Category: Tech

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 […]

The one patient that drives physicians to burnout

We all have that one patient. That one patient who can always find a way to turn a good day bad, who just knows how to push your buttons in all the wrong ways. Who’s that patient for me? Let’s just call him Elton Reed. Oh, Mr. Reed … where to begin with him? When […]

The one patient that drives physicians to burnout

We all have that one patient. That one patient who can always find a way to turn a good day bad, who just knows how to push your buttons in all the wrong ways. Who’s that patient for me? Let’s just call him Elton Reed. Oh, Mr. Reed … where to begin with him? When […]

Is Watson the answer to all of our problems?

Last year, a cardiologist at my institution presented the story of a patient he had cared for and correctly diagnosed with a not uncommon condition after several other physicians had failed to do so. The patient was a 72-year-old man with near syncope after exercise for several months, with no other symptoms or clues to […]

Artificial intelligence in medicine: not ready for prime time

July was an interesting month for artificial intelligence in medicine. A study from MIT found when human doctors order tests on patients, they factor in something that artificial intelligence is not currently aware of. The authors analyzed charts of about 60,000 ICU patients admitted to Beth Israel Deaconess Medical Center in Boston. By looking at […]

I didn’t become a physician to do data entry

The trouble began when I needed to open the electronic health record (EHR) system for the tenth time that day. EHRs have significantly changed the way we practice medicine. They have completely eliminated the need for storage and transport of paper charts, reduced prescription errors secondary to illegible handwritings of physicians and provided an excellent […]

Physicians must reclaim the medical record

A guest column by the American College of Physicians, exclusive to KevinMD.com. I recently saw a new patient who came to our practice following a lengthy hospitalization. He is in his 80s with a fairly complex medical history typical of many in this age range. Yet, after carefully sifting through my first introduction to this […]

Technology ought to save lives. So why aren’t we using it better?

Technology can be both a blessing and a curse and nowhere is this more painfully evident than in the U.S. health care system. If technology is to be used to improve the patient-doctor relationship, its systems should be designed by physicians who understand these needs, not by regulators and health care conglomerates for whom business […]

Love smart functions in your EMR? This doctor doesn’t.

How smart do we want our electronic health record to be? Somewhere between as dumb as a piece of paper and a pen, and too smart for our own good. Many, many years ago, before we spent the majority of our office visit staring at a flatscreen LED and typing away, our charts were simple […]

If Facebook knows me better than my spouse, why does my doctor know so little?

A few months ago, I was on call and admitted a 65-year-old man to the intensive care unit for a flare of his chronic obstructive pulmonary disease (COPD). Although he had only gotten to the point of being unable to speak full sentences between gasps for breath for only a few days, his story started […]