Digitizing the doctor’s office: 7 ways technology will shape healthcare in 2013 | gigaom.com


doctor digital

SUMMARY:

What does the boom in digital health mean for the health care industry overall? As a new PricewaterhouseCoopers report lists the top issues in health care, we take a look the ways in which technology could shape the industry…” At the Consumer Electronics Show this week, all kinds of health devices and apps are taking center stage. But beyond potentially improving the health of individuals, what does the boom in digital health mean for the health care industry over all?

by  | gigaom.com

This week, PricewaterhouseCoopers (PwC) released its annual report on the top health industry issues. The document touches on everything from state debates over establishing Affordable Care Act-mandated health insurance exchanges to employers’ new role in providing health care to the growing influence of the consumer. Chris Wasden, PwC’s Global Healthcare Innovation Leader, chatted with me about how technology specifically fits into the bigger picture and the ways in which it will impact the industry in the next few months and years. Leer más “Digitizing the doctor’s office: 7 ways technology will shape healthcare in 2013 | gigaom.com”

Changing Faces: Stimulating the Brain Morphs People’s Faces Before Patient’s Eyes


The patient sits on the bed, his head wrapped in thick gauze bandages. He looks his doctor in the eye and says, “You just turned into somebody else… You almost look like somebody I’ve seen before, but somebody different. That was a trip.”

No, 47-year-old Ron Blackwell hadn’t taken any psychedelic drugs.  He wasn’t delirious or psychotic following the brain surgery he had recently undergone. Instead, he was responding to signals from electrodes implanted in his brain to help determine the source of his seizures. By coincidence, the test electrodes had been placed in his fusiform gyrus, the brain region involved in recognizing faces.

MORE: Could Deep Brain Stimulation Fend Off Alzheimer’s?

“Your nose got saggy and went off to the left,” Blackwell said, describing the changes he was seeing in his doctor Josef Parvizi’s face in a video released along with a new study. The research, published in the Journal of Neuroscience, was led by Parvizi, who is an associate professor of neurology at Stanford.

While having surgery to treat epilepsy, Blackwell agreed to take part in an experiment led by Parvizi aimed at understanding what the fusiform region actually does and how specific it is to recognizing faces.

Read more: http://healthland.time.com/2012/10/24/changing-faces-stimulating-the-brain-morphs-peoples-faces-before-patients-eyes/#ixzz2AKe53I1r

How To Create Your Own Formula For Success


Written by  | PickTheBrain | Motivation and Self Improvement

Do you have a saying or ‘mantra’ that you use to guide some of the more important decisions in your life? If you do, then you’re not alone, you have something in common with some of the top achievers in the world.

President Theodore (Teddy) Roosevelt, for example, believed that you should always “Speak softly and carry a big stick”. Whilst this may not be the most positive fall-back position to have in life, it did serve him, and his nation, well when the tough times came. A more positive example is, believe it or not, Justin Bieber. In 2011 he released a film about his concert tour called ‘Never Say Never’, which reflects his view on life. Whilst you might argue that the young Mr Bieber is not the most intellectually challenging of individuals either on stage or off, you certainly can’t argue that in his world he has had significant success and he attributes his own success to his mantra.

So what are the key components to these types of sayings? After twenty years of informal research in this area I have come up with the following four core characteristics:

Characteristic #1: It can apply to the ‘lows’ and the ‘highs’  >>>>>  Leer más “How To Create Your Own Formula For Success”

Me, myself, us | economist.com


The human microbiome

Looking at human beings as ecosystems that contain many collaborating and competing species could change the practice of medicine

WHAT’S a man? Or, indeed, a woman? Biologically, the answer might seem obvious. A human being is an individual who has grown from a fertilised egg which contained genes from both father and mother. A growing band of biologists, however, think this definition incomplete. They see people not just as individuals, but also as ecosystems. In their view, the descendant of the fertilised egg is merely one component of the system. The others are trillions of bacteria, each equally an individual, which are found in a person’s gut, his mouth, his scalp, his skin and all of the crevices and orifices that subtend from his body’s surface.

A healthy adult human harbours some 100 trillion bacteria in his gut alone. That is ten times as many bacterial cells as he has cells descended from the sperm and egg of his parents. These bugs, moreover, are diverse. Egg and sperm provide about 23,000 different genes. The microbiome, as the body’s commensal bacteria are collectively known, is reckoned to have around 3m. Admittedly, many of those millions are variations on common themes, but equally many are not, and even the number of those that are adds something to the body’s genetic mix.

And it really is a system, for evolution has aligned the interests of host and bugs. In exchange for raw materials and shelter the microbes that live in and on people feed and protect their hosts, and are thus integral to that host’s well-being. Neither wishes the other harm. In bad times, though, this alignment of interest can break down. Then, the microbiome may misbehave in ways which cause disease.

That bacteria can cause disease is no revelation. But the diseases in question are. Often, they are not acute infections of the sort 20th-century medicine has been so good at dealing with (and which have coloured doctors’ views of bacteria in ways that have made medical science slow to appreciate the richness and relevance of people’s microbial ecosystems). They are, rather, the chronic illnesses that are now, at least in the rich world, the main focus of medical attention. For, from obesity and diabetes, via heart disease, asthma and multiple sclerosis, to neurological conditions such as autism, the microbiome seems to play a crucial role.

A bug’s life Leer más “Me, myself, us | economist.com”

Using Social Media, Digital Resources and Health 2.0

Office or Clinic

Online web portals are becoming omni-present.

These may include patient education, search engines by doctor location or specialty.
Not infrequently the web portal will contain significant information about physician’s resumes, credentials, hospital staff memberships, office hours, and specialty interest.
Appointment scheduling.
Laboratory, Imaging result reporting online.It’s not necessary to sit and wait in a reception area with patients who may have infectious illnesses. If you have a cell phone or a smartphone ask your doctor’s office to send you a text message or a ‘tweet’ when they are ready for you. (even a phone call works).




Posted by: Gary Levin
http://socialmedia.com

 How to Health 2.0 Your Patient Portal

Using Social Media, Digital Resources and Health 2.0 to your advantage

Time for all of us is precious and is one of those resources like finances that is limited.

Fortunately many changes have occurred which increase efficiency in dealing with healthcare. Many of these improvements are on the patient side as well and the physician side of the equation.

Let’s categorize these

Insurance:

  1. Search engines can be use to identify appropriate insurance policies for you and your family. Many insurance companies now operate a central source for different companies as well as programs that compare rates and coverage limits.
  2. Enrollment applications can and are processed online. Much of your medical history can be entered because the online sites are encrypted and private in accordance with HIPAA regulations.
  3. Insurance notifications and contact confirmation can be sent via email to confirm your application(s)
  4. In addition to receiving ID cards via regular mail, some companies will also send you a copy via email.

Office or Clinic


Online web portals are becoming omni-present. Leer más “Using Social Media, Digital Resources and Health 2.0”

The Worst Mistake a Writer Can Make

Author’s note: I wrote this post while picturing James Chartrand leaning forward, squinting into a computer, wondering when all the aches and pains would go away. As always, I swooped in to rescue someone who probably doesn’t want my help.

Editor’s note: At the moment of reading this post, I was actually sitting casually (meaning, slumped, not straight), leaning to the left with my elbow propped on the chair, my shoulders forward, and my head tilted. It doesn’t sound comfy… I swear it was.

There is no off switch to adaptation. Our bodies are pretty smart and they’re always getting better at whatever they’re doing. If we teach our bodies good habits, adaptation rewards us. If we teach our bodies bad habits, adaptation is a punisher.

This is usually bad news for writers, or anyone else who spends a lot of time typing. When was the last time you were with a bunch of writers and thought Wow, everyone has such great posture!

Nope. Our heads are usually too far forward on our necks. Our shoulders slump forward. When we stand at rest, our hands don’t fall naturally to our sides, but they rotate internally to the point where our palms face the wall behind us. Not good. We have gotten better… at getting worse.

So what does this have to do with writing?


Written by Agent X//menwithpens.ca


Author’s note: I wrote this post while picturing James Chartrand leaning forward, squinting into a computer, wondering when all the aches and pains would go away. As always, I swooped in to rescue someone who probably doesn’t want my help.

Editor’s note: At the moment of reading this post, I was actually sitting casually (meaning, slumped, not straight), leaning to the left with my elbow propped on the chair, my shoulders forward, and my head tilted. It doesn’t sound comfy… I swear it was.

There is no off switch to adaptation. Our bodies are pretty smart and they’re always getting better at whatever they’re doing. If we teach our bodies good habits, adaptation rewards us. If we teach our bodies bad habits, adaptation is a punisher.

This is usually bad news for writers, or anyone else who spends a lot of time typing. When was the last time you were with a bunch of writers and thought Wow, everyone has such great posture!

Nope. Our heads are usually too far forward on our necks. Our shoulders slump forward. When we stand at rest, our hands don’t fall naturally to our sides, but they rotate internally to the point where our palms face the wall behind us. Not good. We have gotten better… at getting worse.

So what does this have to do with writing? Leer más “The Worst Mistake a Writer Can Make”

A Diabetes Cure?

With the obesity epidemic making diabetes much more prevalent, a possible cure couldn’t have come at a better time. The condition, which causes huge (and damaging) fluctuations in blood sugar levels because of the body’s inability to produce or utilize insulin, disproportionately affects people who are obese as well as those who are physically inactive. (Still, an estimated 10 to 20 percent of people with type 2 are not obese, including some of normal weight.)

Diabetes is a leading cause of death in America, where it affects one in 10 adults, including nine million women. For the vast majority of them, the disease is diagnosed after age 40. Type 2 dramatically increases the risk of heart disease for women at this age and contributes to complications such as stroke and damage to the eyes, kidneys and nerves. There’s no cure for the ailment. This form of diabetes is, at best, treated and managed, and even patients who are vigilant have a hard time keeping their blood sugar levels in check. So if bariatric surgery eliminates diabetes, should more patients be having it?


by Roni Caryn Rabin
Via more.com/2024/24133-a-diabetes-cure


The enormous health benefits of gastric bypass operations kick in before you even drop the pounds

Before her gastric bypass surgery two years ago, Mary Ellen Sweeney weighed in at 344 pounds and suffered from type 2 diabetes. Her blood sugar levels were so out of control that sweet desserts were forbidden. But now, as she sits in a restaurant at the Jersey shore, she orders a slice of raspberry Linzer torte that’s served on a streak of chocolate sauce, with whipped cream on the side. She can indulge because three days after she had a gastric bypass operation, a remarkable thing happened: Her diabetes disappeared. Leer más “A Diabetes Cure?”

The Medical RevolutionWhere are the cures promised by stem cells, gene therapy, and the human genome?

Dr. J. William Langston has been researching Parkinson’s disease for 25 years. At one time, it seemed likely he’d have to find another disease to study, because a cure for Parkinson’s looked imminent. In the late 1980s, the field of regenerative medicine seemed poised to make it possible for doctors to put healthy tissue in a damaged brain, reversing the destruction caused by the disease.

Langston was one of many optimists. In 1999, the then-head of the National Institute of Neurological Disorders and Stroke, Dr. Gerald Fischbach, testified before the Senate that with “skill and luck,” Parkinson’s could be cured in five to 10 years. Now Langston, who is 67, doesn’t think he’ll see a Parkinson’s cure in his professional lifetime. He no longer uses “the C word” and acknowledges he and others were naive. He understands the anger of patients who, he says, “are getting quite bitter” that they remain ill, long past the time when they thought they would have been restored to health.

The disappointments are so acute in part because the promises have been so big. Over the past two decades, we’ve been told that a new age of molecular medicine—using gene therapy, stem cells, and the knowledge gleaned from unlocking the human genome—would bring us medical miracles. Just as antibiotics conquered infectious diseases and vaccines eliminated the scourges of polio and smallpox, the ability to manipulate our cells and genes is supposed to vanquish everything from terrible inherited disorders, such as Huntington’s and cystic fibrosis, to widespread conditions like cancer, diabetes, and heart disease.
[Más…]

Adding to the frustration is an endless stream of laboratory animals that are always getting healed. Mice with Parkinson’s have been successfully treated with stem cells, as have mice with sickle cell anemia. Dogs with hemophilia and muscular dystrophy have been made disease-free. But humans keep experiencing suffering and death. Why? What explains the tremendous mismatch between expectation and reality? Are the cures really coming, just more slowly than expected? Or have scientists fundamentally misled us, and themselves, about the potential of new medical technologies?

The Brain Is Not a Pincushion
Parkinson’s disease was long held out as the model for new knowledge and technologies eradicating illnesses. Instead, it has become the model for its unforeseen consequences.

Langston, head of the Parkinson’s Institute and Clinical Center, explains that scientists believed the damage to patients took place in a discrete part of the brain, the substantia nigra. “It was a small target. All we’d have to do was replace the missing cells, do it once, and that would cure the disease,” Langston says. “We were wrong about that. This disease hits many other areas of the brain. You can’t just put transplants here and there. The brain is not a pincushion.”

Parkinson’s patients in the 1980s were guinea pigs, getting fetal tissue transplants—a precursor of stem-cell therapy—in their brains. After reports of dramatic improvement, it seemed like a new era had begun. But to make sure the results were real, in the 1990s a group of patients agreed to undergo a double-blind study: Half would get brain surgery with the fetal tissue, half would get holes drilled in their heads and no transplant. (Yes, there are patients willing to have useless holes drilled in their heads for the sake of advancing science.)

It was a huge disappointment when the two groups showed only a marginal difference in disease manifestation—the previous benefits, it turned out, were largely placebo effect. Then, horrifyingly, a year after the surgery, a major difference appeared. Fifteen percent of the patients who received the fetal tissue developed “tragic, catastrophic” uncontrollable movements.


By Emily Yoffe

Illustration by Rob Donnelly. Click image to expand.Dr. J. William Langston has been researching Parkinson’s disease for 25 years. At one time, it seemed likely he’d have to find another disease to study, because a cure for Parkinson’s looked imminent. In the late 1980s, the field of regenerative medicine seemed poised to make it possible for doctors to put healthy tissue in a damaged brain, reversing the destruction caused by the disease.

Langston was one of many optimists. In 1999, the then-head of the National Institute of Neurological Disorders and Stroke, Dr. Gerald Fischbach, testified before the Senate that with “skill and luck,” Parkinson’s could be cured in five to 10 years. Now Langston, who is 67, doesn’t think he’ll see a Parkinson’s cure in his professional lifetime. He no longer uses “the C word” and acknowledges he and others were naive. He understands the anger of patients who, he says, “are getting quite bitter” that they remain ill, long past the time when they thought they would have been restored to health.

The disappointments are so acute in part because the promises have been so big. Over the past two decades, we’ve been told that a new age of molecular medicine—using gene therapy, stem cells, and the knowledge gleaned from unlocking the human genome—would bring us medical miracles. Just as antibiotics conquered infectious diseases and vaccines eliminated the scourges of polio and smallpox, the ability to manipulate our cells and genes is supposed to vanquish everything from terrible inherited disorders, such as Huntington’s and cystic fibrosis, to widespread conditions like cancer, diabetes, and heart disease.

Check. Check. Stop! Managing the Process Critically

Not long ago, a friend of mine turned me on to an interesting book entitled The Checklist Manifesto by Dr. Atul Gawande.

Although Dr. Gawande hails from the medical field, I found his book interesting because he explores, in great detail, a topic that spans almost every aspect of our lives: how to get things done. But rather than focus exclusively on the medical profession, Gawande explores the tools that other professions use to manage complexity. He examines a wide range of specialties, including architects, pilots and chefs, to learn their techniques.

What he finds is that, across the board, these industries rely heavily on checklists to succeed, even when the task at hand seems too complex for a simple recipe. He examines how the checklist can be implemented in operating rooms to eliminate human errors, reduce infections and ultimately save lives. But you don’t have to take my word for it. You can read Malcolm Gladwell’s review of the book over at Amazon.


Not long ago, a friend of mine turned me on to an interesting book entitled The Checklist Manifesto by Dr. Atul Gawande.
Dr House – By El Moreno

Although Dr. Gawande hails from the medical field, I found his book interesting because he explores, in great detail, a topic that spans almost every aspect of our lives: how to get things done.  But rather than focus exclusively on the medical profession, Gawande explores the tools that other professions use to manage complexity. He examines a wide range of specialties, including architects, pilots and chefs, to learn their techniques.

What he finds is that, across the board, these industries rely heavily on checklists to succeed, even when the task at hand seems too complex for a simple recipe.  He examines how the checklist can be implemented in operating rooms to eliminate human errors, reduce infections and ultimately save lives.  But you don’t have to take my word for it.  You can read Malcolm Gladwell’s review of the book over at Amazon. Leer más “Check. Check. Stop! Managing the Process Critically”

Asia Digital Map


On March 21st, 2010, on behalf of Ogilvy Health, I delivered a presentation “Social or Media” at the seminar “Social Media and Hospital PR.”  The seminar was a part of KIMES(Korea International Medical & Hospital Equipment Show), the largest event of its kind in Korea, and sponsored by Korea Medical Doctors’ Weekly. Dr. Yang, Kwang-Mo, CEO of Healthlog, the most successful health blogger in Korea, was another speaker, and he talked about Health 2.0. While I uploaded my presentation file at Ogilvy Health blog, since it is in Korean, let me summarize my key messages towards medical doctors and hospital marketers at the event.

I have observed and talked with many people who want to use “social media” for corporate purposes. What I noticed is that there are two types of approaches. 1) The first type has the emphasis on “Media”: they try to leverage social media as ‘PR’omotional media. A big mistake for this type of people is being “too much promotional” and they approach social media like homepage. 2) The second type, which is a much better group, has the emphasis on “Social”: they try to ‘being social’ with stakeholders via this new media. They do not just throw out their promotional messages, but, listen, and engage with people.

Many medical doctors ask their PR staffs or PR agency “I don’t know(care) what the social media is, but, just open it, fill with a lot of information, and I hope much more patients will visit our hospital.” Wrong. The leader of the hospital should spend their time to being “social” with patients and community. Sometimes, they open a hospital blog, and just transfer all the contents from their previous homepage. Wrong. While the homepage is about hospital information, the blog/social media is about story.
From a communications perspective, “being social” is about exchanging stories, not just dry facts and information. So, if someone wants to use ’social media’ that means the owners(e.g. medical doctors, corporate executives, etc.) commit themselves to be SOCIAL.

p.s. According to Webster.com, the definition of ’social’ has the following meanings:

“involving allies”

“pleasant companionship”

“relating to human society

“interaction”

“welfare”

“cooperative and interdependent relationship”

http://www.asiadigitalmap.com/

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