like or Four Seasons Anguilla.

It is as if this resort knows my favorite things. Several quaint conversation corners with gas fire pits to take in the view of the nightlife. I’m also a fan of black and white cinema where a classic favorite is projected upon an exterior wall of the building. No sound of course but seeing the images of Casablanca, Citizen Cane, Sunset Boulevard are familiar favorites and give off a chic retro vibe. As I sit and enjoy my delicious Dragon roll and rock shrimp I’m approached by the manager of the Sunset Lounge, Alvaro. He’s from Spain, and we chat a bit sharing some of our background and lives. Several staff members stop by to ask if they can serve me in any way. A resort is only as good as the staff it employs. The Four Seasons is known for its service, but you can’t teach kindness. Not only does this resort staff go out of their way to make me feel less isolated, but they help me feel right at home, less alone. Again, a sense of belonging.

I’m a brunch enthusiast. There are very few meals I like more than a great brunch. The breakfast brunch served daily at the Coba will be my ritual while I’m here. The open-air pavilion which hangs out on the edge of the rocky point displays 180-degree panoramic views while enjoying the morning feast.

The sound of steel drums is lightly playing, competing with the gentle crashing of the waves below the restaurant. It’s Saturday, and the fishermen are out in their boats laying nets. Sailing is the national sport of this little territory, and today the breezes are bountiful as the sailboats traverse to and fro within our range of view. Lisa makes me a delicious made to order an omelet with a smile, while I watch she asks if it’s my first time to “her” island.

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There are some surprises in the breakfast offering, a selection of homemade yogurt in small glass jars - strawberry chia and mango––yes, please. And among a diverse grouping of pastries, I find a favorite in the coconut croissants! It’s also a kind consideration seeing gluten-free pastry options as well.

I look over my list of ways to explore the island, and they’re abundant. I can eliminate one, as I’ve already watched a sailboat race while I sat on my patio this morning, two large vessels were competing, and the Canadian flagged schooner barely beat the American. A look at a list of “25 Things To Do In Anguilla” and it opens my mind up to the many opportunities.

1. Ride an ATV to the East end of the island 2. Jump off the rock in Little Bay (LeBron James did this in 2018!)

3. Take a photo in front of the famous West End Arch 4. Dance to SOCA music 5. Sit in the resort’s famed “face chairs” 6. Learn three new words in Anguilla jargon 7. Take a boat ride to a private island 8. Discover the faces in the cave at Island Harbour 9. Watch for the “Green Flash” at the Half Shell Beach Bar So much to do, so little time. The concierge will assist in all island activities: fishing, scuba-diving, private boat excursion, horseback riding on a deserted beach, bar-hopping in search for the perfect rum punch, off-site dining options, they’re here to help make memories.

The Four Seasons Resort has so much to offer on-site that I need not venture off the island to have an adventure. Athletic enthusiasts must love the Sports Pavilion where there’s an NBA regulation basketball court, (it’s not surprising why professional players come to this resort), a rock climbing wall and three Har- Tru tennis courts with tennis pros in the wings ready to offer lessons and complimentary clinics. Golfers need not feel slighted, an 18-hole championship course, a Greg Norman design, is right up the street accepting tee times. If water is your pleasure, the island is surrounded by brilliant blue stuff. There are areas of the island that are known for their big waves and a surfers 2019 Issue 5.indd 29

delight. But if you want to stay close to shore, the resort’s Sea Center is where you can enjoy all the complimentary non-motorized water sports like windsurfing, snorkeling, single and double kayaks, stand-up paddle boarding, sailing and boogie boards. Also available: water-skiing, Banana boat, multiple tubes, wake, and kneeboards.

I’ve decided to stay close to home for a sand-free day and go “pool hopping.” I begin the morning at the Bamboo Pool that overlooks Meads Beach. It’s a zero entry which is kid-friendly for parents vacationing with their small children as well as easy access for the elderly and vacationers with disabilities. It truly gives a beach feel without the sand. The palm trees line the perimeter as a primary partition between the pool and the white umbrellas on the beach. After sunbathing my winter white skin, I make

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YOU BELONG AT FOUR SEASONS ANGUILLA OWNERSHIP AS EASY AS THE ISLAND ITSELF Here on the welcoming island of Anguilla, the turquoise water and azure blue sky meet in harmonious accord. You anticipate the peace of Anguilla before you ever get on the plane, and upon arrival your remaining cares simply roll away with the Caribbean tide. World-renowned Four Seasons service and carefree luxury are yours to enjoy. We welcome you home. You belong.

DELUXE STUDIOS TO 5 BEDROOM VILLAS FROM $825,000 TO OVER $10 MILLION TO FIND OUT MORE OR PLAN A DISCOVERY WEEKEND, CALL +1 800 901 7079 OR EMAIL US AT INFO@ANGUILLAPRIVATERESIDENCES.COM

AnguillaPrivateResidences.com

This offer is not directed to residents in any state in which a registration is required but in which registration requirements have not yet been met, including, but not limited to, New Jersey. Recreational features and amenities described herein are subject to change periodically. Warning: the California Department of Real Estate has not examined this offering, including, but not limited to, the condition of title, the status of blanket liens on the project (if any), arrangements to assure project completion, escrow practices, control over project management, racially discriminatory practices (if any), terms, conditions, and price of the offer, control over annual assessments (if any), or the availability of water, services, utilities, or improvements. It may be advisable for you to consult an attorney or other knowledgeable professional who is familiar with real estate and a law in the country where this subdivision is situated. In New York, the complete offering terms are in an offering plan available from sponsor.

File no. CD11-1029 (Resort Residences) and fi le no. H11-0007 (Villas).

Four Seasons Private Residences Anguilla are not owned, developed or sold by Four Seasons Hotels limited or its affi liates (Four Seasons). The developer, an affi liate of Starwood Capital Group, uses the Four Seasons trademarks and tradenames under a license from Four Seasons Hotels limited.

The marks “FOUR SEASONS,” “FOUR SEASONS HOTELS AND RESORTS,” any combination thereof and the Tree Design are registered trademarks of Four Seasons Hotels Limited in Canada and U.S.A. and of Four Seasons Hotels (Barbados) Ltd. elsewhere. © 2019

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my way over to the Bamboo Beach Bar for a little snack; an Oasis Salad with grilled shrimp. I could have opted for a Crispy Crab Sandwich or Tricolore Ciabatta, but can’t justify as I have been hardly moving all day. *Note to self, must move the body more tomorrow.

My exploration of pools continues after lunch with a stop at the other kid-friendly heated pool, the Aleta.

This pool is west facing overlooking Meads Bay as well, an architecturally stunning pool which has twelve square planters with an individual palm tree in the center of each, all surrounding the rectangular pool and then four identical palm tree planters in a perfect juxtaposition with the other design elements. It’s very striking. Adding to the area are private cabanas that flank three sides. The depth is just four feet, another perfect place to entertain children. An attendant asks where I would like to sit, I choose one with an open umbrella as my skin is getting pink. Chad offers up some complimentary sunscreen as he quickly wraps my lounging chair with plush four seasons beach towels. As I sit and inhale my gorgeous surroundings, I’m relaxed and transformed. It’s incredible how quickly the time passes when you don’t want it to.

As time trickles away, I pull myself up from my perfect position and make my way to the final pool, the Sunset Pool. Daveena approaches me with towels in hand and quickly gets me set up for my final resting spot of the day. The saltwater infinity-edge pool is for adults only and is correctly named as it sits overlooking a bluff and is a beautiful spot for soaking in the magnificent sunsets. As I take in the splendor, Deveena returns offering first a piece of sushi roll, thank you!

She returns again a bit later with some mango ice, thank you so much! If I stay any longer, I may not care for dinner. But I do make it to...

Read the rest of this and other luxury resort related articles at www.MyMDescapes.com

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#6447

SELF-CONTAINED DIAGNOSTIC WORKSTATION From Vitalograph

Vitalograph introduces the Compact Expert diagnostic workstation. The device is a full touch-screen based medical workstation, which comes equipped with Vitalograph’s flagship Pneumotrac spirometer. This accurate, robust and linear Fleisch pneumotach produces over 50 spirometry parameters, automatically stores all test data, calibration data and clinical audit trail data in a secure network capable SQL Server database.

An intuitive user interface enhances the routine workflow in most practices, allowing quick patient throughput. Beyond spirometry, it is a desktop testing station for ECG, Pulse Oximetry, Weight , COPD assessment, and Blood Pressure measurements.

PHYSICIANS office RESOURCE

2019 Issue 5

PRODUCTFOCUS

View Brochures, Videos & Mores at POR.io Enter Number 6447 in the Search Area

#6448

SINGLE, INTEGRATED POC TESTING SOLUTION From Abbott Point of Care

The fully automated i-STAT System offers a broad menu of tests for diagnostic and treatment indicators related to disease state management and clinical practice guidelines.

Using just 2 or 3 drops of blood, the system provides timesensitive tests at the patient’s side in just minutes.

View Brochures, Videos & Mores at POR.io Enter Number 6448 in the Search Area

#6449

THE RX IMOLA From Randox

A fully automated, random access analyzer with STAT sampling functionality; boosting productivity and saving time when it matters most. Developed for medium-high throughput laboratories, the RX imola provides comprehensive testing with the world-class RX series test menu, including specific proteins, lipids, therapeutic drugs, drugs of abuse, antioxidants and diabetes testing. The RX imola: A cost-effective system that delivers consistent high quality results with a small footprint.

View Brochures, Videos & Mores at POR.io Enter Number 6449 in the Search Area 32

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NEW! CAPILLARY PIPETTE for easy whole blood sample collection.

#6450

Smooch has something new for you.

Diagnosing mononucleosis can be a challenge as many of the symptoms are similar to those of other illnesses such as strep throat, the common cold, or even a sinus infection.

Some physicians diagnose off symptoms alone, but a confirmed diagnosis will help avoid the use of unnecessary antibiotics and allow for appropriate treatment and follow-up visits.

The OSOM® Mono Test has no age limitation and produces easy-to-read two-color results in five minutes with > 99% sensitivity and 96% specificity.

Answers for Healthcare. Awesome...yes, OSOM®.

Call 888-616-0537,Option 2,today to learn more.

www.osomtests.com MADE IN THE USA

2019 Issue 5.indd 33

© 2019 Sekisui Diagnostics, LLC. All rights reserved. OSOM® is a registered U.S. trademark of Sekisui Diagnostics, LLC. Because every result matters™ is a trademark of Sekisui Diagnostics, LLC.

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#6451

THE RX DAYTONA+ From Randox

A bench-top, fully automated, random-access chemistry analyzer, providing routine and specialized testing with emergency STAT sampling functionality.

Demonstrating unparalleled versatility, the RX daytona+ combines robust hardware and intuitive software with the world-class RX series test menu, including specific proteins, lipids, therapeutic drugs, drugs of abuse, antioxidants and diabetes testing. The RX daytona+ ensures unrivalled precision, reliability and accuracy for results you can trust.

PHYSICIANS office RESOURCE

2019 Issue 5

PRODUCTFOCUS

View Brochures, Videos & Mores at POR.io Enter Number 6451 in the Search Area

HISTOFREEZER® PORTABLE CRYOSURGICAL SYSTEM

#6452

From OraSure - Histofreezer

Histofreezer® Portable Cryosurgical System offers medical professionals an easy and effective method to treat nine different types of skin lesions, including common, plantar and genital warts and other common benign skin lesions. Medical professionals in primary care, internal medicine, podiatry, ob/gyn and dermatology areas of care have either added Histofreezer® to their practice offering or replaced more invasive and less tolerated procedures with Histofreezer®.

View Brochures, Videos & Mores at POR.io Enter Number 6452 in the Search Area

#6453

BREWER’S FLEX™ ACCESS EXAM TABLE From Brewer

Step up to power table performance for less with Brewer’s Flex™ Access Exam Table. Industry-leading 700-lb. patient weight capacity, unique safety features and unmatched ergonomic patient access maximize your clinical efficiency and ROI. A streamlined footprint and optional upgrades like safety grab bars, stirrups, and pass-through work surface provide ultimate flexibility for your practice.

View Brochures, Videos & Mores at POR.io Enter Number 6453 in the Search Area

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It's flu season.

Which test are you using?

Simplify workflow, results and patient management.

The CLIA-Waived BD Veritor™ Plus System for Rapid Detection of Flu A+B simplifies workflow and provides clear and quick results for appropriate patient management within the same visit.

• One button functionality, easy to use and implement • Unambiguous digital flu result in under 11 minutes* • Demonstrated performance compared to molecular tests1 • Low cost of ownership

Simply the right POC test for influenza, Group A Strep and RSV.†

#6454

Request a demo today at go.bd.com/VeritorPOR *Results after 10-minute incubation period for Flu A+B and RSV; after 5-minute incubation period for Group A Strep † RSV- Respiratory Syncytial Virus References: 1. BD Veritor System for Rapid Detection of Flu A+B, CLIA-waived kit package insert, 8087667 (14) 2018-06.

BD Veritor System for Rapid Detection of Flu A+B, laboratory kit package insert, 8087666 (11) 2017-10.

BD, 7 Loveton Circle, Sparks, MD 21152-0999 USA Tel: 1.888.211.6980 1.800.638.8663 © 2018 BD. BD, the BD Logo and all other trademarks are property of Becton, Dickinson and Company.

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2019 Issue 5

PRODUCTFOCUS

PHYSICIANS office RESOURCE

#6455

THE BREWER BASIC EXAM TABLE From Brewer

Full featured, entry-level exam table design. The Brewer Basic Exam Table features a pneumatic cylinder, seamless upholstery, and the largest storage capacity available. We invite you to compare features, price, warranty and you will find the Brewer Basic Exam Table is clearly the best entry level exam table available.

View Brochures, Videos & Mores at POR.io Enter Number 6455 in the Search Area

#6456

THE BREWER CENTURY SERIES STOOL From Brewer

Has a pneumatic height adjustment, 16” wide, 4” thick poly-foam seat cushion, and five-leg 23” brushed aluminum accent base. Optional adjustable 18” chrome footing. Optional adjustable contoured backrest with black plastic shroud.

View Brochures, Videos & Mores at POR.io Enter Number 6456 in the Search Area

#6457

ULTRA HCG COMBO TEST From Sekisui Diagnostics

The OSOM® Ultra hCG Combo test is a simple immunoassay for the qualitative detection of human chorionic gonadotropin (hCG) in serum or urine for the early confirmation of pregnancy. Internal studies have confirmed that the OSOM® Ultra hCG Combo test does not have a false negative result from hCG variants providing physicians with a higher level of confidence.

View Brochures, Videos & Mores at POR.io Enter Number 6457 in the Search Area

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#6458

#6459

#6460

#6461

#6462

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#6463

MAKE LABORATORY COMPLIANCE AND INSPECTION EASIER From My Inspection

PHYSICIANS office RESOURCE

2019 Issue 5

PRODUCTFOCUS

Make laboratory compliance and inspections easier by changing how you document, save and retrieve all information necessary to meet CLIA and accreditation regulations. With two unique electronic tools My Compliance Manual and MyInspection™ Software, the guesswork and tedious task of interpreting and documenting policy, procedure, forms, charts and logs is over. Your lab will be compliant, have less paper, and be inspection ready.

View Brochures, Videos & Mores at POR.io Enter Number 6463 in the Search Area

#6464

PORTABLE, SINGLE CLICK OPERATION SPIROMETER From MicroDirect

The Micro Direct SpiroUSB many features include single click operation of all main functions, full ATS/ERS test quality checks, real time Flow/Volume and Volume/ Time traces, a choice of child incentive displays, choice of predicted values, estimated lung age, pre/post bronchodilator comparisons and can be used on multiple PC’s with dongle software protection key. The child incentive display and ATS quality checks ensure maximal results every time.

Use with a laptop for true portability.

View Brochures, Videos & Mores at POR.io Enter Number 6464 in the Search Area

EFFECTIVE INHALER TRAINING & ASTHMA/COPD MONITORING From Vitalograph

#6465

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Introducing the unique Vitalograph AIM™ (Aerosol Inhalation Monitor) designed to assist in training subjects to use their inhaler correctly. Mastery of the correct technique will support more accurate drug delivery and good patient compliance, resulting in better disease management and fewer visits to medical professionals. The device, which is reimbursable under CPT code 94664, provides visible feedback to the patient on the airway or lung location that the inhaled drug would have been deposited had it been an actual drug treatment. The techniques for inhalation are guided by audible tones and colorful graphics, and are preset to the inhalation protocols for metered dose inhalers, MDI with a spacer and dry powder inhalers. Pair this device with either an asma-1 home asthma FEV1 and PEF monitor or the copd-6 screener for COPD GOLD status, and you will have the ideal tool set for care of your fragile lung patients.

View Brochures, Videos & Mores at POR.io Enter Number 6465 in the Search Area

5/21/19 9:05 PM

INNOVATIVE INTEGRATION ACROSS THE CARE CONTINUUM

CBC testing solutions for physician office labs

#6466

#6467

XN-L SERIES

www.sysmex.com/us

#6468

#6469 XP-300+M

Contact your Distribution Representative for additional information and promotions.

© 2018 Sysmex America Inc.

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2019 Issue 5

PHYSICIANS office RESOURCE

HAVE YOU INTENTIONALLY OR UNINTENTIONALLY BECOME A HIGH COMPLEXITY LAB Irwin Z. Rothenberg, MBA, MS, CLS(ASCP) Technical Writer / Quality Advisor, COLA Resources, Inc.

There may be circumstances when laboratories consider the option to modify an FDA-cleared or approved test system. These may be due to the specific needs of the population served; or based on cost/ benefit analyses of instrumentation and reagent use; or based on the logistics of in-house testing capabilities.

CLIA allows clinical laboratories to modify their FDA-approved tests, and even to develop their own tests, known as laboratory-developed tests (LDTs), as long as they follow the requirements to validate the performance characteristics of their modified or inhouse developed tests.

However, it is important to realize when considering modification of a test procedure that the modified use of a test system defaults the test to the high complexity testing category under CLIA regulations, and as a result, the testing site must meet all applicable CLIA requirements for high complexity testing. These requirements include establishing performance specifications that validate that the LDTs, and the modified standard methods are fit for the intended use, and that the lab has personnel qualified to perform high complexity testing. Thus, decisions

to modify test procedures or use must be made with full awareness of the consequences for the laboratory operation.

What does test system “modification” mean?

Modification means producing results via test systems not yet approved by the FDA; as well as applying these test results in a way other than that described in the intended use, precautions, limitations, or other sections of the manufacturer’s instructions.

Modifications to existing FDA-approved test systems include: 1. Using instruments / kits for testing that have not received approval from the FDA for use in the United States, even if widely used in other countries.

2. Using reagent / instrument combinations that do not have FDA approval. This might mean using reagents from manufacturers different from those of the instrument, and which are not listed by either the instrument or reagent manufacturer as approved for use by either.

3. Deviating from manufacturers’ directions for performing the tests.

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4.

“Off-label use”: utilizing the test in a manner not yet approved by the FDA. A special note about “Off-label Use” of waived blood glucose monitoring systems: Using a waived blood glucose monitoring system (BGMS) to test a patient whose hematocrit or oxygenation level is above or below the range indicated in the manufacturer’s instructions would be an example of an “off- label use” of this system. Results of blood glucose testing in this situation may lead to clinical interventions that could cause patient harm.

If the patient’s hematocrit and oxygenation level are within the manufacturer’s stated limits, then performing a glucose test using the waived glucose monitoring system would not be considered off-label testing and the test system would still be considered waived.

personnel qualifications. Laboratories with a CLIA Certificate of Waiver (COW) that are using modified test systems will need to upgrade to a CLIA Certificate of Compliance (COC) or a CLIA Certificate of Accreditation (COA), if they continue to use modified test systems; this includes required biennial onsite inspections.

“It is important to realize when If your considering modification of a test laboratory is procedure that the modified use of a moderate a test system defaults the test to complexity CLIA the high complexity testing categofacility, and you ry under CLIA regulations, and as modify a moderate a result, the testing site must meet complexity test all applicable CLIA requirements for system, this high complexity testing.” test system also Irwin Z. Rothenberg defaults to the high complexity testing category and will require the modified test system to meet all applicable CLIA requirements for high complexity (New) Laboratory Developed Tests (LDTs) testing, including the establishment of performance In the past, these have also been referred to as “in-house” specifications, and adherence to high complexity personnel tests. These are tests that have been developed, evaluated qualifications. No change in compliance or accreditation and validated by the laboratory itself. Often, a laboratory will certificates would be needed. choose to develop and use an LDT because a commercial test is not available to meet their needs. LDTs generally have High Complexity Testing requirements include: not been subjected to FDA oversight because these diagnostic 1. The Establishment of Performance tests are never sold to other laboratories or hospitals.

Specifications Historically, LDTs comprised a relatively small volume of A key requirement of the CLIA regulations for all laboratories testing intended for use in diagnosing rare diseases or to meet that modify an FDA-cleared or approved test system is to the specific needs of a local patient population. establish (validate) performance specifications for that test There can be several reasons why a commercial test system (i.e., accuracy, precision, analytical sensitivity, analytical has not been developed for a particular analyte or disease specificity including interfering substances, reportable range of interest. For example, many LDTs are genetic tests of test results, reference intervals and any other performance developed for rare diseases. These are also diseases affecting characteristic required for test performance).... only a small subset of the population, thus reducing the incentive for a manufacturer to develop a commercial Irwin Z. Rothenberg is a Technical Writer/Quality Advisor for COLA’s version because the market for such a product would be Educational subsidiary, COLA Resources, Inc. (CRI), a leader in online small, without a potential decent return on investment. continuing education for physicians, laboratory personnel, and allied health professionals. CRI offers continuing education through online courses, Even one modified test system will change your laboratory informational products in both electronic and hard copy form, webinars on to a testing facility that must meet all applicable CLIA cutting-edge technology and regulatory issues, and CRI on-site Symposia requirements for high-complexity testing for Clinical Laboratories, providing live educational sessions and interactive If your laboratory is CLIA waived, and you modify a workshops with leading industry organizations. For more information, waived test system, the modified test system must now meet visit their website at www.criedu.org or call 1-800-981-9883.cardiac all applicable CLIA requirements for high complexity testing. catheterization laboratories at the JM Carlton Heart Institute at Hoag These include added requirements for Proficiency Testing, the Memorial Hospital Presbyterian, Newport Beach California, inventor establishment of Performance Specifications, Quality Control, entrepreneur and a change agent passionate about process improvement and Quality Assessment, and adherence to high complexity culture change in large teams.

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#6470

LASER LIPO–NON-INVASIVE INSTANT INCH LOSS RESULTS From Laser Lipo Ltd

PHYSICIANS office RESOURCE

2019 Issue 5

PRODUCTFOCUS

The FDA Approved, Strawberry Laser Lipo is a groundbreaking treatment offering non-invasive, instant inch loss results to the Abdomen, Hips, Thighs, Arms, Back Fat, Buttocks, Male Chest and Knees, without any pain or downtime. The clinically proven, non-invasive laser treatment penetrates the skin to selectively target the fat cells underneath, leaving blood vessels, nerves and other tissue undisturbed. Only $24,750 and 0% in-house no credit check financing.

View Brochures, Videos & Mores at POR.io Enter Number 6470 in the Search Area

#6471

PRONTO® PULSE CO-OXIMETER® From Masimo

Pronto® Pulse CO-Oximeter® with rainbow® Technology for Noninvasive Spot-Checking of Total Hemoglobin (SpHb®) and SpO2 in a Handheld device. Featuring Masimo SET® Measure-through Motion and Low Perfusion™ Pulse Oximetry Technology: > Helps clinicians monitor more than 100 million patients a year1 > Used by the top 10 U.S. hospitals listed in the 2017-18 U.S. News and World Report Best Hospitals Honor Roll2 1 Estimate: Masimo data on file.

2 http://health.usnews.com/health-care/best-hospitals/articles/best-hospitals-honor-roll-and-overview

View Brochures, Videos & Mores at POR.io Enter Number 6471 in the Search Area

HIGHLY ACCURATE NETWORKED PC-BASED SPIROMETRY #6472

From Vitalograph

Vitalograph introduces the new Spirotrac V software coupled with the rugged, accurate Pneumotrac spirometer. This accurate, robust and linear Fleisch pneumotach produces over 50 spirometry parameters, automatically stores all test data, calibration data and clinical audit trail data in a secure network capable SQL Server database. An intuitive user interface enhances the routine workflow in most practices, allowing quick patient throughput. Challenge testing, cough testing and slow vital capacity testing with lung age estimation are all standard features. Beyond spirometry, the Spirotrac V also becomes a platform for a PC-based diagnostic workstation, incorporating a Bluetooth ECG, USB Pulse Oximetry, 6 minute walk test, Bluetooth Weight Scale for COPD/CHF assessment, and automated Blood Pressure measurements.

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Win a FREE iPad Mini!

Join POR as we conduct our first in a series of brief surveys, designed to give a voice to providers. With your help we can better understand what’s trending in physician offices, laboratories, and healthcare facilities across America, and help improve office and laboratory proficiency, profitability, and patient care.

As a Thank You, we’ll report the results from this and future surveys in Physicians Office Resource magazine. Moreover, we will enter you in our periodic drawing for a FREE Apple iPad, which you may gift to someone or keep for yourself.

The more surveys completed, and the more questions you answer in each, the more chances you will have to win.

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#6473

DRUGS OF ABUSE TESTING AND ROUTINE CHEMISTRY PANELS ON A SINGLE ANALYZER From Carolina Liquid Chemistries

PHYSICIANS office RESOURCE

2019 Issue 5

PRODUCTFOCUS

Carolina Liquid Chemistries Corp. announces the successful launch of Medica Corporation’s high-speed benchtop analyzer, the EasyRA®. The updated analyzer now operates at a photometric rate of up to 240 tests per hour or up to 480 tests per hour with ISE. The EasyRA urine drug screening and general chemistry reagents are CLIA categorized as moderately complex. This all-in-one system allows clinical laboratories to screen for drugs of abuse in urine while also allowing healthcare providers to assess routine chemistry panels on a single analyzer.

View Brochures, Videos & Mores at POR.io Enter Number 6473 in the Search Area

#6474

PENTRA C400 CHEMISTRY ANALYZER From HORIBA Medical

One benchtop, not a whole lab! No water system, drain or special electrical connected required to operate the Pentra C400 chemistry analyzer. Now you can have the power of a floor model analyzer on the benchtop! The Pentra C400 chemistry system processes up to 420 tests/hr including ISEs and offers routine metabolic assays, TDMs, DAUs and Adulterants, HbA1c and Vitamin D tests. With 40 open channels, you can add much more for a complete menu to meet your practice needs.

View Brochures, Videos & Mores at POR.io Enter Number 6474 in the Search Area

#6475

FIRE YOUR FINANCIAL ADVISOR From White Coat Investor

Fire Your Financial Advisor is the course that should’ve been taught to you in college, medical school, or residency but never was. For 1/10th the price and half the time of hiring a professional financial planner, this course will take you from feeling anxious and having no plan to having a written financial plan you can follow the rest of your investing career as a professional and a retiree. Topics covered include insurance, investing, retirement planning, and much more. Learn more at whitecoatinvestor.com.

View Brochures, Videos & Mores at POR.io Enter Number 6475 in the Search Area

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INTRODUCING THE NEW AFINION™ 2 ANALYZER

Simply more efficient.

#6476

The Afinion 2 Analyzer provides POC A1C results in 3 minutes and ACR results in 5 minutes enabling face to face consultations and more timely treatment decisions.

TM

Highly accurate nn CLIA waived for A1C nn Quantitative results nn

No manual calibration required nn Ready to use controls nn

For more information or to request a demo on the Afinion 2 Analyzer please call 1-888-883-7692. abbott.com/poct Š 2019 Abbott. All Rights Reserved. All other trademarks referenced are trademarks of their respective owners. CVD187058 10004634 01/19

!25

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PHYSICIANS office RESOURCE

2019 Issue 5

PRODUCTFOCUS

#6477

PENTRA XLR HEMATOLOGY ANALYZER WITH 5-PART DIFFERENTIAL From HORIBA Medical

The Pentra XLR hematology analyzer with autoloader provides a CBC with 5-part Diff result using proprietary technology that ensures an accurate count and differential on the first run. The Pentra XLR also provides a complete menu of Retic parameters for treating oncology and anemia patients. The autoloader processes 80 samples an hour and provides random continuous access for mediumto high-volume clinics and rural or community hospitals.

View Brochures, Videos & Mores at POR.io Enter Number 6477 in the Search Area

#6478

PAD TESTING SYSTEMS IDEAL FOR PRIMARY CARE TO VASCULAR SPECIALISTS From Newman Medical

Your patients Trust You to find their PAD • You have many high risk patients, including anyone over 65 or diabetics or smokers • Even if they are unaware of their PAD, 25% will have a heart attack or stroke within 5 years if not managed • Patients often mistake symptoms of PAD for arthritis. simpleABI Cuff-Link systems are easy to learn and use • Push button remote, automatic calculations/waveforms • PC based – reports are easy to save and share Excellent Value and Reimbursements • One test per week pays off system in less than one year • Medicare reimbursements range from $80 to $220 depending on location and test

View Brochures, Videos & Mores at POR.io Enter Number 6478 in the Search Area 46

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#6481

#6479

#6482

#6480

#6486

#6483

#6487

#6491

#6495

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#6484

#6488

#6492

#6496

#6485

#6489

#6493

#6497

#6490

#6494

#6498

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NEW

#6499

TURN SMALL PLACES INTO SMART SPACES With reduced budgets, shrinking laboratory space and staffing challenges, many laboratories need a solution that lets them work smarter with less.

The CELL-DYN Emerald 22 AL is a full performance, automated, optical 5-part differential analyzer that delivers smarter results for small to mid-size clinical laboratories with: • Compact design maximizes valuable laboratory space • Ease of use and walkaway functionality optimizes staff time • Smart open tube sample device ensures user safety

41 cm

Visit www.corelaboratory.abbott/hematology to learn how the new CELL-DYN Emerald 22 AL can help your laboratory operate more efficiently.

50 cm

CH OOSE TRA NSF O RMATION

TM

Achieve measurably better healthcare performance.

#6499

CELL-DYN Emerald 22 AL is a Class 1 laser. For in vitro diagnostic only.

Refer to the Operator’s Manual for operational precautions, limitations, and hazards.

CELL-DYN Emerald and CHOOSE TRANSFORMATION are trademarks of Abbott Laboratories in various jurisdictions.

CAUTION: United States Federal law restricts this device to sale and distribution by or on the order of a physician, or to a clinical laboratory. © 2019 Abbott Laboratories. ADD-00064842.

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