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Social Media As Personal Therapy

Last week Robert Scoble announced on Cinchcast the news that his son, Milan, had just been diagnosed with autism. I often listen to his Cinchcasts, and the disappointment in his voice was heartbreaking.

Then I began to wonder: If one of my children were to receive a devastating diagnosis, would my first impulse be to share the news on a public platform? Probably not. And that, among a number of obvious things, is what differentiates me from Robert Scoble.

Everyone’s got their transparency threshold. You can see it with attitudes surrounding location applications. The importance of community to each of us varies tremendously. Read more »

*This blog post was originally published at 33 Charts*

The “e-Patient” Revolution: Is It Over?

There’s a conversation brewing over use of the term “e-patient.” The online health revolution is over, it’s been suggested. Web use, after all, has become so widely adopted  that the term “e-patient” may have more historical meaning.

Dropping the “e” might indicate that we’ve arrived. I’m not so sure. Perhaps the revolution we thought was going on never entirely took off. Or maybe it’s all about how you define the revolution.

Here’s what I see: Day in and day out, over weeks and months, hundreds of patients visit my clinic. I talk to them candidly about the tools they use and how technology and community is changing how they see their problems. I do the same with friends and family members. And like it or not, they’re a lot closer to “e-Patient 1.0” than many of us would like to think. Read more »

*This blog post was originally published at 33 Charts*

If This Were Your Child, What Would You Do?

Child's doctor visitMany times when faced with a clinical dilemma, a parent will turn to me and ask: “What would you do if this were your child?”

When faced with this question, I never quite know what to say. And each time I feel a little on-the-spot. But why is that? Aren’t I comfortable recommending for someone else exactly what I would do for my own child? After all, what have I got to hide?

Here’s the problem: The decisions we make as parents involve our values, tolerance of risk, level of concern and frustration, prior health experience, and religious belief — to name but a few. There’s no way to fully tease those things from the parent sitting across the room. Read more »

*This blog post was originally published at 33 Charts*

Tweetchat For Doctors?

Lately there’s been talk of a tweetchat for doctors. The issue has surfaced on Twitter over the past couple of weeks. The idea is out there –- the genie’s out of the bottle. There will be a tweetchat for physicians. But I’m not sure we need it. We may want to think about why we need a Twitter discussion group and what we’d like to get out of it.

I look at tweetchats like I look at medical meetings: I go to see old friends in one place. Most of what’s discussed was public long before the meeting. The most interesting stuff happens in the hallway. With that said I still go to medical meetings. But it’s usually to cultivate relationships. And tweetchats do accomplish that.

I like to participate in tweetchats to see who shows up. I like to look at how people behave, how they meet the challenge of open-ended questions in the limits of 140 characters. It’s really interesting to watch those who think they have the answers. I like to see who actually takes the process so seriously that they can’t crack a joke and have a little fun (this tells me the most). Read more »

*This blog post was originally published at 33 Charts*

The Health Hive: Is It Ready For Primetime?

Maybe not according to this report from the CDC. They studied Internet use with respect to adherence behavior and a number of health-related outcomes. It suggests that folks who diss the doc in favor of the Internet may not do as well as we think.

This quote caught me:

The data also revealed that personal determinants such as neuroticism (reflects anxiety and emotionality) and health-related poorer quality of life differentiated internet-instigated non-adherent respondents from their counterparts.

More plainly put: If you trust your life to an anonymous guy on Twitter with the handle @YourHealthGuru, you might not do as well as if you partnered with a trained professional. Or perhaps I’m reading too much into the study. Read more »

*This blog post was originally published at 33 Charts*

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

Book Review: Is Empathy Learned By Faking It Till It’s Real?

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…

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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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