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Health 2.0: Is It A Threat To The Medical Profession?

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The Internet has threatened journalism. Clay Shirky has said that everyone is a media outlet. An Internet connection and blogging platform makes everyone a publisher. Can the mass professionalization of journalism be applied to medicine or health? Can access to a broadband connection outfit a citizen to think and act like a physician?

There are pieces of what physicians do that can be replicated, and other pieces that can’t. The technical things that doctors do can’t be replaced. Removing an appendix or replacing a heart valve, for example. Tough to pull off on CureTogether.

But what about the thinking? After all, patients have access to the same information, references, and literature as physicians. Unfettered access to information can create an illusion. It can give us a false sense of control. Read more »

*This blog post was originally published at 33 Charts*

The Google Body Browser

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b2bzsd.jpgGoogle has released an awesome in-browser anatomy viewer to demo the new 3D graphics capabilities of their Chrome development version. It lets you explore the human body in all its glory in a Google Earth-like fashion. Individual anatomic layers (skin, muscles, bones, etc.) can be selected or deselected for viewing, but can also be made semi-transparent on an individual level. Labels can be displayed, and all anatomy is fully searchable.

The catch is you will need a WebGL enabled browser to try it. WebGL is a technique that enables 3D graphics within the browser without the use of plugins. Chrome 9 Dev Channel, Chrome Canary Build and Firefox 4 beta have this enabled by default. In Chrome 8 (the current stable version), you can enable it by going to about:flags (type it in the address bar), and from there enable WebGL. Below are two videos, one demonstrating the body browser, and one of a presentation by the developers.

Link: Google Body Browser…

(Hat Tip: Google Operating System Blog)

*This blog post was originally published at Medgadget*

The 12 STIs Of Christmas

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My yearly Christmas favorite reposted, courtesy of the British National Health Service (BNHS):

The 12 STIs Of Christmas

(Click on the title image to watch)

I have seen several searches of this blog for the BNHS and wondered why. The answer: The site no longer carries the wonderful show, for reasons unknown to me. As for the searches, I guess the Christmas season has people thinking about sexually-transmitted infections (STIs) set to a Christmas tune.

Merry Christmas!

*This blog post was originally published at GruntDoc*

Is It Bad Patient Behavior Or Poor Doctor-Patient Communication?

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It seem like everyone these days is focused on changing some aspect of patient health behavior. You know — getting patients to get a mammogram or PSA test, exercise more, take medications as prescribed, or simply becoming more engaged in their healthcare. If only we could change unhealthy patient health behaviors, the world would be a better place.
 
I agree with the sentiment, but I think that patients and their health behavior often get a “bad rap” from healthcare professionals. I would even go so far as to say that much (not all) of what we attribute to poor patient behavior is more correctly attributable to ineffective doctor communications with patients.

In my last post I talked about the link between strong physician advocacy, e.g., I recommend, and desirable health outcomes, i.e., patients getting more preventive screening.
 
Here’s what I mean. Mammography studies have consistently shown that screening mammograms rates would be much high if more physicians “strongly recommended” that women get screened, e.g., “I recommend” you get a mammogram. In studies where physicians advocated for screening, mammography screening rates were always higher compared to physicians that did not advocate for them. The same phenomenon can be found in studies dealing with exercise, weight loss, colorectal cancer screening, HVP immunization, and patient participation in clinical trials. Read more »

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

Diabetes Camp: How You Can Help

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I loved diabetes camp. Actually, that should be in present tense because I continue to love diabetes camp, even though I’m not a camper anymore. Attending Clara Barton Camp for those five summers changed the way I looked at life with diabetes, and my health has always been better for it.

But I’ve talked about camp before. I’d love to play a role in sending other kids to diabetes camp. And thankfully, we as a community now have that chance.

The Diabetes Education and Camping Association (DECA) is in the running to win one of the Pepsi Refresh Project grants. If they earn one, they’ll use their winnings to send kids to diabetes camps and will also arm them with digital filmmaking skills so that the campers can chronicle their experiences with type 1 diabetes. As a diabetes camp alum, a patient advocate, and the wife of a filmmaker, I think this is a fantastic idea. Read more »

*This blog post was originally published at Six Until Me.*

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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