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Contrary to PHR Vendor Hype, Privacy Remains the "Elephant in the Room"
Featured in: Hippocrates
A slew of recent stories offer clues to what would really chill widespread PHR adoption. Privacy issue just will not go away.A few weeks ago I posted some commentary on the battle of Google vs. Microsoft in PHR arena. My thinking was that the motivation to use such tools could prove to be a bigger obstacle than privacy.
Looking at recent PHR coverage I would opine that privacy still might end up being the biggest issue after all. If anything as a key "de-motivator" of adoption, even if not spoken directly. Make no mistake, what PHR vendors say about their intentions does not matter. It is what consumers and providers hear.
So what DO they hear and what does this MEAN?
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Health Train Express
Featured in: RHIO Monitor
For the past several months I have been focused on reviewing and reading many different blogs, and participating in a number of social networkingFor the past several months I have been focused on reviewing and reading many different blogs, and participating in a number of social networking blogs, both healthcare related and in other areas of interest. My original blog topics on RHIO have been expanced to other areas, including public policy making, consumer activities, healthcare financing, and forecasting. I use a weegee board and an old bottle I used to use for "spin the bottle"...It should be as accurate or more so, than the ideas today's pundits offer us. Check these out at
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I became interested in leading the health care community toward implementation of EMRs and HIEs after a 30 year career of pushing paper, making phone calls and otherwise "wasting" a huge amount of time in caring for my patients. I would spend more time properly documenting my examinations or use illegible and abbreviated notes that would mean nothing to someone else, or even more important fall into the legal system, where we are often quoted "doc, if it isn't written down, it didn't happend. I hates signing my signature. My favorite new "thing" is my tablet pc with speech recognition and writing journal which converts my mostly illegible cursive into a legible font. My first "love" is my wife and family, with ophthalmology coming in a distant second, rapidly being passed by my new role.
My other interests are politics, meterorology, history, and listening to music. My favorite devices are my iPod, my laptop and my new retinal imager. Favorite books, Of Mice and Men, Robert Frost's collection of Poetry. What I miss most....my Porsche 911, the good old days,
In the future lurks entrepeneurial ideas and mentoring younger physicians and adults
Newsflash: Offline Word-of-Mouth Still Matters for Pharma!
Featured in: Hippocrates
Keller Fay reports that word-of-mouth is more important offline than online. The data is interesting but somewhat misleading.Last week on HealthcareVox I saw an interesting post with a provocative title: "Keller Fay Group: Pharma Should Stop Salivating Over Social Media". This seemed controversial, so I decided to investigate.
The main thesis of the report by Keller Fay Group, is that offline word-of-mouth should be more important for pharma marketing than online. That is not surprising talk from the firm specializing in offline word-of-mouth. But does the research suggest that online WOM should be dismissed?
In one word "NO". Offline is important, but online has room to grow
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More on hospital food
Featured in: Nutrition & Life
If we do not get the nutrition we need, our bodies re-allocate the resources to heal the injured/sick tissue, causing body depletion.Well, after my post on hospital food was first published, I was asked to take part in a short interview on the subject on Shelagh Rogers’ show, Sounds Like Canada
on CBC radio. What a thrilling opportunity to discuss real food! The interview was fast-paced and over before I knew it. Here is some of what I did not have an opportunity to say:
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I have always been interested in what we can do to make ourselves as healthy as possible. We cannot change our genetics, but there is much that is within our control that can have an impact on whether we are healthy or whether we suffer with pain and disease.
I was the top graduating student at the University of Toronto in Physical and Health Education in 1992, where I studied anatomy, physiology, exercise physiology, nutrition and how exercise can improve health. In 1997 moved to Vancouver and started a personal-training business.
I became frustrated by my inability to help my clients through their various aches and pains, and pursued further education through the CHEK Institute in San Diego. I learned an incredible amount, and became far more effective with my clients suffering from low-back pain, but still found some clients did not respond as I felt they should and I didn't understand why.
I began to read and read. I began to appreciate how nutrition and other lifestyle factors can have a huge impact on healing or the lack of healing. It became obvious to me that there is a lot more to orthopeadic problems than simply looking at the physical. I took the CHEK Holistic Lifestyle Consultation course which solidified what I had been learning. Disease is a function of bodily systems being out of balance, and when we do what is necessary to bring the individual back into balance our health is restored.
My hope is that through this site you can travel the wellness journey with me and prevent illness, or if you are ill, you can learn some ways to become well again.
Nephrologist Quits Medicine to Blog Full-Time: Personal vs. Professional Use of Social Media
Featured in: Hippocrates
Imagine a doctor quitting his day job to make blogging a career. Dr. Arnold Kim did just that, but he is not a typical medblogger.This Sunday, while perusing tech industry news on Silicon Alley Insider I saw an interesting post about "The Unlikely Career Path Of MacRumors' Arnold Kim", who so happens to be a physician.
This is quite amazing, since for most blogging physicians, online publishing is mostly a hobby. Sometimes it supports professional endeavors, but rarely in a direct way. An outlet of opinions, a venue to influence healthcare dialog, even opportunity to promote themselves. But full-time?
Dr. Kim's story shows how a personal blog can turn into a career
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Hospital food - an opportunity waiting?
Featured in: Nutrition & Life
A commentary on the extremely poor quality food served in hospitals. How can people heal if the food served is not nutritious?I probably should have written this a year and a half ago when I had an intimate look at hospital food at a large Vancouver hospital. Ya gotta wonder whether this hospital at least, knows that there is any connection between food and health! From what I could tell, the food was largely highly processed, cooked to death, and they always served a sweet packaged dessert! What’s with that??? We KNOW that sugar suppresses immune systems. So why is sugar fed to people that are trying to get well? And margarine and creamer/milker were on the menu each day. No butter or cream here! Important to get your daily dose of trans fats and hydrogenated oils, after all. Much better choice than saturated fat, which our bodies need to get the vitamins and minerals into our cells. Oh yeah. Food cooked to death so I guess there are no vitamins left to transport. No worries then - no transportation needed. By offering up trans fats, cell messaging will be blocked instead. That will help people heal.
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I have always been interested in what we can do to make ourselves as healthy as possible. We cannot change our genetics, but there is much that is within our control that can have an impact on whether we are healthy or whether we suffer with pain and disease.
I was the top graduating student at the University of Toronto in Physical and Health Education in 1992, where I studied anatomy, physiology, exercise physiology, nutrition and how exercise can improve health. In 1997 moved to Vancouver and started a personal-training business.
I became frustrated by my inability to help my clients through their various aches and pains, and pursued further education through the CHEK Institute in San Diego. I learned an incredible amount, and became far more effective with my clients suffering from low-back pain, but still found some clients did not respond as I felt they should and I didn't understand why.
I began to read and read. I began to appreciate how nutrition and other lifestyle factors can have a huge impact on healing or the lack of healing. It became obvious to me that there is a lot more to orthopeadic problems than simply looking at the physical. I took the CHEK Holistic Lifestyle Consultation course which solidified what I had been learning. Disease is a function of bodily systems being out of balance, and when we do what is necessary to bring the individual back into balance our health is restored.
My hope is that through this site you can travel the wellness journey with me and prevent illness, or if you are ill, you can learn some ways to become well again.
What Makes For Happiness? A Little Wellness Quiz
Featured in: Wellness Report
Why bother being healthy? You're going to die anyway?Author Info
Health 2.0 Accelerator Launch
Featured in: New Health Leader
Health 2.0 Accelerator starts with first project "Drug Profile Interoperability".Matthew Holt and Indu Subaiya, MD are up to it again. They recently launched a wiki “Health Accelerator 2.0“ which was inspired by Dr.
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Michael G. “Mike” Ryan, FACHE, is a columnist, editor, futurist, speaker, Chairman and Managing Partner of EiG www.execimpactgroup.com based in San Francisco founded in 1994 it has its roots to one the first healthcare consulting firms founded in the 1960s.
He is a recognized pioneer in the eHealth and healthcare technology industry and was founder and senior vice president of sales and marketing for www.healthonline.com. Mike is one of the most networked executives in Silicon Valley and healthcare executive in the world on www.linkedin.com and is connected to 22 million people worldwide. Since 1982 Mike has been leader in "connecting the dots" between healthcare and technology. He serves as a CEO mentor and consultant to the Women’s Technology Cluster www.womenstechcluster.org in San Francisco. He serves on the advisory boards of www.healthcare.com , www.takesalltypes.org Mike is a recognized national speaker and is the creator and host of a weekly “live” interactive forum for healthcare CEOs and executives for America Online www.aol.com.
R.I.P. PHR Privacy? Viacom vs. Google Lawsuit Sets Precedent for Breaking Privacy Promises
Featured in: Hippocrates
Judge authorizes a fishing expedition, forces Google to release YouTube logs. Imagine if that happened to your health records.Internet privacy is under attack. Last week, the ongoing lawsuit of Viacom against YouTube / Google led to an extremely disturbing development - a court order to turn your video viewing records over to Viacom.
New York Times has details here: "Google Told to Turn Over User Data of YouTube". The key fact is that Viacom will be given access to the records on EVERYvideo watched since YouTube founding in 2005, supposedly to investigate copyright violation patterns. If you ever watched a YouTube video, that means your user IDs, IP addresses and videos will be handed over.
Why does this story matter, in particular for online health records?
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US health care, the best in the world?
Featured in: A Patient's Journey
What no one ever mentions is how that statement ever became accepted as factI often hear the statement
The US has the best health care system in the world
But what no one ever mentions is how that statement came to be accepted as fact.
Does the US have more and better trained doctors, per capita, than the rest of the world? Does the US have better trained nurses, and higher nurse to patient ratios in hospitals? Do we have fewer infections or deaths per capita? Does everyone have equal access to the same lever of care in the US?
I guess it must be true, since I never hear any talk about improving the quality of care. The only talk I hear about improving US health care, revolves around the greater use of electronic medical records, making health insurance portable, and oh yeah the need for transparency in pricing .
Hopefully someone can enlighten me on the criteria used to make that statement, because I sure haven't seen any indication of that being true.
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I have mantle cell lymphoma, and to be so bold as to quote a line from another blogger "it may kill me." Actually it is killing me, albeit very slowly at this point. In the mean time, I'm still able to function mostly as normal, going to work, riding my bike, playing golf and even planning for vacations.
In fact, if it wasn't for that fateful blood test of March 26, 2002, I still might not even realize I am sick.
But that isn't the case, so I decided to chronicle my life from the beginning (not from when I was born, mind you, but from that fateful day), and remembering it's not just about being sick. Even if you've been diagnosed with a terminal illness, that doesn't mean life ends.
We're all going to die, most of us just have different perspectives on when that is going to happen. It's how we deal with the living part of our lives, that makes a difference.
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