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Democratizing Healthcare

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Search Results for: "skin cancer"

March 25, 2012 By e-Patient Dave 20 Comments

Let Patients Help, Cost-Cutting Edition, Part 3: Shopping for my next CT scan

Since November  I’ve been blogging about what happens when a patient tries to help control costs, in my cost cutting edition posts. Most recently I noted that this stuff takes time, especially since our glorious American healthcare system seems to be set up to block our access to what things actually cost … or at very best, we have no channels and pathways to let us find the information.

Well, ladies and gents, I’m fed up.  I have to get on with life.  I’ve been trying to be a responsible, engaged patient, and if the established channels won’t make it easy for me to find out what I need to protect myself, I will blow the whistle, announce what I’ve found so far, and move on. And we’ll take it from there.

I’m leaving tomorrow for 11 days of work in more sane countries – Switzerland and Holland – so I’m going to report the status here.

A caution and apology at the outset: I expect this will be read by some of the people I’ve spoken to at these companies. A lot of the frustrations I express here are because we couldn’t connect. I am grateful for your effort; you’re just too hard to reach, which is a problem if you’re the only one at your company who can help with this kind of work. I will appreciate your continued effort as we work through this change in American healthcare.:)

Later I’ll blog about the results of my research into my basal cell carcinoma. But for today, let’s just look at the simple (you would think) matter of getting an important CT scan.

[Read more…]

Filed Under: cost cutting edition 20 Comments

February 21, 2012 By e-Patient Dave Leave a Comment

Experiences exploring BCC patient communities, part 1

On my first post about my BCC (basal cell carcinoma), seeking patient communities and other information, I was pleased that people submitted four communities.  I posted them to my very informal patient communities page:

  • Basal cell carcinoma
    • EmpowHER basal cell community
    • PatientsLikeMe basal cell skin cancer
  • Generic skin cancer
    • American Cancer Society: http://csn.cancer.org/forum/145
    • Inspire.com: http://www.inspire.com/groups/skin-cancer/

Tonight (Feb 20) I’m exploring them for the first time.  I didn’t find any useful information yet, so you may want to come back another day.:)

  • If you know of other communities, please submit the URL in a comment below.

This won’t be of interest to most people – it’s mostly for people who want to study what a site should be, and the process of exploring.

Preface – my purpose and context

[Read more…]

Filed Under: Uncategorized Leave a Comment

February 20, 2012 By e-Patient Dave 3 Comments

It turns out being an engaged patient/consumer takes time.

Boy, is this interesting.  Five years ago when I found out I was dying, I quickly dropped everything. I quoted Samuel Johnson:

“Depend upon it, sir, when a man knows he is to be hanged in a fortnight, it concentrates his mind wonderfully.”

My median survival of 24 weeks was more than a fortnight (two weeks), but it sure focused my mind: I quickly joined the patient community on  ACOR, paid close attention, and acted quickly.

This time, mere skin cancer is not doing the job. I got a lot of good feedback to my RFP, and I want to process it, arrive at a plan and get it in gear, but I haven’t done a single thing with it yet. This post is a start.

Approach:

  • I have a lot of travel coming up, and that needs to mesh in with my providers’ plans, complicating things further. So:
    • Just as I dropped my participation in South By Southwest, I’m cancelling many other plans this week. It means I won’t be able to meet up with everyone I’d like to, but I’m already not getting enough sleep.
    • I just posted an out-of-office email message saying that except for current customers, I’ll be ignoring email.
  • I’m going to start blogging smaller chunks as I gather them … I have a tendency to want to write BIPs (Big Important Posts), and that’s not working.

First reports:

[Read more…]

Filed Under: cost cutting edition, Uncategorized 3 Comments

February 16, 2012 By e-Patient Dave 5 Comments

Yo, y’all: I’m FINE :)

Thank you, all of you who’ve written to express concern. But I seem to have come across as more concerned than I am.

Yeah, I have Stuff To Deal With.  Skin cancer (yawn), eye drops (irritating actually) & tests, and dental stuff (annoying cost-wise but I have a damn good dentist I’ve been with since 1980 … post-grad work at the Pankey Institute, heavily patient-centered). Yeah, I have Stuff. But I’m fine. (See the photo, right, taken two weeks ago in San Francisco with the amazing Hugo Campos, whose “gimme my data” TEDx talk is the recent darling of the e-patient world. He Photoshopped a background of numbers into it – wish I could do that!)

I’m not depressed.

I’m not gloomy.

I’m not worried. (This bears no resemblance to metastatic kidney cancer.)

[Read more…]

Filed Under: Uncategorized 5 Comments

February 15, 2012 By e-Patient Dave 5 Comments

New diagnosis means I can’t attend South By Southwest

Back in August I blogged about my proposal to speak at South By Southwest, the super-hip high impact event every winter in Austin.  In October I was thrilled to announce that my proposal was accepted: Let Patients Help: Why Healthcare Must Wake Up.

Well, I have to cancel. It’s an unhappy side effect of two things:

  • My skin cancer diagnosis, and a couple other items (below), will hit me with $7,000-$10,000 of unplanned medical bills.
  • South By Southwest is such a competitive event that not only do they not pay speakers, you have to pay all your own expenses (travel, lodging, meals).

[Read more…]

Filed Under: Events, public speaking 5 Comments

Patient Communities – a starter list

Last updated 4/28/2019. See others in comments below that I haven’t added here yet.

There are many, many more communities than the few listed below. Post them in a comment, and I’ll add them here when I can.

Special note for rare diseases: NORD (National Org of Rare Diseases) and GARD (Genetic and Rare Disease Info Center) are good places to start. Friend Larry Fagan sent this GARD tutorial on hunting down specialists when a disease is so rare that docs are hard to find.)

Please note:
I don’t have the resources to check these out myself.
As with everything you do online, “shop wisely.”

And my advice is: Never assume that any one source is perfect –
no patient community, no book, no web site, no journal article, no physician, no nothing.
As ACOR founder Gilles Frydman said, “All knowledge is in constant beta.”

You are responsible for the information you gather;
check and re-check.

Kidney cancer:

ACOR’s kidney cancer group is now at SmartPatients.com.
Robin Martinez, who was the heart and soul moderator of the ACOR group I joined,
now works at SmartPatients. 

Lists of communities, lists of lists:

  • ACOR: The home page has a master list of ACOR cancer patient communities.
    • An ACOR community is not web based; it’s just an email list (Listserv®).
      • New method (2012): Click the community name to get a JOIN screen.  Here’s the one for kidney cancer: http://www2.acor.org/listservs/join/72
      • Old method (still works): You subscribe and unsubscribe by email.
    • All ACOR lists work the same; as you’ll see, each has a name, e.g. KIDNEY-ONC for kidney oncology and NHL for Non-Hodgkins Lymphoma. Look for your cancer, and click it.
    • You subscribe or unsubscribe to an ACOR list by simply sending a special email to a particular address. Instructions are on each disease’s page.
    • For instance, here’s what it says for non-Hodgkins lymphoma (the “NHL” list):
      “To subscribe, send mail to LISTSERV@LISTSERV.ACOR.ORG
      with the command (paste it!):    SUBSCRIBE NHL”
    • ACOR has communities for many cancers; some groups are big and busy, some are small and not very active.
  • Inspire.com has a large list of communities.
  • Patients Like Me used to be primarily for some neurological conditions but their fabulous software is now available for any disease.
  • CureTogether has communities for a number of conditions
  • Webicina is a great website that’s a growing library of resources for e-patients.
    • Here is their list of patient community sites. It doesn’t yet identify which cancers each site supports, so you have to open each one and look. (Disclosure: I’m an unpaid advisor to this site.)
  • Andrew Spong / patient communities is a StumbleUpon list curated by U.K. friend Andrew Spong.
  • Dose of Digital has a list.
  • Commenter Elaine Finn added her list on Patient Loving Care.
  • RareShare, “a unique social hub building communities for patients, families, and healthcare professionals affected by rare disorders..”
  • “CancerConnect.com … offers comprehensive cancer information, organized by disease and stage. It is also a free social network for patients, survivors, and caregivers. Members can join one or more of the many ‘communities’ offered.” – from Laurie in a comment below
  • Social Medicine, dozens of disease specific communities.

Specific diseases and conditions: (more or less alphabetically)

  • Autism: My Autism Team
  • Breast cancer: There are many breast cancer communities. Two to know:
    • The most amazing to me is BCSM.org, a non-profit that arose out of the weekly #BCSM Breast Cancer Social Media twitter chats. 100% patient-centered and patient-driven, with expert professional help from generous oncologists.
      • Here’s their Facebook page and Twitter account @BCSMChat.
      • The weekly tweetchat is at #bcsm, but of course anyone can tweet to a hashtag anytime.
    • My BC Team
    • Be aware that Komen’s annual “Pinktober” marathon has much controversy around it. Here’s the Wikipedia discussion. As always, have your eyes open.
  • Colon cancer: Colontown at Chris4Life.org (foundation)
  • Crohn’s Disease (and sometimes colitis):
    • Crohnology.com (thanks Ryan Witt)
    • Crohnsforum.com (Ken Spriggs et al)
    • Crohn’s on Angelfire.com: list of Crohn’s organizations by continent (via Kathi Apostolidis)
    • ISCC Irish Society for Crohn’s and Colitis (via Kathi again)
  • Depression: See Mental Health below.
  • Diabetes:
    Caveat: Type 1 diabetes (auto-immune, typically diagnosed in childhood) and Type 2 diabetes (an insulin uptake deficiency, typically acquired at 50+) are two different things. Be sure you know what you’re looking at – many articles say “diabetes” when they only mean Type 1, or “diabetes prevention,” which is only possible with Type 2. Also, pre-diabetes is a loosely defined condition with no online community that I can find – look into the Diabetes Prevention Program (DPP). It worked for me, at my local YMCA.

    • DiabetesMine, the original, created by Amy Tenderich and now part of HealthLine
    • TCOYD (Take Care of Your Diabetes), created and run by Steve Edelman MD (a Type 1 patient himself)
    • diaTribe, an extraordinary research and analysis outfit run by Kelly Close
    • The amazing TuDiabetes – “community of people touched by diabetes” at Diabetes Hands Foundation
    • For parents of children with diabetes:
      • Helaine Ciporen’s T2 Diabetes Families
      • American Diabetes Association Parents Forum
  • Encephalitis Global is described in this post on e-patients.net.
  • Endometrial cancer: see the responses on this post.
  • Eye Diseases: a community on Inspire.com was added below by Brhamesh.
  • GIST: Liferaft Group, GIST Support International
  • Lung cancer:
    • Dr. Jack West at Swedish Medical Center also runs GRACE: Global Resource for Advancing Cancer Education. Here’s their lung cancer page.
    • ACOR’s lung cancer communities:
      • Non Small Cell Lung Cancer: http://www2.acor.org/listservs/join/81
      • Lung Cancer Online Community: http://www2.acor.org/listservs/join/82
      • Small Cell Lung Cancer: http://www2.acor.org/listservs/join/83
    • Inspire.com’s lung cancer community
  • Mantle Cell Lymphoma (MCL): My almost-college-classmate Larry Fagan, MD, PhD manages ACOR’s MCL list and has created this list of tips and resources.
  • Mental Health:
    • PsychCentral is one of the oldest and best managed peer communities anywhere, on any conditions.
    • BigFeels.Club is a brand new peer-to-peer site just started in 2018, growing like a house afire.
  • Look for a clearly labeled About section that says who they are and where the money comes from

    Mesothelioma: There are lots of liability lawsuits about this asbestos-related condition, so be aware of websites that are funded by attorneys who may only be looking for new lawsuits where they can take a cut. On the other hand, some such sites spend money to produce lists of resources that may truly be useful to you. As always:

    • Keep your eyes open, think for yourself; be informed and engaged (e-patients)
    • Never let anyone pressure you into anything.
    • Any ethical site will have a prominent “About” page, like the one at right from the MARF site, saying who they are and where the money comes from. (Fine print at bottom of page doesn’t count – that’s slimy.)
    • Having said that, here are some sites:
      • Mesothelioma Applied Research Foundation (that’s their About menu)
      • ADAO (asbestos disease awareness org)
      • Heather’s page on mesothelioma.com (NOT patient-based as the name suggests – it’s an attorney-based site. The sponsor’s name is in fine print at bottom of the page)
  • Multiple Sclerosis: Inspire.com’s MS community
  • Parkinson’s Disease: see this post (Jan. 2012) with resources from Peter Schmidt of the National Parkinson Foundation.
  • Preeclampsia Forum for patients that have or had preeclampsia or other hypertensive diseases in pregnancy. The website is informative and the forum (link below) is a great support and information network. – from SPM member Ileana Balcu
  • Prostate cancer: 
    • UsToo.org is specific to prostate cancer.
    • Health Unlocked is another great “community of communities.” (A friend just told me the patients in his prostate cancer community there often know things his doctors don’t.)
  • Sarcoma: See discussion in this Nov. 2013 blog post.
  • Skin cancer communities:
    • Basal cell carcinoma
      • EmpowHER: an actual basal cell community – sweet! Major props to my chorus buddy Kurt Boutin!
      • PatientsLikeMe basal cell skin cancer (Thanks to Robert Dellavalle)
    • Generic skin cancer
      • American Cancer Society: http://csn.cancer.org/forum/145 (Thanks to Jamie Toth)
      • Inspire.com: http://www.inspire.com/groups/skin-cancer/ (Thanks to SCAD sister Laura Haywood)

________

Places to find clinical trials:

When an accepted treatment doesn’t exist, or has failed, clinical trials for unreleased drugs can offer additional options. Some options:

  • Clinical Trial Select
  • FindMeCure.com
  • Antidote.me (I used to be on their advisory board – see my page with their search widget)

Additional resources about many diseases:

SPM member and friend Larry Fagan MD PhD writes, “I received this info from the MedlinePlus folks at the NLM” [National Library of Medicine]:

  • Local and National Support Groups by Disease (not necessarily online groups)
  • Organizations that provide health information
  • Directories of health and related services

He adds, “Elsewhere at NIH, these resources may also be helpful:”

  • Support groups for cancer (NCI)
  • Support groups from Healthfinder.gov

An editorial comment about the above:

MedlinePlus uses specific criteria to determine which websites they link to for patient oriented medical information. Because of the home grown nature of some of the online communities many websites may not meet those guidelines, even though they can contain very useful information. (See Larry Fagan’s post on the NLM blog.)

Of course the internet is huge (duh) and nobody has a comprehensive list of websites, and besides, it’ll change by your next meal. So I’m publishing the list above, and as I said at the top, it has the following caveats:

Never assume that any one source is perfect –
no patient community, no book, no web site, no journal article, no physician, no nothing.
As ACOR founder Gilles Frydman said, “All knowledge is in constant beta.”

You are responsible for the information you gather;
check and re-check.

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