Category Archives: Health & Medicine

When experts don’t seem so “expert”

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This is an excerpt from a post by Terry Heaton, one of the handful of thinkers I look to first for an understanding of what’s happening in the world. The link to his post is below, but the following paragraphs can stand on their own.

Our culture is based upon hierarchical layers of “expertise,” some of it licensed by the state. This produces order, which Henry Adams called “the dream of man.”

It also produces elites, the governing class, those who call the shots for others not so fortunate as to occupy the higher altitudes. This is the 1% against which the occupiers bring their protests, their dis-order.

We used to think that elites and hierarchical order were necessary for the well-being of all, but that idea is being challenged as knowledge — the protected source of power (and elevation) — is being spread sideways along the Great Horizontal. It’s not that we’re so much smarter than we used to be; it’s that the experts don’t seem so “expert” anymore, because the knowledge that gave them their status isn’t protected today. Anybody can access it with the touch of a finger.

This is giving institutions fits, and each one is fighting for its very life against the inevitable flattening that’s taking place. Medicine wants no part of smart and informed patients and neither does the insurance industry. The legal world scoffs at the notion that they’re in it for themselves as they occupy legislatures and create the laws that work on their behalf. Higher education increasingly touts the campus experience over what’s being learned, because they all know that the Web has unlimited teaching capacity. Government needs its silos to sustain its bureaucracy, but the Great Horizontal cuts across them all.

I added the emphasis in graf 3. For me, this is The Big Idea of the early 21st century. The high-speed smart phone in my pocket means you don’t necessarily know more than I do, so why the fuck should you be in charge?

What an exciting time to be alive. And sure to get exciting-er.

 

Hospital room of the future?

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According to this post at Fast Company, this might be as close at 10 years away. I don’t want to spendy any time in the hosptial but this would make the stay less awful.

“The room is constructed as a plug-and-play environment in which customizable, prefabricated components integrate all aspects of care. The Patient Ribbon, for example, is a digital, silent, flat screen headboard that captures vital signs, houses gases, and holds the controls for all forms of lighting in the room. Ruthven says it’s possible that it will be the first component to be integrated in existing hospitals in the next five years. A media center at the foot of the bed facilitates collaboration between caregivers, patients, and visitors, and provides connections to multimedia entertainment and hospital information.

While most of the medical care is conducted within the patient room, several key functions for patients, staff, and visitors occur at the entry to the space. Namely, the Staff Resource Station features sliding doors made from smart glass technology and includes digital alerts for patient allergies, food restrictions, or special conditions.”

I’m guessing health care will be really good or really bad. Probably both, depending how wealthy/poor you are.

Carnivores Anonymous

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It’s been almost a week since I ate meat. No, I am not going Vegan or vegetarian. I like meat. Barb’s delicious pulled pork; her smoked chicken wings; a Sonic Burger; even the occasional baloney sandwich. I grew up eating meat. And probably will again. This is just a little experiment. It’s a terrible analogy, but I’m reminded of recovering alcoholics who stay sober one day at a time.

As meal time approaches, I decide if there is any alternative to meat that sounds appetizing. And, for the past week, there has been. I’m not sure what has brought this on or how long it will last but it has been easier than I would have thought.

I don’t think I have any strong moral concerns regarding eating meat. On the other hand, if I had to kill the cow or the chicken, I’d pass.

I should confess I don’t have a real “love” for food the way some do. It’s just fuel for my engine and pretty much any fuel will do.

Not sure where I stand on leather shoes.

Memory is fiction

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A recurring theme in some of my recent reading has been the nature of subjective time. Among other insights, that the past and the future are delusions, created by the mind. This is a little easier to grasp for the future. Any ideas we have about what is going to happen is clearly fiction. But the past feels more “real.” It happened. I remember it. But that’s fiction as well.

“A memory is only as real as the last time you remembered it. The more you remember something, the less accurate the memory becomes. The larger moral of the experiment is that memory is a ceaseless process, not a repository of inert information. It shows us that every time we remember anything, the neuronal structure of the memory is delicately transformed, or reconsolidated.” — The Frontal Cortex

This reminds me of the scene in Blade Runner when Rachel discovers her memories are implanted. A disturbing thought because (for most of us) we ARE our memories.

But if that’s not really so, if our memories are fiction, who are we? Probably not who we think.

iPads just what the doctor ordered

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That clipboard your doctor used to carry around is getting replaced by the iPad. From the Chicago Sun-Times:

“Emergency room doctors are using iPads to order lab tests and medication. Plastic surgeons are using them to show patients what they might look like after surgery. And medical residents are using them as a quick reference to look up drug interactions and medical conditions.

Since Apple’s iPad hit the market in April, doctors at Chicago area hospitals are increasingly using the hot-selling tablet as a clinical tool.

Not only does the iPad allow doctors to view electronic medical records, wherever they are, it also gives them a way to show patients their X-rays, EKGs and other lab tests on an easy-to-read screen. Plus, it’s lighter and has a longer battery life than many laptops, making it convenient for doctors to take on rounds.

Within the next month, the University of Chicago Medical Center plans to provide iPads to all of its internal medicine residents, expanding on a pilot program launched earlier this year. Similarly, Loyola University Medical Center in Maywood has given iPads to all of its orthopedic residents as part of a pilot program.

Other doctors are buying their own iPads and using them to interact with patients. At U. of C., for instance, plastic surgeon Dr. Julie Park uses her iPad to show breast-cancer patients what they might look like after reconstructive surgery.

Another hospital that has embraced the iPad is MetroSouth Medical Center in Blue Island. Once doctors there learned that they could access the hospital’s electronic medical records with the iPad, “it went through here like wildfire,” said Dr. Richard Watson, an emergency room physician at MetroSouth. “At least half of our staff here in the emergency room has their own iPad and carries it and uses it.”

Though the iPad provides a portal to the hospital’s electronic record, patient information isn’t actually stored on the device. And both the iPad and the hospital server are password-protected, lowering the chances that sensitive data could be swiped from a lost or stolen iPad.

Dr. Eric Nussbaum, MetroSouth’s emergency room chief, said the iPad also solves one of the problems created by switching from a paper-based record system to an electronic one: having to go to a desktop computer to order lab tests or type in notes on a patient.

“With this, I’m back to the convenience of being in the patient’s room, talking to them and plugging in my orders right then and there,” he said.

If you’ve spotted the iPad in the medical wild, let us know in the comments.