September 14th, 2009 by Berci in Better Health Network, News
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At this year’s British Science Festival, Tracy Alloway, a psychologist from Stirling University, said the following:
Some examples of what can hurt or harm working memory include things like Twitter. When you’re receiving an endless stream of information when you’re a ‘tweeter’, it’s also very succinct, so there’s no need to process or manipulate that information, it’s not a dialogue unlike something like Facebook where you might be updating your status and so on.
Fortunately, Mark Henderson at Times Online puts things in the right place:
Most people I know who use Twitter see it as an interactive tool for conversing with wide groups, and for drawing like-minded people’s attention to information that might interest them. It’s interactive, full of links, and information-rich. It’s a misconception that the 140-character limit makes depth impossible. In fact, to me, Twitter seems to build social networks just as effectively as Facebook, which Alloway thinks might improve working memory.
Mark is right, and I have a few examples that can explain why I think so:
*This blog post was originally published at ScienceRoll*
August 2nd, 2009 by BarbaraFicarraRN in Better Health Network, Health Tips
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I use Twitter and I like it. As a registered nurse, twitter helps me promote health and wellness and it helps me educate the public on vital health topics.
It allows me to tweet about an upcoming radio show, link to informative websites and blogs, or retweet (RT) a tweet.
I can read about the latest breaking health news, learn about the latest in health 2.0 and
sometimes it simply allows me connect with colleagues and consumers in a fun and friendly fashion.
Twitter has become a source for obtaining the latest news and information. Short snippets of info flow to and fro faster than you can say “uncle.”
In 140 characters or less you can say what you need to say. While some tweets aren’t relevant, I mean really, do we need to know that you’ve waiting in a long line at Starbucks for your café latte? No, but sometimes the mundane tweets helps humanize you a bit.
Tweeters
When a Tweet passes my way that is directed from Dr. Sanjay Gupta, CNN (@sanjayguptacnn), Gwenn O’Keefe, MD, (@drgwenn), Jennifer Shu, MD (@livingwelldoc), Val Jones, MD (@drval), Kevin Pho, MD (@kevinmd), CDC, (@cdcemergency), Daniel Sands, MD (@DrDannySands), or American College of Emergency Physicians (ACEP), (@emergencydocs); just to name a few, I can feel good knowing that the 140 characters or less of info is accurate, reliable and trustworthy.
Educate the Public
Doctors, nurses and other health care professionals can provide accurate,complete, reliable and trustworthy health information.
Tweeting is the perfect opportunity to help educate the public.
I asked three doctors who use twitter to share their thoughts. Here’s what they said:
Kevin Pho, MD, a primary care physician and a nationally recognized medical commentator who publishes provocative medical commentary at KevinMD.com –
Twitter offers an opportunity for doctors to provide instant feedback, faster than they can even from blogging. This can range from providing updates on surgery, which Detroit’s Henry Ford Hospital has done, to giving opinions on the latest, breaking studies. Twitter can provide more transparency to what goes on in the physician’s world, and allow both patients and other doctors to interact with one another in a quick, convenient way.
Gwenn O’Keefe, MD, pediatrician and editor, pediatricsnow.com –
When we graduate medical school and say the modern Hippocratic oath, we promise to not only do no harm but care for people by respecting the society in which they live. Like it or not, technology is part of that society so we have a responsibility to not only respect it but learn it and use it for the greater good of family health in whatever ways necessary and on whatever platforms are available.
Daniel Z. Sands, MD, Director of Medical Informatics at Cisco IBSG and a primary care physician at Beth Israel Deaconess Medical Center –
By following tweets from health information sources that they trust, people can get general health tips, preventive health information, disease specific information, and even suggestions about to be more engaged in their healthcare. You might also get health coaching from a health professional, a health coach, or even peers (“Did you exercise today?” “I walked 5110 steps today—how many did you walk?”).
The take-away message
Everyone needs to be alert regarding the tweets they receive. Just because a tweet is about a health topic, that doesn’t mean it’s accurate.
Health consumers need to check the source. Doctors and nurses can help educate the public on vital health topics with information that is accurate, reliable, and trustworthy.
You can follow me on twitter @barbaraficarra. Thanks!
This topic continues on today’s Health in 30 Radio Show on WRCR at 12:30 pm EST. Kevin Pho, MD will join me to talk about “Doctors and Social Media.” For more info please go to Healthin30.com.
*This blog post was originally published at Health in 30*
July 27th, 2009 by Nicholas Genes, M.D., Ph.D. in Better Health Network, News, Opinion
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Friends visiting New York City this summer keep asking if it’s safe. As in, will they be catching and suffering from novel H1N1 (swine) flu.
I like to think my friends are pretty sharp, discerning folks (after all, they’re choosing my company) so I have to attribute these inappropriate questions to a wider problem.
For reference, here’s the latest and thought probably not last NYC DOH guideline on H1N1, which notes about 900 hospitalization and 45 deaths in H1N1+ patients over three months. About three quarters of these patients had at least one risk factor such as existing lung disease.
This deaths and hospitalizations are concerning, naturally, but some perspective is in order: as many as half a million New Yorkers have been infected with H1N1, and this spring in US cities, we actually saw a smaller fraction of deaths due to infectious respiratory illness, compared with 2008. Also, for reference, based on data from a few years ago, I’m guessing that any given three month period, there are between 10,000 to 15,000 deaths in New York City.
So why were ED’s swamped in May? Why are my friends still afraid to come to NYC? Dr. David Newman has some thoughts in EPMonthly:
…with constant messages of swine flu lethality on the nightly news, it is little surprise that ED’s in New York City, departments in a chronic state of over-crowding and crisis, were soon bursting at the seams with record volumes. In some institutions daily ED volumes doubled, as EP’s worked through third-world conditions of extreme crowding, questionable hygiene, extended wait times, and swarms of infectious, coughing congregates all within arm’s reach of each other.
The impact is clear: lives were lost. High quality studies have shown repeatedly that when ED’s experience crowding patients in need of rapid, high intensity care are identified later, treated more slowly, and devoted fewer resources. Mortality goes up during crowding in virtually every condition that has been studied, including MI, sepsis, and others. The irony is stark: Once a critical mass is reached, the more that come to be saved, the fewer we can save.
…The overall management of information during the swine flu of 2009, despite some progress in our access to information, was misguided and dangerous. Frantic media outlets drove a nation to fabricated fears, while state-level institutions not only failed to contain or counteract these messages, but also used expensive, fruitless, prescription-only pills, available to most only in their local ED’s, as a means of false comfort. Instead of using honest information to provide safety, comfort and education, the approach created panic, cost money and resources, and took lives.
All of this was preventable and is reversible for the future. There is no reason why the media cannot be recruited into the information dissemination process…
Unfortunately, there is a good reason why: Responsibly framing public health risks is no longer a role that suits traditional media. They’ve decided it’s just not in their interest.
I remarked on this years ago with West Nile virus, which never will never kill as many as, say, food poisoning or swimming pool accidents.
There are many factors driving the public appetite for health risk information — and that’s understandable. I think it’s even ok for news organizations to shuffle around reporting to some extent, to satiate those desires.
But what happened in NYC this spring was media malpractice — night after night, opportunities to put the risks of swine flu in perspective were passed up for breathless reporting. I recall one occasion in which a phalanx of reporters were camped outside a hospital I worked at, providing next to no detail about an infant who died it respiratory distress. It turns out this child did not have H1N1, but communicating that was not a priority — by the next day the lead story was ED’s are overcrowded and schools are closing.
EPMonthly ran a nice sidebar from Dr. Jim Augustine, enumerating the ways in which ED docs can engage the media to get the right message out.
But I’m more encouraged by approaches to bypass traditional media and reach patients directly. Yesterday I heard some encouraging news from the CDC: their emergency twitter feed has over 500,000 followers. Millions saw their videos. This is amazing reach, for public health communication.
It wasn’t enough to help ED’s this spring. But individual hospitals and the CDC is ramping up their use of social media, even as traditional news sources decline in influence. It’s really the first good viral news I’ve heard in a while.
*This blog post was originally published at Blogborygmi*
July 25th, 2009 by MotherJonesRN in Better Health Network, Health Policy, Opinion
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“The doctor will see you now.” I’m hoping to hear those golden words soon because I’m sitting in my primary care physician’s office on my day off from work. I’m lucky that I have a primary care physician who is still taking new patients. Did you know that a lot of primary care doctors are struggling to keep their doors open? That was just one of the issues that healthcare bloggers were talking about last week in Washington, D.C.
I was honored to receive an invitation to serve as the official Twitter Reporter for Better Health’s Putting Patients First event. The summit on healthcare reform took place last week at the National Press Club in Washington, D.C. I sat under the Twitter Gallery sign (pictured above) during the conference. The experience was amazing, but I’d like to make two suggestions to the management of the National Press Club. First, please install more electric wall sockets in your building. There were no wall sockets to plug my computer into during the conference, so my battery almost went dead while I was tweeting. Next, please have Anderson Cooper onsite when I’m in the building. He’s hot.
I was happy to finally get to meet the people behind the blogs that I read everyday. I met Kim from Emergiblog, Dr. Wes, DrRich, Dr.Rob, Dr.Kevin, and Better Health contributors Dr. Alan Dappen, Valerie Tinley, NP and Dr. James Herndon. I sat in the Twitter Gallery with Kerri Morrone Sparling from Six Until Me , Dr. Edwin Leap, and Evan Falchuk from See First Blog. I also got to meet Lisa Emrich from Brass and Ivory, and Duncan Cross. I think Kim was a knockout in her new Calvin Klein suit. Note to Fox News: You need to hire Kim as one of your Sunday morning talking heads. She has a lot of good ideas about healthcare reform and she looked right at home at the National Press Club. She also comes complete with her own professional wardrobe.
Every blogger expressed their personal viewpoint about healthcare reform at the conference. The bloggers were not told what to say, and I was not told what to tweet, or what comments to make before, during, or after the conference. We came to D.C. to add our voices to the healthcare debate. No, I didn’t agree with everything that I heard during the conference. I thought a lot of the information presented by the keynote speakers was bunk. I’m in favor of a public option healthcare reform bill, and I don’t like the disinformation being spread via partisan politics about this important issue. I get infuriated when members of Congress from both sides of the aisle play partisan politics while my patients languish in a healthcare system that’s literally killing them. I’m really very frustrated, and I’m just like everyone else in this country that wants to give our politicians a good swift kick in the butt. What gives me hope is seeing good people from both sides of this debate coming together at a healthcare blogger conference in Washington, D.C. Healthcare providers truly want to put patients first.
*This blog post was originally published at Nurse Ratched's Place*
