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Democracy, Tyranny, And The Online Revolution

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Image by pomarc via Flickr

When status quos collapse, for whatever reasons, are their replacements necessarily better? Does the demise of traditional media powers mean that new media powers will lead to more Democracy? Will cultivated professions which require years of training and mistakes and experience – such as Medicine – give way to amateurs who can succeed in creating appearances of Authenticity?

Last century, not everybody could publish their thoughts without expending some form of considerable energy. Now, with Twitter, anyone can tell the world what s/he thinks at virtually zero expense (save the time value of their tweets). This is no doubt a radical shift in communications and publishing and connecting.

It’s easy to call this democratizing. But is it? Read more »

*This blog post was originally published at phil baumann online*

Dr. Google: Knowledge Versus Expertise

A recent article by NPR confirmed what many patients and doctors already know. The internet is leveling the playing field and allows individuals to access information easier and more quickly. Research by Pew Internet and American Life Project found:

  • 61 percent of adults say they look online for health information – known as e-patients
  • 20 percent of e-patients go to Internet and social-networking sites where they can talk to medical experts and other patients
  • 39 percent of e-patients already use a social-networking site like Facebook

Yet as individuals embrace new technology, the New England Journal of Medicine found earlier this year that only 17 percent of doctors use electronic medical records. To say doctors are conservative and slow in adapting to new ways of communicating and accessing information would be an understatement. An article in TIME magazine proclaimed “Email Your Doctor” which graced newsstands in 1998! Email communications with doctors is still the exception rather than the rule. Read more »

*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*

Clinical Knowledge Versus Clinical Judgment

Read Seth Godin’s most recent post, The Amateur Scientist. In a way that only Seth can do he tells how our culture has turned us all into authorities. Important stuff.

I couldn’t help but think how this applies to the Internet and our health. Unrestrained access to information has got us all thinking we know more than we do.  Godin wasn’t writing about the amateur physician but he might as well have been.

Missing from the black bag of the amateur physician is a tool called clinical judgment – the pivotal substrate necessary to tie together objective clinical information. Clinical judgment is the foundation of good medical decision-making. But you won’t find it on the Internet. It can’t be found in the cloud or the hive. It isn’t free and it’s tough to get. Read more »

Latest Interviews

The Surprising Economic Burden Of ADHD (Attention-Deficit Hyperactivity Disorder)

If you can read this you need to download a more recent browser It is estimated that as many as million U.S. adults have ADHD Attention-Deficit Hyperactivity Disorder A recent research study publication-pending suggests that the economic burden of ADHD on America could be as high as billion annually. I…

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Is The Adderall Shortage A Harbinger Of Future Drug Supply Problems?

If you can read this you need to download a more recent browser Today most- if not all- Doctor’s offices are strained by the shortage of some prescription medication or vaccine. A month ago President Obama signed his executive order directing the FDA to take steps to reduce drug shortages…

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Latest Book Reviews

Book Review: The First Step To Improve Health Care Is A Close Examination Of How It’s Delivered

My friend and former Chair of the CFAH Board of Trustees Doug Kamerow has written a book that I think you will like. Besides being a mensch and witty as heck Doug is a family doctor and a preventive medicine specialist. In his new book Dissecting American Health Care Commentaries…

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“Your Medical Mind” Explores Factors That Influence A Patient’s Medical Decisions

Recently I had a conversation with Shannon Brownlee the widely respected science journalist and acting director of the Health Policy Program at the New America Foundation about whether men should continue to have access to the PSA test for prostate cancer screening despite the overwhelming evidence that it extends few…

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Book Review: Food Truths, Food Lies

Food Truths Food Lies written by family physician Eric Marcotte M.D. may be the most refreshingly evidence-based diet book of the decade. You will not find a single mention of super-foods magical berries or supplement must-haves in the entire book. What you will find is the cold hard truth about…

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