The puppeteer skit features the interaction between a young man with a rash and his older physician. The patient is an informed kind of guy: He’s checked his own medical record on the doctor’s website, read up on rashes in the Boston Globe, checked pix on WebMD, seen an episode of “Gray’s Anatomy” about a rash and, most inventively, checked iDiagnose, a hypothetical app (I hope) that led him to the conclusion that he might have epidermal necrosis.
“Not to worry,” the patient informs Dr. Matthews, who meanwhile has been trying to examine him (“Say aaahhh” and more): He’s eligible for an experimental protocol. After some back-and-forth in which the doctor — who’s been quite courteous until this point, calling the patient “Mr. Horcher,” for example, and not admonishing the patient who’s got so many ideas of his own — the doctor says that the patient may be exacerbating the condition by scratching it, and questions the wisdom of taking an experimental treatment for a rash. Read more »
It’s the great migration to digital. And as civilization makes its move, the pharmaceutical industry is trying to figure out how to reach out to physicians. Pharmaceutical reps are slowly becoming a thing of the past. Branded medication portals leave most doctors cold. Email outreach is marginal.
Pharma strategists ask me how to reach doctors in the new world. I don’t have an answer. It isn’t that I can’t come up with an answer. It’s just that a good one doesn’t exist. Why?
Doctors aren’t anywhere right now. They’re stuck somewhere between the analog and digital. Socially they’re nebulous. Their virtual communities are non-existent. Public social networks are sparsely populated. When they participate they watch and rarely create or discuss. Our profession is going through a lot right now and it’s evident in anemic digital adoption. Read more »
*This blog post was originally published at 33 Charts*
I recently got into a discussion with a couple friends about doctors and blogging. Why don’t we see more doctors out there? Of the hundreds of thousands of doctors, I’d expect more to be taking a voice. Even during the U.S. healthcare reform debate — crickets.
Of course there are doctors who blog, but the numbers are slim. What’s behind it?
Passion. Pushing great content requires a passionate interest in changing ideas and making a difference. There’s malaise in medicine right now. Margins are slim. Physicians are losing control of what’s happening around them. The fire in the belly that drove so many doctors to choose medicine has given way to a preoccupation with survival.
Late adopters. Most doctors think a blog is something that deviant teens do on a cellphone. There’s endemic ignorance in the medical community surrounding social technology. Can we teach ‘em? Maybe. But I think this is a generational issue that will work itself out with time. The use of social technology to facilitate dialog between doctor and patient will evolve over the next several years as: 1) technology evolves and 2) digital communication becomes a standard. Keep in mind that many of us still work with doctors who grew up using rotary phones. Read more »
*This blog post was originally published at 33 Charts*
The book publishing world, largely based in New York City, is in trouble. The fragmentation of the market by electronics large and small has chopped former readers into so many pieces. How can a publisher make a blockbuster buck anymore? The answer may come in translations of Swedish fiction from a newly-found novelist, now dead, to non-fiction ghostwritten for a face everyone knows from the evening news.
In a whirlwind face-to-face series of meeting with publishers on a very recent sunny Tuesday in Manhattan, I got a glimpse of their angst and did my best to convince them that a book – yes, even all sorts of electronic versions and in-the-palm-of-your-hand “apps” – could make them boatloads of money and do the right thing for America’s healthcare consumer (just maybe such a work could be translated into Swedish and do good there in a return of the favor literary effort). Read more »
Do you have a technology participation gap in your family? We do. In fact, most families do somewhere.
For us, we have a few older relatives who firmly believe that technology is for “the younger generation.” What’s interesting is that some of these people are not that old — at least not “old” as I define it.
One relative, for example, was a working woman in her younger days. Retired now, she never bought into any technology past the 1970s! Beyond the automobile, refrigerator, TV, radio, dishwasher, washer and drier, she has seen no need for anything else.
Although she has grudgingly begun to use email and the Web, she has deemed herself ”old” and refused to use a cell phone or any other “high-tech device.” Read more »
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…
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…
I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…
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…
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…