2011 was a very intense and exciting year regarding the developments and new insights of the relationship between medicine/healthcare and social media. Here are my favourite stories from 2011 selected and featured month by month.

January

I had the honour to be included in the Advisory Board of the Mayo Clinic Center for Social Media; I wrote about how a Samsung Galaxy Tab changed totally my online activities, how Google Translate can be used in medicine and featured HealCam, a medical alternative of ChatRoulette.

February

Facebook diagnosis by surgeon saved a friend; there was a lively discussion whether pharma companies can edit Wikipedia entries about their own products, it turned out Wikipedia can be a key tool for global public health promotion; and Scienceroll won the Best Medical Technology/Informatics Blog category for the third time in a row in the Medgadget’s Weblog Awards.

March (more…)

*This blog post was originally published at ScienceRoll*

It would be fantastic to use 3D printers to produce bone replacements:

Now, Washington State University engineers are unveiling a unique implementation of the tech that could aid in the regrowth of damaged or diseased bones. Utilizing a ceramic compound, the group’s optimized ProMetal 3D printer builds dissolvable scaffolds coated with a plastic binding agent that serve as a blueprint for tissue growth. The team’s already logged four long years fine tuning the process, having already achieved positive results testing on rats and rabbits, but it appears there’s still a ways to go — about 10 -12 years, according to the project’s co-author Susmita Bose — before orthopedic and dental surgeons can begin offering “printed” bone replacements.

*This blog post was originally published at ScienceRoll*

Today, most- if not all- Doctor’s offices are strained by the shortage of some prescription medication or vaccine.  A month ago, President Obama signed his executive order, directing the FDA to take steps to reduce drug shortages as the White House stated that drug shortages have nearly tripled over the past five years reaching the stunning number of 178 in 2010.  These shortages make regular news:  Cancer patients without the chemotherapy needed to keep them alive, antibiotics unavailable to treat life-threatening infections, or intravenous nutrition to support the critically ill fighting to live while medical teams and families search for elusive remedies.

As this new reality plays out in hospitals and homes the media is provided a steady stream of drama for our morning paper or evening news.  Meanwhile, time and focus is repeatedly stolen from physicians, patients, and parents in a myriad of ways.  Currently, my medical practice- in primary care Internal Medicine- has been negatively affected by the shortage of Adderall, a medication used to treat Attention Deficit Hyperactivity Disorder (ADHD).  What this medical condition may lack in dramatic news-worthiness it more than makes up for in sheer numbers with an estimated 4.5 million Americans living with this condition today.

I had my first inkling several months ago of the affect the Adderall shortage would have on my practice after one of my patients called frustrated  that their pharmacy did not have their Adderall at the prescribed dosage.  By calling several pharmacies I was able to find their medication at a smaller dose. Advising my patient to “double-up” I wrote another prescription and had to direct my patient to return to my office to pick up the rewritten  prescription- a time-consuming process that doctors and patients can ill afford to repeat on a regular basis.

Unfortunately, this scenario -initially thought an exception- has now become the rule monopolizing my own time while draining the daily resources of my staff, nurse, and medical partner.  Most ironically though, (more…)

Our office has produced a new video describing “where” snoring comes from determined by a simple procedure known as sedated or sleep endoscopy. At its most basic definition, snoring is noise produced from a vibrating mucosal surface in the upper airway.

Though snoring can be defined simply, the tough question is WHERE are these vibrating mucosal surfaces? Because unless one can define WHERE the snoring is coming from, successful treatment can’t be pursued definitively.

An office exam performed while a patient is awake is suboptimal as the patient is awake… and not snoring. As such, it is an educated guess where the snoring problem is stemming from.

To this end, (more…)

*This blog post was originally published at Fauquier ENT Blog*

Two computer science students from the University of Pennsylvania, Eric Berdinis and Jeff Kiske, have hacked together a very impressive tactile feedback system for the visually impaired using a Microsoft Kinect device and a number of vibration actuators. The Kinecthesia is a belt worn camera system that detects the location and depth of objects in front of the wearer using depth information detected by the Kinect sensor. This information is processed on a BeagleBoard open computer platform and then used to drive six vibration motors located to the left, center and right of the user. The video below shows a demo of the system in use and gives a quick explanation of its operation.

The students came up with the idea for the Kinecthesia when (more…)

*This blog post was originally published at Medgadget*

As my regular readers already know, I’ve been eagerly coaching the Boys & Girls Clubs’ Triple Play Fit Family Challenge (FFC) participants on healthy eating. During a recent phone call with the families I expressed some wistfulness about not being able to *see* what they’ve been eating (the FFC blog is filled with charming action shots of the families exercising, but almost no food cameos). And this is what the Porter family just sent me. It’s a video inviting me to a dinner of grilled tilapia, brown rice, acorn squash, mushrooms and broccoli. Tell me if this isn’t the cutest nutrition video ever?

I’m a speaker at Blog World Expo, Los Angeles, on November 4th, 2011. And guess what? Four Better Health contributors will be joining me! Nick Genes, Kim McAllister, Terri Pollick, and Kerri Sparling will all be part of the Social Health track. You can get discount tickets my clicking on the Blog World Expo icon on the top right of the Better Health home page. We all hope to see you there!

For those of you who are on the fence about going – here’s what I’ve been asked to talk about: “physicians engaging online in social health.”

You’ll learn about:

1. How I used Twitter to help patients when there was a flu vaccine shortage

2. How I use podcasting to teach about eye health and vision care

3. How I use blogging to instruct families on healthy eating strategies to prevent illness

4. How I use telemedicine and mobile devices (at eDocAmerica and DocTalker Family Medicine) to answer patient questions in rural areas, where there is a doctor shortage

If you work in healthcare, then the Social Health track is a must-attend. Not only will you find out about cutting edge trends in healthcare communications, but you’ll get to rub elbows with early-adopter physicians, nurses, and advocates who are using innovative digital strategies to deliver care, educate patients, and change the world.

And for those who will be attending the conference for other reasons, but are wondering if they should stop by the Social Health sessions… It will be a great opportunity for you to learn how to use online resources more effectively to care for yourself and your family’s health (and save money in the process).  Or think of it this way: at some point everyone needs a doctor… that includes parenting bloggers, military bloggers, god bloggers, political bloggers, and tech bloggers. So let’s meet each other at Blog World Expo!

* You could snag a live, in-person conference ticket and save 20%. Enter the code “BWEVIP20″ for the discount.

In the video above, you’ll see a vid that I pieced together to give you my impressions of last weekend’s Kansas Patient Centered Medical Home Summit (Thanks to Tony Wood for the additional video). I know that I’m making it too simplistic a description, but PCMH is team-based care with many medical professionals with the physician the leader of the team and the patient at the center of the care. Check out a good description of PCMH from the TransforMED site.

Perhaps the best sessions of the Kansas PCMH summit were the ones with patients presenting. In the video above, you’ll hear segments of two patient stories. And you’ll hear (more…)

*This blog post was originally published at Family Medicine Rocks Blog*

I often think of the well-known expression “perfect is the enemy of good” when I am endlessly rewriting an article to make it better (when it is already good enough) and in the process just make or even miss a deadline. But this old saying also reflects the dark view many people have of perfectionism. As a personality trait, it is seen as obsessive and at times pathological. People who are perfectionists may become so focused on setting a high standard for themselves that they live their lives as if graded constantly on a report card.

But perfectionism has a bright side, too. Desirable aspects of this personality trait include conscientiousness, endurance, satisfaction with life, and the ability to cope with adversity. This helps explain why some perfectionists become corporate leaders, skilled surgeons, or Olympic champions.

Dr. Jeff Szymanski, a clinical instructor of psychology at Harvard Medical School and executive director of the International OCD Foundation, believes it is possible to become a better perfectionist—by building on the strengths of this quality and learning to minimize its drawbacks. In his new book, The Perfectionist’s Handbook, he discusses this theory in greater detail and provides exercises people can try at home. (more…)

*This blog post was originally published at Harvard Health Blog*

Do you remember when Google Flu Trends was announced to be able to track and predict flu outbreaks in US states based on the search queries focusing on flu symptoms? Do you remember when a study pointed out although it was interactive and neat but was not as useful as CDC national surveillance programs? Well, now Twitter is meant to fill this gap. If you ask me, it won’t.

*This blog post was originally published at ScienceRoll*