I was asked to give a talk in my University which is The University of Texas Medical Branch, regarding exponential technologies in Medicine. For those who do not know me, I am a cardiologist who is passionate about incorporating technology into medicine. I have no doubt that major changes will be happening in the incoming years in the way we practice as well as how we engage with our patients. Click here for the link to see or download or copy paste http://goo.gl/IwCdB
Before giving the talk I overheard people saying “it is a joke, this is a cardiology meeting, what is he talking about” I also heard others with more positive comments. As one of my slides states “The problem with close minded people is that their mouths are always open”.
Soon after initiating my talk I could see how the audience became captivated with what I had to say. My goal was to open some eyes to the potential of exponential technologies. I wanted to show them technologies that are and will be game changers in our every day practice, and hopefully ignite some light bulbs to stop conventional routine thinking and dream a little…
Hope you like the slides
Update: 3 hours after the upload it became top presentation of the day, 6 hours later top presentation talked about in facebook, and 36 hours later 30,000 views
E-Mail: christian.assad-kottner at singularityu.org
More and more we are hearing about social media and the potential it has on healthcare. A trend has been picking up and many doctors already feel comfortable using these different tools PROPERLY. However, many MDs, Residents and Fellows in training are dubious and hesitant about using social media. I have been an advocate about its potential for several years now and tried to get others involved but with ambiguous success. Examples could be Twitter, Facebook, Google +, Foursquare, and even medical directed social apps like Doximity.
A recent article talks about this, published in the Houston Business Journal, ”Houston hospitals, doctors infected by social media” talks about the importance of Social Media in healthcare and why more doctors should be adopting it. Well, for those of you that want to start slowly, for those that are scared about embarking in this area and are hesitant about using facebook or twitter there is a simple answer for you to test drive it. The answer is Yammer.
Yammer is a social platform that allows you create a private social network specifically for your institution, business, clinic etc. All you need is the same domain in the email and off you go. In case this is not possible an external social network is possible. By the way thanks to Nate Osit for recommending it!
An example of a way that I implemented Yammer is as a learning tool. I created a group inside yammer called “Cardiology Lounge” (being a Cardiology Fellow). In this group, residents, fellows, and faculty post questions of interesting cases, ,discussions, pictures, etc. It is creating a learning environment which is fun secondary to the interaction with each other. If you are walking in the hallway you can login to Yammer, check the group and in a few minutes see whats cooking. No useless status updates like we are sometimes exposed in facebook.
In my opinion, if you are new to social media, and want to try it slowly try out yammer. Feel Free to contact me
E-Mail: chassadk at gmail.com
No, this is not a Rorschach test. What you are seeing here is a QR Code which is the abbreviation of Quick Response Code. A QR code is the “cousin” of the barcode we all know. Originally it was designed to track parts in the vehicle manufacturing scenario but smartphones have found a whole different use for this “mutated” barcodes. While a bar code can only hold 20 numerical digits a QR code is a two dimensional matrix barcode which can hold thousands of characters. Therefore they become more useful to people since they can practically link any information to a QR Code.
Anyone who wants, can create his/her own QR Code with any given information he would like to share. People as well as businesses can share Webpages, Contact Information, Business information, etc. you name it.
An interesting phenomenon is happening among young people which I have been witnessing more and more and that is QR Tattoos. At first it sounds like another weird way to grab attention but it has the potential to be another option to have your medical record always with you in my opinion. Creating a QR Code is simple. Just google “make QR code” and you’ll find several options, free and those with a price tag. Your QR Code has the potential to share any type of information, so why not a medical record? No such thing exists or at least that I am aware of, but, in a near future, with a little work, you could practically link your QR code to your medical record. With little imagination you can see how useful this could be and even how a tattoo could save your life.
For those of us that do not like tattoos maybe this could change our mind
Anyways just food for thought!
It is no news that any account can be hacked. In the past we have seen multiple celebrity twitter accounts being hacked and just today we saw Fox News Political Twitter account being hacked. An account with 34,000 followers hacked spreading false news about President Obama being shot… Once this false news was tweeted it got retweeted y 100+ people. A very distasteful rumor was being spread fast but thankfully got caught on time.
Ok, new, different scenario. How many times have you seen someone forgetting to logout of a facebook account? Twitter account? Any account? Multiple times I have witnessed pranks played on such accounts in the hospital or different settings. Before it was no big issue but as people start using SoMe more in professional way, the fact that someone can post an inappropriate remark or picture on your account can place you in an uncomfortable position and create a need to clarify the scenario to the people that “follow” you.
Just a quick reminder to all of you logging in public computers. Make sure your username and passwords are not remembered. Use difficult passwords and change them often. Ex. Su$him@kiz%. At least that was one of mine in the past and I change them often.
It may be uncomfortable but It would be more uncomfortable having someone posting embarrassing fake posts in your twitter or facebook account and then needing to clear it up to your followers. I have seen this multiple times in public computers in hospitals.
A very cool Hacked Infographic was presented to me recently: The data presented is very interesting and might waken up some people http://www.onlinecollegecourses.com/hacked
The point of this quick blogpost is to see how many responses I can get from people with Migraine and hopefully help each other out with a friendly discussion. If you have not been to this blog before, let me tell you a sentence about me.
I am a 32 year old Cardiologist recently exploring the potential of social media in healthcare. As someone with Migraines, and after having 3 episodes in a week last month, I decided to look for other patients that can share their experiences with me and hopefully help each other out. If I get enough info I will do a quick statistical analysis and see if there is a pattern of a “better” particular regimen/treatment/prophylaxis and share it here in MEDBONSAI.
I am not expecting many people to contribute but who knows. Maybe their are other ones like me, curious, looking for an answer. So if you can RT the message it will be helpful to all of us.
So let me start (you can use this format if you want to share your experience)
My name is Christian, 32 year old male; Prophylaxis with Propanolol 10mg BID which worked great for me in the past. As rescue treatment I use Sumatriptan 50mg prn but does not always work and many times gives me moderate nausea. I try Tylenol, Excedrin, aspirin, ibuprofen and they are useless for my headaches. Since Sumatriptan gives me nausea I think I will try Rizatriptan next. Any recs? Leave your comments below.
Update: I will try to answer anyone who has a question or a post, but remember I do this as a Patient giving recommendation from my experience to another patient. I do not plan to substitute your Doctor or PCPs judgement. If you read someones post and think you can provide some insight or help, please do. This is the point of this blogpost. Help each other out!
Summary Points of 6/8/2011 can be found in Dropbox link:
When facebook started we were a little skeptical but then started to adopt it, we started befriending people and tagging them on pictures. You started what? TAGGING… Ohh Boy… My eyes saw the world in a different way the first time I heard the concept. I am a very friendly person, but just as I enjoy being with friends, I enjoy being by myself the same way. I could and still can, spend a weekend alone, playing video games, reading, exercising, and not feel that my weekend was wasted. Many of my colleagues don’t share my personality and love going out. When they do go out and enjoy themselves, every now and then they take pictures. Later or at that same moment, pictures get uploaded to facebook, flickr, foursquare, you name it. The problem is sometimes these pictures are judged by eyes that should not really be seeing them. They do not understand the concept in which they were taken.
So call it paranoia but a few years back, I decided to limit the amount of pictures taken of me as well as limiting WHO took the pictures to a certain extent. Before the internet became popular, a picture or comment was something only shared by a few. A picture, now, if uploaded, is something shared by thousands but the context is still only shared by a few.
So I “Googled” Social Media Etiquette for Doctors and found the article below
These are just a couple of the points mentioned rest can be found in previous link. I selected a couple and decided to comment on them. Here they are;
(a) Physicians should be cognizant of standards of patient privacy and confidentiality that must be maintained in all environments, including online, and must refrain from posting identifiable patient information online.
R: Clear as water. No comment
(B) When using the Internet for social networking, physicians should use privacy settings to safeguard personal information and content to the extent possible, BUT 1) should realize that privacy settings are not absolute and that once on the Internet, content is likely there permanently. Thus, 2) physicians should routinely monitor their own Internet presence to ensure that the personal and professional information on their own sites and, to the extent possible, content posted about them by others, is accurate and appropriate.
R1) So now think back if you have ever had a compromising picture taken, be it old or recent. Remember, anyone who has access to it could upload it to the internet without you even knowing and not think about the repercussions it could have, photographs are taken of us without even knowing. Will you or are you modifying the way you behave with people in parties or social events because of this concern? Do you think twice before having a picture taken because of the possibility the context is misinterpreted? I could continue asking questions all day.
Even more Concerning
R2) Routinely monitor internet presence? LOL… GOOD LUCK ON THAT ONE, yes since we ALL have the time to do this… I think what this means is the following; Routinely have SOMEONE else monitor your internet presence and pay them for this task…Maybe it will be Mr. Google, or maybe an application done by third party incorporated to Facebook or maybe just maybe a lucrative company arises that will offer this service to you (maybe it exists already). Ex. Hey Dr. X, we are a company that monitors your internet presence and for $5,000 a year you’ll have a system screening any “red flag” events that involve you and delete it. Which if you think about, it could be double edged sword… Another possible scenario could be… starting to pay an “Internet Presence Liability Insurance”!? Oh Great…
(c) If they interact with patients on the Internet, physicians must maintain appropriate boundaries of the patient-physician relationship in accordance with professional ethical guidelines just, as they would in any other context.
R: No comments. Simple to do I guess.
(d) To maintain appropriate professional boundaries physicians should consider separating personal and professional content online.
R: In other words start creating another Facebook, Foursquare, Yelp, Flickr and Twitter account for work, or don’t share any personal information in your social media accounts, think twice about the jokes you now say. This basically contradicts the purpose of the whole social media concept in my opinion. Another option could be just to start behaving like a Tibetan Monk…It seems like Social Media is not that social after all? Yes this is an extreme, but some need the extreme scenario for an idea to sink in. Sometimes I do…
Just to be clear… I am in FAVOR of Social Media in healthcare, but as someone new to it, I am recommending people who are getting into it to be mature and cautious on how they approach the matter. As an example I am recommending many of my colleagues to start deleting some of the pictures they have in FB before it is too late but most likely it is too late for some of them… Am I exaggerating? I do not think so but we can always agree to disagree and have a conversation. That is what blogs are for.
Thanks for Reading
The point of this small post is to;
1) Show the potential of Twitter to my colleagues
2) Showing thru #1 ,that even though Residents keep hearing that Troponin-I levels are not affected by Kidney disease, this is a controversial subject, and from a Cardiology perspective, we see in the majority of cases a slight increase of Troponin levels with normal CK and CKMB levels in the setting of impaired kidney function.
Being in the Cardiology Consult service we usually get called to evaluate elevation of Troponins in patients with kidney disease with; Negative EKG changes, Negative cardiac symptoms etc. The residents in the hospital have heard several times in conferences given by another department that “Troponin I is not affected by kidney function”. Not a single Cardiologist I have spoken to agrees with this comment.
Even though I tell them this, they always shoot back the argument “We had a conference where …”. So being new to twitter, I decided to give it a try. I would try to contact a World-Renown expert to give me his opinion on this. So I decided to contact Eric Topol. You did WHAT?! Yes, I know it is overkill, but I just wanted to prove two points. I could contact Eric Topol quickly thru Twitter and get an answer to my question.
I am sure Dr. Topol might have thought this was an absurd question but he humbly answered promptly, proving 2 points.
1) Twitter can be a AMAZING tool if you learn to use it correctly. If Dr. Topol took time to answer this simple and “absurd” question it is very likely that he would be more thrilled to share his knowledge with a more difficult and challenging one.
2) Troponin-I elevation in kidney disease is a controversial subject, so please, when you consult cardiology do not tell them that Kidney function does not affect it.
Eric J. Topol, M.D. is a noted American cardiologist, geneticist and innovator. He is the Director of the Scripps Translational Science Institute in La Jolla, California, which is a National Institutes of Health funded flagship grant, to accelerate research to change medicine. He also serves as the Chief Academic Officer for Scripps Health, a Professor of Translational Genomics at The Scripps Research Institute, and was recently named The Gary and Mary West Chair of Innovative Medicine. In addition, he is a Co-Founder and serves on the Board of the West Wireless Health Institute as Vice-Chairman. He is also the Editor-in-chief of theheart.org. “http://en.wikipedia.org/wiki/Eric_Topol”
Please fell free to add any comments in the section below. Thanks!
Christian Assad, MD
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