The Kaiser Health News article, “Spurred By Convenience, Millennials Often Spurn The ‘Family Doctor’ Model,” caught my eye. Millennial patients want “convenience, fast service, connectivity, and price transparency” while doctors and health experts worry about “fragmented or unnecessary care, including the misuse of antibiotics” and loss of “care that is coordinated and longitudinal.” It’s as […]
Category: Tech
In a nutshell: technology and progress in health IT
We have a new electronic medical health record system at our hospital. It was introduced with what I believe is a short and ineffective training program for physicians followed by a far too short on-location use of experts to help the doctors and nurses learn the new system. It is frankly a pain in the […]
EHRs are killing medical innovation
To paraphrase Bill Gates: “The purpose of humanity is not just to sit behind a counter and do things. More free time is not a terrible thing.” I have innovated. I developed a mutation assay. I discovered that vacuum ultraviolet light from excimer lasers is safe to use on human tissue. I invented an imaging […]
Why physicians should embrace fitness trackers
I mused while staring blankly towards the electronic tracking board, where I foresee reading the triage call “My tracker said, I have AFib.” I delved into what is in my armamentarium to handle this crisis of the digital age. The stethoscope around my neck suddenly seemed archaic. We the physicians have resigned to the redundant […]
CURES is not a fix for the opioid crisis
The California Department of Justice mandate to consult CURES (Controlled Substance Utilization Review and Evaluation) prior to prescribing, ordering, administering, or furnishing a Schedule II, II or IV controlled substance becomes effective on October 2, 2018. The law states that CURES must be consulted the first time a patient is prescribed, ordered or administered a Schedule […]
The practice of medicine has experienced its own version of climate change
When you or a loved one is sick or injured, health care decisions are fundamentally a matter of trust. You trust your physician will have the answers you need, because you know that, as a highly-trained medical professional, they’re qualified to make the best recommendation for each and every patient under their care. Physicians receive […]
Should the Apple Watch monitor your heart?
The announcement that the next iteration of the Apple Watch can both monitor the wearer’s heart rhythm and, if a suspicious reading emerges, perform an electrocardiogram, could be a boon for users and their doctors. Or it could be a massive headache for the health care system. The new watch continuously monitors the wearer’s heart rate. It […]
Will artificial intelligence ever replace doctors?
Increasingly, we see functions executed by machines that were formerly performed by living breathing human beings. Examples range from the mundane to the preternatural. Order food and drink from an iPad. No server needed. Driverless auto travel. This may lead to a resurgence in prayer. Pilotless air travel. Hard times ahead for the Airline Pilots […]
The EHR is autistic
Ironically, the same electronic health records (EHRs) initially designed as a tool to help physicians diagnose diseases have largely evaded diagnostic scrutiny. Talk to physicians who utilize them on a daily basis, however, and it becomes abundantly clear that today’s EHRs are ailing. They are adding hours to the physicians’ workday, siphoning attention from patient […]
Beware the limits of telemedicine
I’d be willing to bet most of you have heard of, or previously used, telemedicine in some shape, form or fashion. Stated simply, telemedicine is the process of seeking care from a medical provider using your phone or laptop. This field is exploding, and I have no doubt popularity will continue to grow as large […]