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August 23, 2012 By e-Patient Dave 9 Comments

Neuropathy + chemo brain: Urgent request for expert consult

Lodewijk Bos portraitLodewijk Bos (Twitter @ICMCC), is a good friend in Holland – my wife and I have visited him twice. (My US friends always wonder about the name – Lodewijk (“lodevike”) is the Dutch equivalent of Ludwig.)

Lodewijk has an extraordinary medical history – he theoretically shouldn’t be alive today but he continues to beat all odds. One factor has been his incessant research: an ultra-e-patient, multi-degreed (bio here), author of several books, publisher of the great ICMCC site on health IT (“compunetics,” actually), and editor of the Springer journal Health and Technology, he stops at nothing.

Well, Lodewijk is “Unhappy again,” as he puts it mildly, at the end of his rope again, this time with pain and chemo fog.  I can’t explain it precisely so please see his post, pass this around, and if you find anyone who might be able to help, have them reply on his blog.

A few bits from his post:

On July 2 I had surgery on my left foot … from there on it went wrong, seriously wrong. I was told I should not stand or walk on that foot for at least two day. And I was sent off, on foot. So by the time I arrived at the reception desk 5 floors down … I was given new bandaging and this time someone went to find a wheelchair.

Previous conditions and treatments have left him with neuropathy (nerve damage, causing continuous pain). This new wound wasn’t healing, so days later he contacted a previous wound nurse, who …

… suggested a new kind of bandage Promogran Prisma. And lo and behold, it seems to work. [But] my neuropathy worsened.

The open wound on top of my neuropathy was already hell, but that diminished considerably after a couple of days. However, after applying the new bandage, my foot started hurting much more, but above all, my chemo brain came back in full force. [It can recur years after chemo ends.] When I get out of bed I stumble, having to catch myself not to fall.

After 5 minutes that acute problem disappears (balancing problems remain however), but then the next one appears. My eyes start to spontaneously turn [toward the] nose bridge, as if I were squinting. Which makes concentrating a very complicated business. Combined with the physical balance problems, it leaves me, activity wise, almost paralyzed. Oh, and my tinnitus is worse than it has been for years.

I sincerely hope that the wound heals soon. … walking is no option, the wound is over 1,5 cms large. .. and if you know of any neurologist who might be knowledgeable about this kind of problems, please contact me in the comment field.

Here’s hoping our network of connections can help this time.

Filed Under: e-patient requests 9 Comments

August 13, 2012 By e-Patient Dave 1 Comment

Amazing: THE Tom Peters to join our patient engagement session Tuesday

You can’t make this stuff up. Here I am, a cancer patient from Nashua, New Hampshire who goes around raving enthusiastically about engaging patients in better care, and out of nowhere, tomorrow in a session I’m running, Tom Peters has something to say, and asked to comment. So though he wasn’t planned as a speaker, he’ll be in my session.

Thud.

Tom Peters(That’s the banner from the top of his site, TomPeters.com.) He’s the co-author of the absolute classic business book In Search of Excellence, and sixteen books since then. Here’s his Wikipedia page, that book’s Wikipedia page, his Twitter @tom_peters, his other books.

So, what is mister Management Guru doing, asking to comment at a medical conference? In the interest of time, I’ll interview myself.

What’s this event?

This is at the Eleventh Annual Quality Colloquium, at Harvard, today through Wednesday. It’s a top-tier conference on improving quality and safety in medicine.

What do you mean by that?
[Read more…]

Filed Under: Events, patient engagement 1 Comment

August 8, 2012 By e-Patient Dave Leave a Comment

Introducing a new kind of “Q&A” after speeches


Often when I speak, there’s discussion. Sometimes it’s about nutrition. Reading the Boston Globe today, I spotted “F Minus” comic, with a new approach.:)

(If you can’t see the graphic, click to come view it on the site.)

Filed Under: public speaking Leave a Comment

August 3, 2012 By e-Patient Dave Leave a Comment

Information for the Association of Utah Community Health meeting

AUCH sealHere’s information for the talk I just gave to the good folks at AUCH, the Association of Utah Community Health.

  • This talk was based on the speech I gave last summer in Los Angeles at ONC’s “road show” for the people who are rolling out health IT. See this post last summer for all sorts of references and links.
  • You can subscribe (free) to this site (see the Subscribe block at right), e-patients.net (the blog of the Society for Participatory Medicine), and our Journal of Participatory Medicine.

At the live event Friday, we had technical glitches that prevented the planned Q&A, so I’ll invite those questions in comments here, where others can share them!

Filed Under: Health data, Participatory Medicine, public speaking Leave a Comment

July 23, 2012 By e-Patient Dave 9 Comments

New policy: publishing all my evaluations, full text

Source: http://office.microsoft.com/en-us/images/similar.aspx#ai:MC900439448|

One aspect of Obamacare is that the public’s ratings of healthcare providers will be published. A lot of providers are nervous about this, just as anyone is nervous about dumb things being said about them online.

But as I’ve often said in speeches, one thing healthcare lacks is the usual incentives we see in other industries: rewards when a job’s well done, consequences for when it’s not. And I sometimes tell providers, fear not: the public knows there are idiots online as well as good info; ultimately the truth will out. And yes, it’ll be messy along the way.

So I figure it’s time to practice what I preach. On my Testimonials page I’ve often published the evaluations I get from my speeches. But I’ve decided to start publishing all speech feedback, good bad and ugly.

I won’t blog them all (they’ll just go on that page), but to introduce it here’s the first one, posted with permission. (See discussion below.) [Read more…]

Filed Under: Business of Patient Engagement, public speaking 9 Comments

July 21, 2012 By e-Patient Dave 3 Comments

“Health IT can improve care, because information can improve care.”

Twitter friend Alicia Aebersold, at George Washington University, just reminded me of this quick video interview recorded last year. I’d forgotten! But I love what it says.

This spring I did a whole speech on the same topic, 35 minutes with slides. That video’s here.

Folks, do you (yes you, the person in your underpants) know what’s in your medical record? Your kids’? Your folks’? Now’s the time to ask – before those records become important in a crisis.

In my speeches I say “Let Patients Help.” Now it’s your turn: do the helping – help your healthcare providers. Make sure the info at their fingertips is correct. How else can they perform to the top of their training?

Filed Under: Health data, Participatory Medicine, patient engagement 3 Comments

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