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Europeans Open To Innovations In Their Healthcare System

Pascal Lardier, International Director of Health 2.0 asked me for an interview about the future of health 2.0. Here is the interview and an excerpt:

Basically, the medical acts remain the same: doctors will continue to receive their patients. But both stakeholders need to adapt and be able to deal with the rapidly growing amount of information available online. As the patient’s motivation is clearly more important (their health is at stake), they are more open to these innovations/developments while medical professionals use the internet and social media for other purposes: education, collaboration, diagnostic technologies, etc… Patients and doctors basically use the same type of technologies for different purposes. I’m sure social media, used with strategy and caution, will help fill the gap between patients and their physicians.

*This blog post was originally published at ScienceRoll*

IBM’s Watson Could Revolutionize Healthcare

If you’ve been watching Jeopardy! over the past couple days, you probably know that IBM’s highly-advanced artificial intelligence software, Watson, has been competing against Jeopardy!’s most successful contestants (and as of Tuesday night, took a commanding lead over the humans, despite having some trouble with United States geography).

Besides the amazing ability to power through “Daily Doubles” and answer random trivia in the form of a question, IBM researchers believe that Watson could revolutionize the healthcare industry. From diagnostics to informatics, Watson could quickly search through medical records, clinical documents, and research information for precise answers that would benefit both doctors and patients.

Check out the video below to see physicians explain how Watson’s technology could transform medicine.

Also watch the TED.com webcast of Dr. David Ferrucci (Principal Investigator of the DeepQA/Watson project at IBM), Dr. Herbert Chase (Professor of Clinical Medicine at Columbia University School of Physicians and Surgeons), and others discussing the Jeopardy! challenge and the impact the technology behind Watson could have on society.

More information on Watson from IBM…

*This blog post was originally published at Medgadget*

How Good Is Your Doctor At Diagnosing You?

We’ve all been there. It often starts with some kind of recurring pain or dull ache. We don’t know what’s causing the pain or ache. During the light of day we tell ourselves that it’s nothing. But at 3:00am when the pain wakes you, worry sets in: “Maybe I have cancer or heart disease or some other life-ending ailment.” The next day you make an appointment to see your doctor.

So now you’re sitting in the exam room explaining this scenario to your doctor. Based on your previous experience, what’s the first thing your doctor would do?

A. Order a battery of tests and schedule a follow-up appointment.

B. Put you in a patient gown and conduct a thorough physical examination, including asking you detailed questions about your complaint before ordering any tests.

If you answered “A,” you have a lot of company. A recent post by Robert Centor, M.D., reminded me of yet another disturbing trend in the doctor-patient interaction. The post, entitled “Many doctors order tests rather than do a history and physical,” talks about how physicians today rely more on technology for diagnosing patients than their own “hands-on” diagnostic skills — a good patient history and physical exam, for example.

Prior to the technology revolution in medicine over the last 20 years, physician training taught doctors how to diagnose patients using with a comprehensive history and physical exam. More physicians today are practicing “test-centered medicine rather than patient-centered medicine.” Medical schools focus on teaching doctors to “click as many buttons on the computer order set as we possibly can in order to cover every life-threatening diagnosis.” The problem is that medicine is still an imperfect science, and technology is not a good substitute for an experienced, hands-on diagnostician. Read more »

*This blog post was originally published at Mind The Gap*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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Unaccountable: A Book About The Underbelly Of Hospital Care

I met Dr. Marty Makary over lunch at Founding Farmers restaurant in DC about three years ago. We had an animated conversation about hospital safety the potential contribution of checklists to reducing medical errors and his upcoming book about the need for more transparency in the healthcare system. Marty was…

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