I'm Begging You To Stop Doing This One Thing When You Get Home From Vacation Because It Might Actually End Your Life
It's important to be aware of a danger that comes with this: drowsy driving. Defined as driving while sleepy, it's more common than you think. According to a Centers for Disease Control survey, about 1 in 25 adult drivers reported falling asleep while driving within the past 30 days.
According to a study by the AAA Foundation for Traffic Safety, 21% of fatal crashes involved a drowsy driver. So, while you may feel like you're in control and can keep yourself awake, remember that probably everyone in that situation also felt the same.
Tiredness can affect your mind and ability to drive in a slew of ways, too, so there's no one way in which an accident will happen. According to Susan Miller, a lead researcher and certified sleep expert at SleepMattressHQ.com, being sleepy can impair your judgment and decision-making, reduce awareness of your surroundings (from cars to road conditions to traffic signals), and affect your coordination, balance and fine motor skills.
'Even a momentary lapse of attention can be dangerous while driving, so prioritizing safety is important,' she added.
Jeff Kahn, a sleep expert and the CEO and co-founder of Rise Science, agreed. 'Microsleeps, in particular, are a cause for alarm, as they can last only a few seconds and occur unknowingly,' he said. 'While this might not seem like much, on a highway traveling at 65 miles per hour, those seconds can mean the difference between life and death.'
Further, the dangers of driving while sleepy are often compared to the dangers of driving drunk. Kahn said 24 hours worth of sleep deprivation — at once, or accumulated over time — results in the same cognitive impairment equivalent as a blood alcohol content (BAC) of 0.10%, which is higher than the legal limit. And again, he added, it's unsafe to drive even before you reach that point.
He pointed to the concept of 'sleep debt,' or not getting enough sleep cumulatively. 'If you regularly miss an hour of sleep for 10 consecutive nights, your cognitive impairment can be as severe as if you hadn't slept for 24 hours straight,' he explained.
When Drowsy Driving Is Most Likely To Occur
One of the two time ranges when this occurs may surprise you. According to the Department of Health of New York State, most sleep-related crashes occur between 1 p.m. and 4 p.m., and 2 a.m. and 6 a.m. So yes, driving in the early morning isn't a great idea, but that 'afternoon slump' period isn't either.
This is when bodies are typically the most tired. 'Importantly, these are the times when you're biologically-inclined to be more drowsy, thanks to the peaks and dips of your circadian rhythm (your internal body clock),' Kahn said. 'Your circadian energy dips will happen regardless if you had enough sleep or not, but sleep deprivation will make you feel drowsier at these times than you otherwise would.'
Unfortunately, many factors can contribute to this, though some may be more common than others. Here are a few of the most common ones:
Not getting enough solid sleep on your vacation
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'One of the biggest contributors to drowsy driving is sleep deprivation,' Miller said. 'This can lead to difficulty concentrating, slower reaction times and even falling asleep at the wheel.'
While the amount of sleep each person needs will vary, most adults need seven to nine hours a night, she added. (BTW, 'junk sleep,' or low-quality sleep, doesn't count.)
A sleep disorder
A bigger sleeping issue may be going on, so checking with a doctor is smart. 'Some disorders, like obstructive sleep apnea, cause low-quality sleep as sleep is often interrupted or restricted, thus low-quality and less restorative,' said Nicole Eichelberger, a sleep expert at Mattressive.
What's even scarier is that it's not always noticeable. 'Unfortunately, most people who suffer from sleep disorders are unaware,' she continued. 'Therefore, it is essential to seek medical help if you notice excessive daytime sleepiness.'
Medications or alcohol
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Miller also listed alcohol and medications, such as antihistamines or benzodiazepines, as contributors to drowsiness and impaired cognitive function. So if you're enjoying a few cocktails by the pool, for example, be cognizant of this.
'Even small amounts of alcohol and certain drugs can cause drowsiness, poor coordination and slower reaction times, making driving dangerous,' she said. To avoid this, Eichelberger urged reading the side effects listed on the medicines you take, and to avoid driving if drowsiness is listed.
When and how long you're driving
The time of day and distance matter, too. Many of us road trip to our vacation destinations and often power through the drive in order to get there or get home.
'Driving overnight (which can be tempting to avoid traffic) increases the risk of experiencing sleepiness, even if you think you are well-rested,' said Holly Milling, a clinical psychologist, behavioral sleep medicine specialist and director of The Sleep Practice. 'Driving for long periods of time, at any time of day, is also tiring, and driving without a break can increase vulnerability to sleepiness.'
Signs You Should Pull Over Immediately
Simply put, you shouldn't drive while sleepy, even if you think you can make yourself stay awake. More specifically, here are some other danger signs these experts listed:
Being unable to remember driving for the last few minutes
Struggling to focus your eyes and concentrate
Drifting into another lane
Head bobbing
Yawning
Feeling easily frustrated
Rubbing your eyes or struggling to keep them open
Following cars too closely
Getting restless or fidgeting
Not keeping a consistent speed
Braking too late
Missing signs and exits
'Even if you don't feel like you'll fall asleep, these signs indicate that your driving ability is impaired and that it's unsafe to continue driving,' Kahn said.
What To Do If You're Tired At The Wheel
As tempting as it sounds, the answer isn't louder music, colder air or talking to someone. 'The only cure for sleepiness is sleep,' Milling said.
While napping in public may feel uncomfortable, it's crucial. You can take a nap at a rest area, gas station or other place you feel safe. And hey, only a short nap is needed.
'Ideally, you should take a 20 to 30 minute nap to feel refreshed, but not so long that you enter a deep sleep cycle and wake up feeling groggy,' Miller said. 'If you're unable to nap, simply resting your eyes or having a break from driving for a few minutes can also be helpful.'
While caffeine can help, Miller continued, it's a short-term fix and it can't cure severe fatigue. She recommends drinking about 200mg of caffeine (equivalent to a cup of coffee) 30 minutes before getting back on the road.
Having a coffee between napping and driving also adds time between waking up and driving, which Kahn said is important. He encourages having that buffer time 'to ensure the post-nap grogginess doesn't affect your driving skills (even if you've only napped for less than 20 minutes).'
Combining the two can eliminate mid-afternoon sleepiness for up to an hour, according to a study in the journal Psychophysiology. But again, these experts say a nap comes first and foremost. 'Whether you include caffeine or not, though, the most important ingredient is the nap,' Milling emphasized. 'Never skip sleep in favor of a double espresso.'
Lastly, while it may seem counterintuitive, some movement (along with the nap) can help. 'A short burst of exercise can wake you up and increase your alertness,' Miller said. She encouraged light stretching or a short walk. You could even get some errands done during this time, like walking around the grocery store.
If these options feel undoable or aren't cutting it, don't let that deter you. 'Call someone to drive you home or the rest of the way,' Eichelberger urged. 'You can also find a motel [and] rest for the night, or get a cab and head home.' While a Lyft ride or motel stay won't be inexpensive, it is cheaper — and safer — than the alternative.
Long-term, Eichelberger recommended maintaining good sleep habits. If you notice excessive fatigue often, she added, consider talking to a sleep doctor so you can avoid car accidents (and various other problems).
Being proactive is always smart, too. Milling mentioned not driving if you've been awake for 18+ hours and scheduling breaks every couple of hours, to start. This way, you're less likely to get caught in a drowsy driving situation.
While vacations and life can keep us busy, sacrificing sleep isn't a great idea — especially if you're ever behind the wheel.This article originally appeared on HuffPost.
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Travel + Leisure
15 hours ago
- Travel + Leisure
We've Tested Nearly 600 Carry-on Suitcases (Yes, Really) on Flights Around the World—Here Are 15 Must-haves
Credit: Amazon $200 $121 at Amazon View on Nordstrom View on Samsonite For the past couple of years, the Samsonite Freeform Carry-on Spinner has come out on top as T+L's favorite carry-on—and for good reason. When testing it in our New York City lab, we loved its organization, capacity, and value. We've now tested this bag three times in our New York City lab, and each time we were blown away by its surprising capacity, offering ample packing room for trips up to a week. If you tend to overpack or plan to do some retail therapy during your travels, the expandable zipper unveils an extra inch of depth which gives you wiggle room to fit any shopping hauls and souvenirs you plan to take back home. We were able to pack enough clothes for a four-day trip, including two pairs of shoes, multiple jackets, and two toiletry bags—all without having to use the expander. In terms of maneuverability, it handled tight turns like a champ and went over our simulated concrete curbs without incident. We also gave it a few whacks with a metal baseball bat and noticed that the slight bend of the exterior shell made this suitcase impervious to dents while still protecting its contents (a win if you ever decide to take the gate agent up on the offer to check your bag). Although we did notice the Samsonite Freeform showed a few surface scratches after six months of consistent travel, we still consider it the gold standard for a hardside carry-on suitcase. It may be too large for some overhead compartments, so always check the dimensions of your airline before flying. The Details: Hardside | 23 x 15 x 10 inches | 6.5 pounds | Expandable (1 inch) | Polycarbonate | 4 dual spinner wheels Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Tumi $779 $623 at Amazon View on Coming in right behind our beloved Samsonite Freeform is the Tumi Alpha Dual Access Carry-on. This close contender fell just short of our Best Overall slot due to its heaviness and lack of open packing space, but it's a sophisticated piece of luggage that's in a league of its own when it comes to organization and helpful features. For starters, it has a built-in front access pocket, which allows you to quickly grab items like a light sweater or your in-flight essentials without having to unzip your entire suitcase in the middle of the airport. There's also another small exterior pocket for stashing smaller belongings like a travel umbrella, as well as a built-in USB port you can connect to your own portable power bank. Perhaps the biggest selling point of this suitcase is the removable garment sleeve, which makes this bag the perfect companion for business trips or destination weddings. While the garment sleeve and three mesh zip pockets are no doubt useful, they will eat into the bag's overall capacity, so you'll have to pack strategically. Thankfully, you can always rely on the Tumi Alpha's expandable zipper to grant you 2 extra inches of depth if things get tight. In terms of durability, we couldn't ask for more. T+L associate editorial director and Tumi loyalist Morgan Ashley Parker took this suitcase for a spin in our testing lab, and after hitting it with a bat several times, she noticed there were no scuffs or dents to speak of. 'As someone who owns a Tumi bag that has lasted 16-plus years (and still kicking), I know the durability will extend beyond our lab tests,' says Parker. 'I truly can't imagine a world in which this would puncture or rip.' While Tumi's coveted suitcases are certainly a splurge, they're a worthwhile investment for someone who wants a durable and versatile suitcase they won't have to replace for a very long time. The Details: Softside | 22 x 14 x 9 inches | 10.7 pounds | 35-liter capacity | Expandable (2 inches) | USB port | Ballistic nylon | 4 dual spinner wheels Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Away View on Nordstrom View on Away Travel Stroll through any airport, and you'll see loads of passengers toting one of Away's signature striped suitcases. After personally testing dozens of Away products, I can assure you'll have no regrets hopping on the Away trend. The brand's built-to-last luggage can always be counted on to help overpackers travel more efficiently, and The Carry-On Flex is a testament to that. Offering a generous 2.25 inches of extra packing space with its expandable feature, this is the exact kind of suitcase to bring on trips where you want extra room for those 'just in case' items. Inside The Carry-on Flex, you'll find an open compartment with a mesh divider and another compartment opposite of that with a mesh pocket and compression straps to help you pack down all your belongings for an easier close. We enjoyed floating this compact suitcase through the obstacle course in our testing lab thanks to its easy-gliding 360-degree wheels. It also showed minimal damage after our table drop and baseball bat tests — a good indicator that the exterior will stand up to the roughest of handling. The only downside of the Away Carry-on Flex is that some international airlines may be strict about bringing it on board once fully expanded. The Details: Hardside | 21.7 x 14.4 x 9 inches | 7.9 pounds | 39.8-liter capacity (unexpanded); 44.6-liter capacity (expanded) | Expandable (2.25 inches) | Polycarbonate | 4 dual spinner wheels Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Amazon You might have assumed that finding a budget suitcase means you have to sacrifice on the quality front, but Amazon's slate of luggage continuously proves that theory wrong. After testing their 21-inch expandable hardside spinner in the T+L lab, I'm convinced the retailer's wallet-friendly suitcase is the best you can buy on a budget. For starters, it offers the same capacity as suitcases that are more than double the price. Inside, you'll find an X compression strap and a mesh zip divider that makes storing underwear, socks, and swimsuits a breeze. The bag has four "feet" on its right side to keep it propped up horizontally on an airport scale or in the trunk of a car. Though the telescoping handle was a bit wobbly, I was able to adjust between the three handle heights with ease. We do caution that, like other expandable suitcases, it would be at risk of being flagged by airline staff because it looks much wider in its expanded state. We tested the Amazon Basics 21-inch carry-on three times in our lab just to make sure we still loved it over the years. Though it got a bit scuffed from our bat tests during its second round of testing, it proved easy to buff the scratches out by hand. Considering all you get for under $100, you can't go wrong taking the plunge on this affordable yet solid option. The Details: Hardside | 21.7 x 14.8 x 10 inches | 6.8 pounds | 34-liter capacity | Expandable (2 inches) | Acrylonitrile butadiene styrene (ABS) | 4 dual spinner wheels Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Delsey $330 $249 at Amazon View on $660 at Macy's T+L editors reach for this timeless carry-on from Delsey Paris again and again, thanks to its vintage charm and useful functionality. The polycarbonate shell is accented with reinforced corners, and with its two-tone colorway, you're guaranteed to arrive at your destination in style. Aesthetics aside, there's also substance. Inside, you'll find a fully zippered compartment on one side of the suitcase and compression straps to keep clothing from shuffling on the other. We also found pockets throughout and even a handy USB port with which you can attach your own battery pack. After inspecting it closely, we found that the zippers all open and close smoothly, and the spinner wheels glide with little effort (even over carpet!). After taking the cream colored version on the road for six months, we observed little scuffs and scrapes to the bag even after it was checked — a pleasant surprise considering light-colored luggage tends to show the wear and tear quickly. Its maneuverability and lightweight profile also makes it a breeze to travel with. 'I had to carry it up and down multiple flights of stairs and get it onto a train, and I had no trouble lifting it and moving the handle in and out quickly,' says T+L editor Taylor Fox who brought it on a two-week trip to Egypt. The Details: Hardside | 22.75 x 15 x 10 inches | 7.74 pounds | 44-liter capacity | USB port | Polycarbonate | 4 dual spinner wheels Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Dagne Dover While softside luggage is more durable and less prone to wear and tear, it isn't known for being the most stylish type of luggage. Dagne Dover completely changed the game when it launched its debut luggage collection last summer. T+L editors were among the first to try them out, and we were enamored by the sheen and elegance of the Seattle Carry-on—a modernized softside bag with the structure and sturdy frame of a hardside suitcase. Its 33-liter capacity and 20.5-inch height is ideal for short getaways (it was the perfect companion on my quick trip to St. Thomas), business trips, and international flights. It also offers two ways to pack: via clamshell opening and a top-loading option. During testing and on actual trips, we couldn't help but notice that the wheels glide like a dream over various surfaces. But with the beauty of this suitcase comes one painful fact: it's heavy for a carry-on. For some, it may feel like a drag schlepping a 10-pound carry-on (plus the weight of your items). However, if that's not a big deal to you, we say it's a great entry point for the softside newcomers. The Details: Softside | 20.5 x 13 x 8.75 inches | 9.13 pounds | 33-liter capacity | Recycled 900D polyester | 4 dual spinner wheels | 13-inch laptop sleeve Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Samsonite View on Samsonite $500 at Macy's View on In case you weren't aware, Samsonite's Proxis carry-on is kind of a big deal. Like, it was sent into space and dropped from 130,000 feet-level big deal. To date, this is the most lightweight and durable suitcase Samsonite has ever released. We brought the Proxis Global Carry-on Spinner into our testing lab for some experimenting of our own and found that this textured, hardside carry-on lived up to its claims of being virtually indestructible. The outer shell of this bag is made of Roxkin—an exclusive recycled material developed by Samsonite that is lightweight and engineered to bounce back into shape. 'Samsonite sent this suitcase to space, and it survived, which is only a small amount of what we did to it with a bat,' says T+L associate editorial director Morgan Ashley Parker. 'I also stood and jumped on it. I completely trust this bag to hold up against baggage handlers.' In terms of organizational features, you don't get much with the Samsonite Proxis: just two fully zippered compartments and one mesh zippered pocket. This is actually a good thing if the goal is for your luggage to weigh less and hold more. While it's certainly one of the more expensive options on this list, we think the Proxis is a worthy investment for carry-on loyalists who want the maximum amount of packing space and a durable design that will last for years. The Details: Hardside | 22 x 14 x 9 inches | 4.7 pounds | Expandable (0.5 inches) | Roxkin material | 4 dual spinner wheels Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: July Sometimes, a diminutive carry-on just won't do (especially for longer trips). In these instances, we'd recommend something like the July Carry-on Max. It has a 50-liter capacity that jumps to 62 liters when fully expanded—the largest carry-on we've ever tested. Weighing in around 8 pounds, it's on par with other carry-ons with similar dimensions. However, we noticed that it became a little cumbersome to maneuver around tight corners the more we packed it, and because of its size, you may be forced to gate-check it at the airport. The exterior shell of the suitcase didn't get too banged up when we put it through the wringer of our durability tests. We were also amazed that you can choose between 20 different height handles—another design quirk that helps July stand out from the pack. Inside, there's a Y compression strap and panel on one side, while the other side is secured by a mesh panel with no pockets (a missed opportunity, if you ask us). We would be remiss not to mention that this carry-on comes with its own packable tote bag that fits discreetly inside the suitcase when not in use. You also have the option to personalize this suitcase with a name or initials, with nine fonts to choose from. The Details: Hardside | 23 x 16 x 9 inches | 8.16 pounds | 50-liter capacity (unexpanded); 62-liter capacity (expanded) | Expandable | Polycarbonate | 4 dual spinner wheels | Packable tote included Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travelpro You won't be short on organization with the Travelpro VersaPack+ Carry-on. While it may look small, it's got a roomy interior made even better by all of the useful add-ons, like the included shoe bags, a laundry bag to store used or wet items, and built-in compression packing cubes that strap in to the top of the bag for additional storage. It also features an external laptop sleeve, a small outer pocket, and a luggage lock. If you find that you're running out of space, the bag's tapered extension adds an extra 2 inches of depth. Our chief complaint about Travelpro's VersaPack+ carry-on is its weight. Part of the appeal of softside luggage is that it's lighter because of its fabric construction. And while its nearly 8-pound weight isn't the heaviest we've encountered, we do think it might get bogged down if overpacked. There's also a possibility you'll be forced to check it on smaller airlines because of its 23-inch height, so keep that in mind if traveling on airlines with tighter carry-on restrictions. Though its a bit heavier than we'd like for a softside, we found this spinner to be pretty compact and loved that it wasn't cumbersome to wheel around our obstacle course. The wheels, zippers, and handle also ran smoothly without any snags. The Details: Softside | 23 x 14.5 x 9.5 inches | 7.7 pounds | 47-liter capacity | Expandable (2 inches) | Water-resistant nylon | 4 dual spinner wheels Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Aer $319 at Nordstrom View on If you've ever been on a fast-moving airport shuttle, bus, or subway, you know the struggle of trying to keep your luggage from rolling away while holding on for dear life. Aer, a new kid on the luggage block, saw this common problem hadn't yet been solved by its competitors and created a carry-on suitcase with brakes. Similar to a stroller, the wheels on Aer's Carry-on Max can be locked in place with the simple slide of a button located beneath the handles. 'It's such a unique feature and helpful if on public transport or stopping on an incline with bags since it securely holds the bag in place,' says associate editorial director Morgan Ashley Parker, who owns and loves this Aer model. Speaking of the wheels, they're some of the smoothest we've seen on a carry-on. We were able to roll them over our cement pavers with ease, and it didn't lag behind even when packed full. In terms of capacity, Aer really meant it when they said max . The slender profile of this bag allowed us to fit everything on our packing list despite the fact that it's not expandable. Though Aer touts this as a minimalist's suitcase, there are some undercelebrated details about this bag that we found helpful, like the hidden pocket for you to stash a luggage tracker, a Y-shaped compression system secured with an intuitive and sturdy buckle, and puncture-resistant YKK zippers. The top and side handles also have a hole to where you can attach other bags and belongings to it with a carabiner. We tested out the white version, and the initial surface scratches that appeared after we threw it off a table made us suspect that lighter colors might show damage over time. The good thing is it's available in a range of five colors, so you can always choose a more inconspicuous hue. The Details: Hardside | 22.7 x 15 x 9 inches | 8.4 pounds | 48-liter capacity | Makrolon polycarbonate | 4 dual spinner wheels Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Rimowa There's no doubt that Rimowa, a longstanding luxury luggage brand, is currently having a moment. Its classic aluminum suitcases will cost you a pretty penny, but the sleek vertical lines and sterling material will be instantly recognizable at the airport. We couldn't wait to get our hands on their Cabin S version, which did not disappoint. We'll preface our review by confirming that this is definitely not the bag for overpackers, but if you'll have plenty of space to pack for a long weekend trip or a few items to supplement your checked luggage. We were floored that the bag weighed in much lighter than other aluminum suitcases we've tested (9 pounds), and we find comfort in the locks on each latch that provide extra security. "The wheels roll like a dream—they truly roll better than any suitcase I've tried," says associate editor Anna Popp, who also applauded this Cabin S for surviving our durability tests with not a dent or scratch on it. Aluminum luggage is known to accumulate dents and scrapes over time, so we look forward to seeing how this precious gem of a spinner will hold up over the next six months of testing. The Details: Carry-on | 21.7 x 15.8 x 7.9 inches | 9.3 pounds | 31-liter capacity | Aluminum | 4 dual spinner wheels Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Like Tumi, Briggs & Riley has a best-in-class reputation for luggage. This 22-inch spinner is a classic hardside with some innovative features that allowed us to pack way more than expected. The top lid unzips to reveal a main large compartment which has a built-in compressor pad. While the compressor isn't removable, it did a great job of helping us stuff this suitcase to the brim. Unlike other expandable suitcases that use a simple zipper mechanism, this one has a unique one-touch system: you simply push two buttons on either side of the inner compartment, and raise them up to expose an extra 25 percent more packing space. There's a pouch on the back of the outside of the suitcase with a place to zip up a power bank and pull a charger through the outer pocket. Other fancy accoutrements—like the aircraft-grade aluminum handles, whisper-quiet 360 degree wheels, and drawstring bag storage bag—make the Briggs & Riley 22-inch spinner a justifiable splurge. We thought it rolled well through our obstacle courses. The hardside shell was also well constructed and did not dent after we hit it multiple times with a metal baseball bat. Unfortunately, the very bottom of the bag did get scratched when going over a concrete curb during testing. That said, we still think this carry-on fits the bill for frequent flyers who don't mind shelling out a few extra bucks in exchange for longevity and premium quality. We feel even more confident recommending this Briggs & Riley carry-on because of its lifetime guarantee—you'll be able to have your carry-on repaired for free at any time, no proof of purchase necessary. The Details: Hardside | 22 x 14 x 9 inches | 8.6 pounds | 41-liter capacity (unexpanded); 51-liter capacity (expanded) | Expandable | Recycled polycarbonate, recycled polyester | 4 dual spinner wheels Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Samsonite There's so much to love about this sleek carry-on from Samsonite, from its smooth gliding wheels to its highly-customized handle that offers tons of handle height options. However, where it really shines is its internal organization. We found packing for a trip to be a joy thanks to its generous spacing, compartments, and accessories. The bag came with a TSA-compliant toiletry bag, a shoe bag which easily fit two pairs of shoes, and then—our favorite part—two packing cubes of varying sizes. The more narrow packing cube perfectly fit in the gap between the handles on one half of the suitcase, which we thought to be a clever, space-saving touch. The fun features don't stop there: this suitcase also features a MagneTag, Samsonite's patented magnetic luggage tag that magnetically snaps into the structure of the bag ensuring it won't get lost. Speaking of lost luggage, you'll also find a built-in AirTag holder in the bag's interior (a great benefit if you ever want to take the airline up on the option to check your bag). We thought it felt a little heavy, at 9 pounds but rolled very smoothly. The Details: Carry-on | 23 x 14.75 x 10 inches | 9.04 pounds | Expandable | Polycarbonate | 4 dual spinner wheels Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Casetify Nothing makes a statement at baggage claim like a suitcase that's inscribed with your name. If you're looking to invest in a luggage that you can make your own in every sense, we'd go with Casetify's 21-inch Bounce Custom Carry-on. The brand is widely known for its cushiony and protective phone cases, but it's recently entered its luggage era—and what an entrance it was. Much like with its phone cases, Casetify gives you the option to customize your suitcase using a variety of fonts, colors, and backgrounds. Associate editor Anna Popp picked her carry-on in a stunning cobalt blue and went with a pink-and-white combo for her initial design. Aside from the monogram option, what sets this carry-on apart from the rest are the reinforced bumper corners that give the suitcase another layer of protection from any rough handling it may endure. The capacity of this 21-inch spinner felt like just enough to fit a multiday vacation's worth of items, but we're confident you could fit more with some strategic packing. "I love the organizer flap it comes with since there are tons of little pockets to place various things," says Popp. "I also love that the flap can be taken out when you don't want to use it." While its not the lightest carry-on out there, we were impressed with its style element, and we expect to get tons of compliments at the airport. The Details: Carry-on | 21 x 13.9 x 9 inches | 8.23 pounds | 33.8-liter capacity | Polycarbonate | 4 dual spinner wheels Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: July There's something about a zipperless closure on a suitcase that instantly makes it feel a tad more luxury. Such is the case with the July Carry On Trunk. Built with two TSA-approved latch locks, a German polycarbonate shell, and a removable power bank, we'd say this pick serves equal parts style and function. We found an abundance of helpful organization on the interior of the bag: there are two dividers on each side of the bag with mesh pockets on each, clips to keep the dividers in place, Y compression straps on each side, and a cylindrical zip pocket on one side. We also noticed that the bag opens evenly as opposed to the 30/70 design that we typically see in other travel trunks. The wheels were so smooth, they practically rolled themselves through our testing lab floors and in airports. However, our favorite thing about the bag, as with all July luggage, was the handle which has 20 different heights and can be customized down to the exact millimeter. The one small drawback noted by T+L editor Hillary Maglin is that this carry-on tends to get black scuff marks from the baggage carousel conveyor belt after every trip. 'While most of the scuffs come off pretty easily using the included sponge, I noticed a few small scuffs are harder to get out,' she says. Aside from slight cosmetic damage that occurs with most hardside luggage over time, Maglin still attests that 'it's probably the sturdiest and most smooth-rolling spinner I've ever used.' The Details: Hardside | 21.5 x 14.75 x 8.75 inches | 8.4 pounds | 42-liter capacity | Ejectable USB-C battery | Polycarbonate | 4 dual spinner wheels Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Credit: Travel + Leisure Though these carry-on suitcases were strong contenders, they were just shy of making the list due to a few shortcomings. However, they do possess a few redeeming qualities we feel are worth mentioning. Rains Texel Cabin Trolley: We love the puffy exterior of this waterproof carry-on, though it does add bulk to the suitcase. We noticed that when fully packed, it just barely fit in the overhead compartment in our testing lab. Arlo Skye The Zipper Carry-on Max With Front Pocket: This bag had slightly weak scores in the maneuverability category since it didn't glide as effortlessly as other carry-ons we tried. However, we appreciated its helpful features, like its protective front pocket for laptops and removable power bank. Calpak Ambeur Front Pocket Carry-on Luggage: For under $300, this metallic option offers the sleek look of an aluminum suitcase without the heaviness. Upon first glance, the capacity seemed standard for a carry-on. During packing, we struggled to fit everything on our list. We also noticed that the laptop compartment protruded the more we packed it. Zero Halliburton Classic Aluminum 3.0 International Carry-on: The durability on this suitcase was top notch. In fact, it's one of the most solid suitcases we've ever tested. Ultimately, we preferred the Rimowa bag in our main list for an aluminum option, and we wish this one had more internal organization. Paravel Aviator Carry-on Plus: After toting the bag on trips over six months, we came to appreciate the built-in compression board that made it easy to pack in as many items as possible. Still, we would've appreciated an expandable feature here. Miamily Carry-on: We loved how easy it was to navigate a busy airport with a toddler placed on top of this ride-on suitcase. We just wish the luggage was lighter when empty. Bagsmart Roamer Expandable 20-inch Carry-on Luggage: This affordable bag has lots of impressive features. It even held strong after we whacked it with a metal bat about 10 times. The Amazon Basics hardside spinner ultimately won as our favorite budget option because it offered slightly more in terms of organization, but this is another excellent affordable carry-on that will last for years. Frequently Asked Questions Accepted carry-on dimensions vary by airline, according to the TSA. However, standard dimensions for a carry-on are 22 x 14 x 9 inches. Some airlines will differ give or take a few inches, which is why larger size carry-ons made this list. As a rule of thumb, always research your airline's carry-on rules before your flight to avoid having to involuntarily check your bag. Again, this varies. Some airlines like JetBlue and American Airlines currently don't have any weight restrictions for carry-on bags, while some international airlines limit carry-ons to 22 pounds. In our experience, carry-on weight limits are not always enforced as much as dimension size, but as a rule of thumb, your carry-on is likely too heavy if you can't lift it on your own. If you're concerned about the weight of your bag, grab an inexpensive luggage scale so you can check before heading to the airport. According to the TSA, you are allowed to bring a quart-sized bag of liquids, aerosols, gels, creams, and pastes in your carry-on bag and through the security checkpoint. No liquid in your carry-on or personal item can exceed 3.4 ounces. Any amounts larger than that will need to be checked or will be disposed of. Solid toiletries like powdered makeup, bar soap, and solid deodorant should pose no issue. Yes, AirTags and other luggage trackers are allowed in carry-on luggage. For GPS trackers that utilize a higher level of battery power, you should check with your individual airline to make sure it's allowed on board. T+L senior editor Jasmine Grant covers luggage and travel accessories. She owns roughly 35 different suitcases, backpacks, and tote bags, and rotates between her favorites for different trips around the world. She is a carry-on loyalist and enjoys the challenge of finding creative ways to pack weeks worth of clothing into a compact suitcase. She frequently utilizes clever accessories like compression packing cubes, hanging toiletry bags, and travel pouches to maximize space. Right now, her favorite carry-ons come from brands Away, Dagne Dover, and Samsonite. Love a great deal? Sign up for our T+L Recommends newsletter and we'll send you our favorite travel products each week.


Forbes
15 hours ago
- Forbes
Yes, You Should Brush Your Teeth For 2 Minutes, Twice A Day. Here's Why.
Maintaining good oral hygiene practices is key to keeping your teeth and gums healthy—and spending two minutes brushing twice a day is a crucial part of any routine. This may seem like a simple mandate, but there are several factors to keep in mind when you're brushing for optimal results: Technique, toothpaste, pacing and more will make a difference. The ultimate goal of brushing your teeth is to remove bacteria, which can otherwise build up to cause decay and disease. '[For] oral disease, whether that's cavities or whether that's gum disease, reducing the amount of bacterial load in the mouth is a critical piece of that prevention measure,' says Jennifer Cullen, clinical assistant professor at the University of Michigan School of Dentistry. We spoke to three dental experts to learn the best tips and tricks for keeping your teeth sparkling ... More clean. Illustration: Forbes / Photos: Retailers To help you make the most of your two-minute toothbrushing sessions—and learn why we should brush at this cadence in the first place—I spoke to three dental experts to get their advice: Mark S. Wolff, DDS, PhD, Morton Amsterdam dean and professor of the division of restorative dentistry at the University of Pennsylvania; Jennifer Cullen, clinical assistant professor at the University of Michigan School of Dentistry, and director of the division of dental hygiene; and Matthew Messina, DDS, associate professor, clinical and clinic director at the Ohio State University College of Dentistry, and ADA spokesperson. These experts shared their insights on how to brush most effectively, and why brushing teeth is important, to help you stay motivated. Here are the tips and techniques they recommend. Multiple clinical studies show that brushing for two minutes is key to removing plaque so you can keep your teeth and gums healthy. 'There's clinical studies that have shown two minutes of brushing to be highly effective in reducing [tooth] decay,' says Dr. Wolff. A key reason for the two-minute mandate is so you can actually reach the surface of every tooth in the mouth with your brush, and tackle all of the plaque on your teeth. Cullen explained that there are multiple layers of plaque on teeth, and that the longer you brush, the better you can get to the bottom-most, stickiest layers. The experts I spoke with maintained that thoroughly brushing the surface of every tooth takes time: You want to make sure you get the cheek and tongue surface and the back and front of each one. Wolff advises softly placing the bristles right at the gumline to start brushing. How can you ensure you're getting each tooth? 'Brush methodically, not randomly,' says Wolff. Approaching each quadrant of the mouth in 30-second intervals can help you hit all the areas of your mouth, too. Some of the best electric toothbrushes we've tested, like the Oral-B iO Deep Clean + Protect, our pick for the best smart electric toothbrush, and the Philips Sonicare 9900 Prestige, our pick for best splurge electric toothbrush, not only buzz at 30-second intervals to move you along but also have apps that track your brushing to show you any spots you're missing. Let Fluoride Do Its Job The other crucial reason to brush for two minutes twice a day is to let the fluoride in toothpaste take effect to help prevent tooth decay. Cullen notes that hygienists and dentists recommend that people use some sort of fluoridated toothpaste, and that 'there is evidence for the benefits of that increased duration with respect to fluoride delivery.' The experts I spoke to said that fluoride is key to protecting tooth enamel, and that longer exposure to fluoride makes it harder for bacteria to build back up on the tooth. 'It's actually making the enamel less soluble to acids,' says Wolff. Many of the best electric toothbrushes have timers to track your brushing. Some, like the Oral-B iO Deep Clean + Protect, display time clearly on the brush's LED interface and offer cartoon faces (ranging from a frown to starry-eyed smile) to indicate where you stand with your time goal. This brush also works with an app to help you track time, and uses a buzzer in 30-second increments to cue you to move around your mouth. Other brushes use an automatic shutoff feature, or similar buzzing notifications, to let you know when you've reached your full two minutes. Timers And Apps There are multiple ways to time your brushing. Cullen suggests a sand timer for kids or patients with special needs. Dr. Messina recommends using a timer on your phone. He also notes there are apps that are especially helpful for kids to guide them to brush around their mouth over the course of two minutes. Break It Up By Quadrant To break up the two minutes, you can also count for 30 seconds while brushing each quadrant of your mouth, if you don't have an electric toothbrush that does this automatically. This can help keep track of time while making sure you're getting to every tooth. Sing A Song Both Cullen and Messina suggest one way to track your time is to either sing or play a favorite song that lasts around two minutes. This can help gamify your brushing—and make it more enjoyable, a technique that can be especially helpful for kids. Be Gentle Though it's important to be thorough while brushing, experts advise against brushing too hard. 'You don't want to wear the teeth away by scrubbing like this is a floor,' says Wolff. Brushing too hard can actually damage your teeth and gums. To avoid that, opt for a brush with soft bristles. Many electric toothbrushes also have pressure sensors to indicate if you're brushing too aggressively, or if you're hitting the sweet spot. In our electric toothbrush tests, we preferred the easy-to-see sensor on the Oral-B iO Deep Clean + Protect, which uses a light around the neck of the toothbrush to flash green, white or red to indicate pressure. Other brushes can have pressure sensors that will buzz or light up to tell you to ease up. Don't Forget To Floss Brushing is just one key component of a great oral hygiene routine; it can't act alone. Flossing is crucial to reach every surface of the tooth to remove food and debris. 'Brushing itself only reaches 60% of your tooth surfaces,' says Cullen. 'Everywhere a tooth touches another tooth, that toothbrush can't get to.' She recommends floss or an adaptive aid to help get into those hard-to-reach spaces. We've also tested the best water flossers at Forbes Vetted, and these devices can help reach in between teeth to clear debris. The Waterpik Aquarius Water Flosser won as best water flosser overall in our tests. Water flossers may be especially useful for people with orthodontia or those who have difficulty using traditional dental floss. Consider The Swish, And The Social Brush All the experts I spoke to recommended brushing at least twice a day—but what if you want, or need, to brush more frequently? In general, that's fine, and some people may need to brush more frequently due to medical conditions or orthodontia. Wolff advises being mindful of not brushing too hard, however. 'There's nothing wrong with too much or too frequent brushing, as long as you do it gently and you don't wear away the gums [or] damage the tooth with a hard toothbrush,' he says. He also warned of compensating with frequency versus technique. 'Doing it three times a day badly does not make you less likely to get cavities or less likely to have gum disease,' he says. If you don't have access to a sink or brush after every meal, there are still easy things you can do to help keep your mouth cleaner. Cullen and Messina both advise swishing your mouth with water after eating to neutralize the pH of the mouth (when the environment of the mouth is more acidic, it becomes more hospitable to cavity-causing bacteria). Messina also recommends what he calls a 'social brush,' or a quicker brush to clear the mouth of food—for example, after eating a pungent meal like a hamburger with onions— that's less thorough than your twice-daily toothbrushing geared toward deeper cleaning and hitting every surface of the tooth. Remember That Every Patient Has Different Needs Though brushing your teeth for two minutes twice a day is the standard, every patient has different needs; some people may need to brush more frequently or require assistance with brushing. Cullen spoke to how a 10-year-old who isn't snacking frequently or drinking sweet drinks could brush just twice a day, while someone with Parkinson's disease may need to brush more frequently and with assistance. Sometimes electric toothbrushes can help people brush more effectively, but other assistive devices, like a universal cuff, can also help with holding a toothbrush independently. Cullen also said that caregivers may need to give patients breaks or adjust the location for brushing. 'If you're a caregiver, maybe you're doing it at the kitchen table,' she says. 'Maybe you're able to brush for 60 seconds and that person needs a break.' Check in with your hygienist, dentist and care team for the most relevant advice for your needs. Some Brushing Is Better Than None Building new habits like brushing your teeth for two minutes twice a day takes time, and starting a new routine can be intimidating. Messina notes that some patients can feel overwhelmed by the guilt of not brushing enough, and encourages people to do the best they can. Brushing isn't all or nothing; even if you can't reach the full two minutes, Messina says it's still helpful to brush in the first place, no matter how long the duration. 'I know if you start small, that you'll realize how much better it feels and then you'll do more and more,' he says. And remember, brushing is key to overall health. 'It seems like such a small thing to brush your teeth twice a day, but I think people should be encouraged that they're really making a big impact on their overall health when they do that small thing,' says Cullen.


Forbes
15 hours ago
- Forbes
20 Hurdles For Healthcare Tech Startups In Scaling Solutions
A healthcare startup may launch with a bold and innovative idea, but turning that idea into a scalable solution that works across hospitals and complex health systems is rarely straightforward. From integrating with legacy infrastructure to navigating strict compliance requirements and diverse stakeholder priorities, even the most agile teams can struggle to scale effectively. Left unaddressed, these challenges can stall adoption, drain internal resources and limit a product's long-term impact. Below, members of Forbes Technology Council highlight some of the most common hurdles healthcare startups must be ready for and share their expertise on breaking into and succeeding in this challenging sector. 1. Finding Client Champions To scale solutions within a health system or payer organization, you need to engage a team of internal champions who can understand, justify and prioritize your platform. Organizations evaluate dozens if not hundreds of companies each year. Champions help articulate your value, often leveraging their professional credibility to advocate for it. Finding and 'winning' them is essential to scaling. - Graham Gardner, Kyruus Health 2. Navigating Integration Requirements Across Hospital Systems One of the biggest hurdles is navigating the complexities of integration requirements across different hospital systems. Healthcare startups frequently underestimate the time and resources needed for integrations. Success requires building flexible APIs from day one and having dedicated integration specialists who understand healthcare IT infrastructure, not just general software development. - Ted Kail, Cority Forbes Technology Council is an invitation-only community for world-class CIOs, CTOs and technology executives. Do I qualify? 3. Gaining Traction In A Risk-Averse Environment Most healthcare organizations are risk-averse and don't want to be early adopters. They look for proven, well-established companies and products, making it difficult for healthcare startups to get traction, even when they have clearly better solutions. Partnering and delivering real value to that first set of clients is critical in scaling early on. - John Bou, Modio Health 4. Integrating With Insurance Systems Health insurance companies amplify the interoperability challenge by adding another layer of complex, often siloed, data and systems that healthcare tech startups must integrate with. This makes the negotiation and implementation of business associate and HIPAA agreements more complicated, given the data types, security requirements and shared liabilities that arise from integrating with both providers and payers. - Ajai Paul, Affirm Inc. 5. Understanding The Complex Stakeholder Ecosystem Healthcare startups often make the mistake of viewing the U.S. healthcare system with a 'singular' point of view. It is an integrated ecosystem where each stakeholder is affected by the others, which means multiple interests must be aligned when adopting new technologies. - Raghav Ramabadran, Intelligine Technologies 6. Building Custom Integrations For Each Customer Healthcare startups' challenges include integrating with electronic health record systems, which is not a 'plug and play' process. Each hospital or system has its own highly customized version of an EHR, with unique workflows, data fields and security protocols. This lack of standardization means startups must build a new integration for nearly every customer. - Chris Ciabarra, Athena Security Inc. 7. Developing Strong Governance From The Outset Healthcare startups often wait to build full product depth until after landing their first client, but healthcare's high-risk, structured environment demands strong governance from day one. Change control, release management and a deep understanding of current operations, especially when replacing legacy systems, are essential before customizing. Building depth late risks delays and failure! - Trisha Swift, Mula Integrative Health & Wellness 8. Maintaining HIPAA Compliance With Digital Content One challenge healthcare startups face when scaling tech is managing digital content while staying HIPAA-compliant. Hospitals need more than stock photos and shared drives—they expect secure, role-based access to branded visuals that convey authenticity and protect patient privacy. Without a digital asset management strategy, startups risk falling short on compliance, credibility and growth. - Andrew Fingerman, PhotoShelter 9. Ensuring Consistent Performance And Compliance Across Disparate Systems Healthcare startups often struggle to scale because hospital environments vary widely in terms of infrastructure, workflows and data systems. Without a unified data architecture, real-time metrics, and built-in security and governance, it's hard to ensure consistent performance—or meet privacy requirements like HIPAA and business associate agreements governing protected health information. - Dave Albano, Diliko 10. Working Within Complex Pricing And Claims Rules One of the challenges is the integration of new tech into strict hospital billing and compliance processes. Hospitals have complex pricing and claims rules, and startups must work within these rules. They can't disrupt revenue or patient data safety. Doing this right builds trust and helps a solution scale faster. - Abhishek Sinha, Accenture 11. Processing Both Structured And Unstructured Health Data Integrating structured data (EHRs; lab results) and unstructured data (clinical notes; imaging; video) can be a major challenge. Healthcare startups must ensure their tech can process both, all while adapting to varying data and privacy standards across systems, which further complicates scaling and interoperability. Fortunately, generative AI is making this easier to do. - David Talby, John Snow Labs 12. Balancing Accuracy And Transparency With Scalability The healthcare and life sciences sector faces rigorous accuracy and transparency requirements that cannot be sacrificed and must be built into products from the start. Balancing this with scalability—which is really code for 'solving problems you don't have yet'—is a constant challenge—especially for startups, which often place a key focus on agility and speed. - Martin Snyder, Certara 13. Maintaining A Consistent, Accurate Record Of Core Assets One key challenge healthcare startups face when scaling tech solutions across systems is the inability to maintain a consistent and accurate record of core assets—such as patients, providers and devices—due to the absence of a robust master data management strategy. This causes data fragmentation, which in turn hinders decision-making, innovation and seamless integration across platforms. - Somnath Banerjee 14. Keeping Up With A Range Of Regional Norms And Laws Key challenges include a wide range of compliance requirements, regulations, cultural norms, and data privacy and region-specific laws—making a one-size-fits-all solution impractical, even within a single organization. Startups often rely on business rules engines that lack user friendliness. Agentic AI offers a more adaptable and intuitive alternative. - Koushik Sundar, Citibank 15. Working Within Legacy Hospital Systems One major challenge healthcare startups face when scaling tech solutions is integration with legacy hospital systems. Many hospitals rely on outdated EHRs or siloed IT infrastructure, making interoperability difficult. Startups must ensure compliance, data security and seamless integration to gain trust and adoption at scale. - Srikanth Bellamkonda 16. Clearly Demonstrating ROI And Pathways To Reimbursement Healthcare startups often struggle to clearly demonstrate a return on investment and secure reimbursement pathways. Without established billing codes or tangible cost-savings data, hospitals hesitate to allocate budget. Startups must invest heavily in economic validation, health economics and outcomes research, ensuring payers and finance teams see sustainable revenue models before adoption. - Manav Kapoor, Amazon 17. Creating An Internal COE Establishing an internal center of excellence with deep industry experience in scaling healthcare systems is vital, but costly. A key challenge lies in selecting vendors that align with the company's DNA. Bridging the gap between emerging tech and the unique demands of healthcare requires thoughtful planning and a nuanced understanding of both innovation and patient-centric outcomes. - Hari Sonnenahalli, NTT Data Business Solutions 18. Overcoming Resistance To New Tech I've regularly observed the challenges clinical sites face when adopting new technologies. There is often reluctance or resistance to change; staffing shortages further exacerbate these issues. A more effective approach may be to 'mirror' site-level data. This would allow AI-driven platforms to build a harmonized system that enables forward progress without disrupting existing workflows. - Rachel Tam, Bristol Myers Squibb 19. Accounting For Integration Issues When Building Solutions The biggest hurdle to overcome when scaling tech solutions across hospitals or healthcare systems is not technical; rather, it is integration—into provider workflows, clinical practice guidelines, financial models and revenue cycle management programs. Unless the issues around integration are considered and covered when building the solution, scaling will not occur. The landscape is littered with misaligned HealthTech startups. - Mark Francis, Electronic Caregiver 20. Completing Vendor Risk Documentation Post-ransomware, hospitals demand extensive vendor risk audits with hundreds of security controls, SOC 2/HITRUST docs, and custom BAAs. Completing these lengthy questionnaires stretches sales cycles to 18 to 24 months, burning cash and pulling engineers from product work to compliance, blocking scale. - Mohit Menghnani, Twilio