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November 8, 2017 By e-Patient Dave 2 Comments

“Only two of our sewage leaks were in ORs.” KNOW YOUR HOSPITAL’S SAFETY GRADE.

Snapshot of USA Today article, Sept. 17, 2017.

I am way behind in things I want to blog about – I started this post eight weeks ago. It’s been a combination of crazy travel, lack of sleep, and a head-spinning disbelief about how messed up medicine is, on so many things, while in other cases it accomplishes stunning saves (like saving my life). Such wild swings in quality always mean a system is out of control, which means you better make a point of learning what you can about who manages things best.

Here’s one of those topics. I hope to be able to dump out all these thoughts, good and bad, in the coming weeks.

[Read more…]

Filed Under: patient safety 2 Comments

October 13, 2017 By e-Patient Dave Leave a Comment

Larry Weed, 1975: “The patient must have a copy of his own record”

This week I’ve had two new blog posts published on other blogs. This one’s close to my heart.

Dr. Larry Weed, who died in June, was a legendary physician, way way WAY ahead of his time in his vision for computers in healthcare, but also for his clear vision that if it’s your health, you need to be actively involved in managing it. AthenaHealth, a medical records system vendor, commissioned me to write a post about him, and it went live yesterday.

I had found a copy of his amazing 1975 book Your Health Care and How To Manage It, and found some astounding things in it. Please go read the post and see the quotes.

Bringing method to medical practice

[Read more…]

Filed Under: books, Culture change, patient engagement Leave a Comment

September 28, 2017 By e-Patient Dave 1 Comment

Essential e-patient training: the uncertainty of all information

Pexels.com – Creative Commons CC0 license

Below is a long comment I posted Wednesday on my neighbor @KevinMD’s blog. (Most of his widely read blog is articles he’s found elsewhere; he’s cross-posted some of mine.)

The post I replied to is a thoughtful submission by two grad students (one business school, one med school).  Their thoughts are valid but as you’ll see, the issue isn’t apps – this is part of a broader issue that every engaged patient (you!) should understand. Here’s my reply.

[Read more…]

Filed Under: Culture change, decision making, Participatory Medicine, Uncategorized 1 Comment

September 12, 2017 By e-Patient Dave Leave a Comment

See my cousin @McCullohMD on a special ABC 20/20 Weds night

Wednesday night (Sept 13) at 10pm ET, a special edition of ABC 20/20 will air, promoting a new series called “Good Doctors.” I’m thrilled to learn that my cousin Chris McCulloh, a third year surgical resident, will be featured.

I’d be thrilled to have anyone I know on such a highly visible show, but the extraordinary thing about Chris is that he almost didn’t enter medical school because a few months earlier he fell at home and end up with a spinal cord injury, paralyzing him below the waist.

Well, not only did he enter medical school, he’s a surgery resident now, planning to specialize in pediatric surgery! You’ll see he’s got a “standing wheelchair” and a whole lot of unstoppable e-patient baked in. Check it out! Watch! Be inspired like me! Links:

  • ABC’s Facebook post for this show, with preview video
  • Their Facebook page for the new series “The Good Doctor”
  • Follow him on Twitter
  • His occasional blog
  • His original blog, back to 2008, about his injury and such.

https://twitter.com/McCullohMD/status/907642507571462144

 

Filed Under: Uncategorized Leave a Comment

August 16, 2017 By e-Patient Dave 5 Comments

Rice bytes: best way I’ve seen to understand giga, mega, peta and such

I love anything that makes it easier for people to know what’s going on. Case in point: this tweet yesterday from Twitter friend David Grayson @Sasanof, from the IBM Watson Summit in New Zealand.

You can use this to understand enormous sums of money, too:

$1 = one grain of rice
$1000 = cup of rice
$1 million = 8 bags of rice
$1 billion = 3 trailer trucks of rice
$1 trillion = 2 ocean freighters (3,000 truckloads)
$3 trillion (the US healthcare budget) = 6 ships (9,000 truckloads)

When someone says a health improvement project will save (or cost us) $100 million a year, it’s a lot, but think:

  • The proposed amount is like 800 bags of rice.
  • The US health budget is 9,000 truckloads of rice

Puts it in perspective.

Thanks to @Green_Goddess, Caroline Taylor, CMO of IBM Global Markets, for the visualization, and to @Sasanof for tweeting it. Don’t I love how social media helps ideas spread??

Update next day:

One of my very early blog posts, on my old blog, was on this same subject. March 9, 2009: Comprehending the US healthcare budget. Here are the graphics from that one:


Here’s a million bucks’ worth of $100 bills. (That’s 100 packets of 100 $100 bills; each packet is 1/2″ thick.)


Here’s 100 times as much – a million hundred-dollar bills, $100 million:


Ten of those – a billion:


And a thousand of those – a trillion. Check out the little dude, who’s now in the bottom left corner:


And US healthcare is three times that size.

This helps me, for one, start to comprehend the magnitude of the problem. Something like that does not shrink willingly: lots of people would lose their jobs, including CEOs etc.  That’s why I liken US healthcare to “a tumor that doesn’t know how to stop growing and killing its host.”

Go back up and take a look at the size of one million in this picture. Urk.

Filed Under: cost cutting edition, Social media 5 Comments

August 11, 2017 By e-Patient Dave 4 Comments

e-Patient request: family seeks highly engaged pediatric GI

Smiling pediatrician with toddler and parent
Stock photo from FreeGreatPicture.com

The latest in the occasional series of e‑patient requests, in which someone asks me to post their search for information. No guarantees; sometimes we connect with answers, sometimes not.

I know nothing about the issues – I’m just forwarding the request. Please share on social media and/or forward this to anyone who might have suggestions. On social media, use the hashtag #PedsGI, to tap into that network. 

[Read more…]

Filed Under: e-patient requests 4 Comments

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