December 4th, 2009 by Davis Liu, M.D. in Better Health Network, Opinion
Tags: Caution, Dr. Google, ePatient, Expertise, Internet, Knowlege, NPR, Online, Social Media, Warning
3 Comments »
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*
December 3rd, 2009 by Steve Novella, M.D. in Better Health Network, News, Quackery Exposed
Tags: Coma, Laureys, Locked In Syndrome, Minimally Conscious State, Neurology, Rom Houben, Vegetative State
1 Comment »
I don’t know. The mainstream media is doing a wonderful job sensationalizing this case, presenting it without skepticism. Some outlets are doing a good job of discussing the relevant issues – but they don’t have the information to have a meaningful discussion of this particular case. Details are tantalizing but thin.
The case is that of Rom Houben. The story was broke, as far as I can tell, by the Mail Online – yes, that is a huge red flag. It does not make the story wrong, it just doesn’t instill in me confidence in the reporting.
Mr. Houben was in a terrible motor vehicle accident 23 years ago and has been paralyzed ever since. His diagnosis has been PVS – persistent vegetative state. However, recently, we are told, his mother insisted on a neurological re-evaluation. This is actually quite reasonable, generally speaking (again, without knowing specific details of this case). Read more »
*This blog post was originally published at Science-Based Medicine*
December 3rd, 2009 by RamonaBatesMD in Better Health Network, Health Tips
Tags: Allergic Reaction, Care, Cleaning, Colostomy, Dermatology, Gastroenterology, Ileostomy, Infection, Jejunostomy, Ostomy, Stoma, Surgery
No Comments »
There is a very nice review article in the “throw away” journal Advances in Skin & Wound Care (full reference below) which discusses the causes and management of peristomal skin complications. The photo (credit) to the right shows normal, healthy skin around a stoma.
Peristomal complications are one of the most challenging aspects of living with ostomies. The purpose of this review article was stated to be “to illustrate practical approaches to prevent and treat common peristomal skin conditions.” Read more »
*This blog post was originally published at Suture for a Living*
December 3rd, 2009 by Shadowfax in Better Health Network, Health Tips, Research
Tags: GE, Graph, Healthcare Costs, Hypertension, Interactive, Wheel
No Comments »
I love graphs, especially interactive graphs.
GE made a graph of the average annual cost of patients with eleven common chronic diseases. Go check it out, marvel at the coolness as you grab the sliders and spin the wheel o’ misfortune. Take home point: hypertension is the single biggest driver of medical cost in all patients age 33 and up. Go figure.
*This blog post was originally published at Movin' Meat*
December 3rd, 2009 by Bryan Vartabedian, M.D. in Better Health Network, Opinion
Tags: Anonymous, Blogger, Blogging, Medical, Social Media
8 Comments »
I see it from time to time. The doctor with a voice who’s uncomfortable with transparency. They post and comment under the cozy blanket of putative anonymity. But it’s bad policy. Here’s why doctors need to be outed in social media:
Anonymity is a fantasy. It’s remarkably difficult to achieve. With small thoughts you can hide – in fact, no one cares who you are. If you offer anything worth hearing people will ultimately find out who you are. And the plaintiff attorneys will always sniff you out.
You need a reality check. Anonymity gives us phony security and opens the door for us to say the things we wouldn’t normally say. There’s no editorial influence more powerful than knowing that my patients and my boss are listening. While an incendiary rant may serve to vent frustrations and drive traffic, it just fuels the perception of doctors as cynical, frustrated folks. And we don’t need help with that. Read more »
