The state of telehealth: 2 years into the COVID-19 pandemic - back to business as usual?

Introduction: Telemedicine (TM) was underutilized prior to the COVID-19 pandemic presumably due to non-standardized reimbursement routes and a perceived lack of need. Early experience with the pandemic necessitated this form of medical care, although durability of consistent delivery remains in question. We quantify the utilization patterns of TM over the past 2 years over multiple waves of the pandemic across various service lines in a large rural health system.

An unexpected association between urinary incontinence, depression and sexual dysfunction.

Certain aspects of urinary incontinence, depression and sexual function are proving to be tied to one another in ways other than the obvious. From a biochemical standpoint certain monoamines, specifically serotonin, appear to be important in the expression of these pathologic states. In depression, the role of serotonin is fairly well established, and there is increasing evidence for there being a role in a specific cause of incontinence as well.