SlideShare una empresa de Scribd logo
1 de 25
Illness in the Age of ‘e’:  A Case Study in Collaborative e-Medicine Daniel Z. Sands, MD, MPH Cisco Systems and Harvard Medical School Boston, MA Dave deBronkart, SB Blogger ‘e-Patient Dave’ Nashua, NH Harvard Medical  School
Re-Connecting and Agenda-Setting
http://www.patientsite.org
Dave (Pre-diagnosis) ,[object Object]
Hi - there are several things I want to go over when we meet. I suspect several will require referrals, and given the time it takes to get a slot, I'm thinking of making those appointments now. (It's easy to cancel and create an opening for someone else.) I'm 56 and I generally don't have any complaints. Here are the symptoms I'm concerned about: […] What do you think?
The Visit
The Incidental Finding Incidental finding: Shadow indicates mass in  upper lobe of right lung X-ray taken  Jan. 2, 2007  by orthopedist to diagnose rotator cuff disease
The Incidental Finding INDICATION: Right shoulder pain. COMPARISONS: Comparison is made to a chest radiograph from December 23, 2003. TECHNIQUE: Right shoulder, three views. IMPRESSION: 1. Degenerative changes of the acromioclavicular joint. Normal radiographic appearance of the glenohumeral joint. 2. 3.3 cm right upper lobe lung mass needs further evaluation with a chest CT to exclude malignancy. Radiology report as  displayed on PatientSite
The Work-up, Diagnosis, and Support
Lesion 1 – Left Upper Lobe 39x43mm Note: This is the left lung – opposite side from the lung in the x-ray
Sample finding upon googling my condition Sample finding upon googling my condition
“ Textbook”    Stage IV, Grade 4   Renal Cell    Carcinoma Illustration of Stage 4 RCC from Proleukin.com ,[object Object],[object Object],[object Object],[object Object]
“ Textbook”    Stage IV, Grade 4   Renal Cell    Carcinoma Illustration of Stage 4 RCC from Proleukin.com ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
ACOR is great. I posted two messages tonight and got responses in 4 and 11 minutes. One responder also sent a private note mentioning Robin and Cathy. The other responder was Cathy. :) Through that list I've also found several other useful sites.
 
 
Remote Diagnosis of Wound Infection Photo of infected incision, taken by spouse and emailed to surgeon, avoiding the need for trip to Boston
Target Lesion 1 – Left Upper Lobe After treatment  with High Dosage Interleukin-2 Baseline: 39x43 mm 50 weeks: 20x12 mm
Insights Gained ,[object Object],[object Object],[object Object],[object Object]
Insights Gained ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Insights Gained ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Insights Gained ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Questions? [email_address] [email_address]   Please submit your evaluations!

Más contenido relacionado

Similar a Illness in the Age of \'e\'

National Board of Medical Examiners 100th Annual Meeting (plenary), 2014
National Board of Medical Examiners 100th Annual Meeting (plenary), 2014National Board of Medical Examiners 100th Annual Meeting (plenary), 2014
National Board of Medical Examiners 100th Annual Meeting (plenary), 2014
e-Patient Dave deBronkart
 
Patients 2.0 Introducing The Empowered Patient
Patients 2.0 Introducing The Empowered PatientPatients 2.0 Introducing The Empowered Patient
Patients 2.0 Introducing The Empowered Patient
Marie Ennis-O'Connor
 
Challenges in pediatric ethics in China Yun Li - final
Challenges in pediatric ethics in China Yun Li - finalChallenges in pediatric ethics in China Yun Li - final
Challenges in pediatric ethics in China Yun Li - final
Kasidet Manakongtreecheep
 
Challenges in pediatric ethics in China Yun Li - final
Challenges in pediatric ethics in China Yun Li - finalChallenges in pediatric ethics in China Yun Li - final
Challenges in pediatric ethics in China Yun Li - final
Kasidet Manakongtreecheep
 
Va open notes and blue button va ehealth university dec 2012
Va open notes and blue button va ehealth university dec 2012Va open notes and blue button va ehealth university dec 2012
Va open notes and blue button va ehealth university dec 2012
Susan Woods
 
IB of Acupunturists
IB of AcupunturistsIB of Acupunturists
IB of Acupunturists
ltegethoff
 
1)What is MWLs service concept, and what is your evaluation of it.docx
1)What is MWLs service concept, and what is your evaluation of it.docx1)What is MWLs service concept, and what is your evaluation of it.docx
1)What is MWLs service concept, and what is your evaluation of it.docx
SONU61709
 

Similar a Illness in the Age of \'e\' (20)

National Board of Medical Examiners 100th Annual Meeting (plenary), 2014
National Board of Medical Examiners 100th Annual Meeting (plenary), 2014National Board of Medical Examiners 100th Annual Meeting (plenary), 2014
National Board of Medical Examiners 100th Annual Meeting (plenary), 2014
 
The Imperative to Anchor Care in Patient Needs & Perspectives
The Imperative to Anchor Care in Patient Needs & PerspectivesThe Imperative to Anchor Care in Patient Needs & Perspectives
The Imperative to Anchor Care in Patient Needs & Perspectives
 
Patients 2.0 Introducing The Empowered Patient
Patients 2.0 Introducing The Empowered PatientPatients 2.0 Introducing The Empowered Patient
Patients 2.0 Introducing The Empowered Patient
 
e-Patient Dave's talk at NQF Annual Meeting Feb 13, 2014
e-Patient Dave's talk at NQF Annual Meeting Feb 13, 2014e-Patient Dave's talk at NQF Annual Meeting Feb 13, 2014
e-Patient Dave's talk at NQF Annual Meeting Feb 13, 2014
 
e-Patient Dave IHS Best Practices Sacramento May 2016
e-Patient Dave IHS Best Practices Sacramento May 2016e-Patient Dave IHS Best Practices Sacramento May 2016
e-Patient Dave IHS Best Practices Sacramento May 2016
 
British Columbia Pt Safety & Quality Council, Feb. 2014
British Columbia Pt Safety & Quality Council, Feb. 2014British Columbia Pt Safety & Quality Council, Feb. 2014
British Columbia Pt Safety & Quality Council, Feb. 2014
 
Challenges in pediatric ethics in China Yun Li - final
Challenges in pediatric ethics in China Yun Li - finalChallenges in pediatric ethics in China Yun Li - final
Challenges in pediatric ethics in China Yun Li - final
 
Challenges in pediatric ethics in China Yun Li - final
Challenges in pediatric ethics in China Yun Li - finalChallenges in pediatric ethics in China Yun Li - final
Challenges in pediatric ethics in China Yun Li - final
 
Patient Voices Network Forum: Consumer Health 2.0 Handout
Patient Voices Network Forum: Consumer Health 2.0 HandoutPatient Voices Network Forum: Consumer Health 2.0 Handout
Patient Voices Network Forum: Consumer Health 2.0 Handout
 
Talk to John Glaser's class at Wharton 3-17-2014
Talk to John Glaser's class at Wharton 3-17-2014Talk to John Glaser's class at Wharton 3-17-2014
Talk to John Glaser's class at Wharton 3-17-2014
 
E-Patients: Empowered, Engaged, Equipped, Enabled
E-Patients: Empowered, Engaged, Equipped, EnabledE-Patients: Empowered, Engaged, Equipped, Enabled
E-Patients: Empowered, Engaged, Equipped, Enabled
 
Va open notes and blue button va ehealth university dec 2012
Va open notes and blue button va ehealth university dec 2012Va open notes and blue button va ehealth university dec 2012
Va open notes and blue button va ehealth university dec 2012
 
"Gimme my damn data!" - e-Patient Dave's keynote at Medicine 2.0 2009
"Gimme my damn data!" - e-Patient Dave's keynote at Medicine 2.0 2009"Gimme my damn data!" - e-Patient Dave's keynote at Medicine 2.0 2009
"Gimme my damn data!" - e-Patient Dave's keynote at Medicine 2.0 2009
 
E patient dave salud2s july 5 2011 for upload
E patient dave salud2s july 5 2011 for uploadE patient dave salud2s july 5 2011 for upload
E patient dave salud2s july 5 2011 for upload
 
Patient Satisfaction: the big clue to what works in the patient's life
Patient Satisfaction: the big clue to what works in the patient's lifePatient Satisfaction: the big clue to what works in the patient's life
Patient Satisfaction: the big clue to what works in the patient's life
 
Opening keynote at AANP 2014
Opening keynote at AANP 2014Opening keynote at AANP 2014
Opening keynote at AANP 2014
 
IB of Acupunturists
IB of AcupunturistsIB of Acupunturists
IB of Acupunturists
 
Mississippi Health Care Symposium 2014 - e-Patient Dave
Mississippi Health Care Symposium 2014 - e-Patient DaveMississippi Health Care Symposium 2014 - e-Patient Dave
Mississippi Health Care Symposium 2014 - e-Patient Dave
 
e-Patient Dave at NeHC 2009 06 02
e-Patient Dave at NeHC 2009 06 02e-Patient Dave at NeHC 2009 06 02
e-Patient Dave at NeHC 2009 06 02
 
1)What is MWLs service concept, and what is your evaluation of it.docx
1)What is MWLs service concept, and what is your evaluation of it.docx1)What is MWLs service concept, and what is your evaluation of it.docx
1)What is MWLs service concept, and what is your evaluation of it.docx
 

Último

Why Teams call analytics are critical to your entire business
Why Teams call analytics are critical to your entire businessWhy Teams call analytics are critical to your entire business
Why Teams call analytics are critical to your entire business
panagenda
 

Último (20)

Connector Corner: Accelerate revenue generation using UiPath API-centric busi...
Connector Corner: Accelerate revenue generation using UiPath API-centric busi...Connector Corner: Accelerate revenue generation using UiPath API-centric busi...
Connector Corner: Accelerate revenue generation using UiPath API-centric busi...
 
2024: Domino Containers - The Next Step. News from the Domino Container commu...
2024: Domino Containers - The Next Step. News from the Domino Container commu...2024: Domino Containers - The Next Step. News from the Domino Container commu...
2024: Domino Containers - The Next Step. News from the Domino Container commu...
 
Exploring the Future Potential of AI-Enabled Smartphone Processors
Exploring the Future Potential of AI-Enabled Smartphone ProcessorsExploring the Future Potential of AI-Enabled Smartphone Processors
Exploring the Future Potential of AI-Enabled Smartphone Processors
 
FWD Group - Insurer Innovation Award 2024
FWD Group - Insurer Innovation Award 2024FWD Group - Insurer Innovation Award 2024
FWD Group - Insurer Innovation Award 2024
 
Why Teams call analytics are critical to your entire business
Why Teams call analytics are critical to your entire businessWhy Teams call analytics are critical to your entire business
Why Teams call analytics are critical to your entire business
 
AWS Community Day CPH - Three problems of Terraform
AWS Community Day CPH - Three problems of TerraformAWS Community Day CPH - Three problems of Terraform
AWS Community Day CPH - Three problems of Terraform
 
Web Form Automation for Bonterra Impact Management (fka Social Solutions Apri...
Web Form Automation for Bonterra Impact Management (fka Social Solutions Apri...Web Form Automation for Bonterra Impact Management (fka Social Solutions Apri...
Web Form Automation for Bonterra Impact Management (fka Social Solutions Apri...
 
Axa Assurance Maroc - Insurer Innovation Award 2024
Axa Assurance Maroc - Insurer Innovation Award 2024Axa Assurance Maroc - Insurer Innovation Award 2024
Axa Assurance Maroc - Insurer Innovation Award 2024
 
Repurposing LNG terminals for Hydrogen Ammonia: Feasibility and Cost Saving
Repurposing LNG terminals for Hydrogen Ammonia: Feasibility and Cost SavingRepurposing LNG terminals for Hydrogen Ammonia: Feasibility and Cost Saving
Repurposing LNG terminals for Hydrogen Ammonia: Feasibility and Cost Saving
 
Strategies for Unlocking Knowledge Management in Microsoft 365 in the Copilot...
Strategies for Unlocking Knowledge Management in Microsoft 365 in the Copilot...Strategies for Unlocking Knowledge Management in Microsoft 365 in the Copilot...
Strategies for Unlocking Knowledge Management in Microsoft 365 in the Copilot...
 
AXA XL - Insurer Innovation Award Americas 2024
AXA XL - Insurer Innovation Award Americas 2024AXA XL - Insurer Innovation Award Americas 2024
AXA XL - Insurer Innovation Award Americas 2024
 
Apidays Singapore 2024 - Scalable LLM APIs for AI and Generative AI Applicati...
Apidays Singapore 2024 - Scalable LLM APIs for AI and Generative AI Applicati...Apidays Singapore 2024 - Scalable LLM APIs for AI and Generative AI Applicati...
Apidays Singapore 2024 - Scalable LLM APIs for AI and Generative AI Applicati...
 
Boost Fertility New Invention Ups Success Rates.pdf
Boost Fertility New Invention Ups Success Rates.pdfBoost Fertility New Invention Ups Success Rates.pdf
Boost Fertility New Invention Ups Success Rates.pdf
 
Apidays New York 2024 - Scaling API-first by Ian Reasor and Radu Cotescu, Adobe
Apidays New York 2024 - Scaling API-first by Ian Reasor and Radu Cotescu, AdobeApidays New York 2024 - Scaling API-first by Ian Reasor and Radu Cotescu, Adobe
Apidays New York 2024 - Scaling API-first by Ian Reasor and Radu Cotescu, Adobe
 
Strategies for Landing an Oracle DBA Job as a Fresher
Strategies for Landing an Oracle DBA Job as a FresherStrategies for Landing an Oracle DBA Job as a Fresher
Strategies for Landing an Oracle DBA Job as a Fresher
 
Strategize a Smooth Tenant-to-tenant Migration and Copilot Takeoff
Strategize a Smooth Tenant-to-tenant Migration and Copilot TakeoffStrategize a Smooth Tenant-to-tenant Migration and Copilot Takeoff
Strategize a Smooth Tenant-to-tenant Migration and Copilot Takeoff
 
Data Cloud, More than a CDP by Matt Robison
Data Cloud, More than a CDP by Matt RobisonData Cloud, More than a CDP by Matt Robison
Data Cloud, More than a CDP by Matt Robison
 
ICT role in 21st century education and its challenges
ICT role in 21st century education and its challengesICT role in 21st century education and its challenges
ICT role in 21st century education and its challenges
 
Real Time Object Detection Using Open CV
Real Time Object Detection Using Open CVReal Time Object Detection Using Open CV
Real Time Object Detection Using Open CV
 
Apidays New York 2024 - Accelerating FinTech Innovation by Vasa Krishnan, Fin...
Apidays New York 2024 - Accelerating FinTech Innovation by Vasa Krishnan, Fin...Apidays New York 2024 - Accelerating FinTech Innovation by Vasa Krishnan, Fin...
Apidays New York 2024 - Accelerating FinTech Innovation by Vasa Krishnan, Fin...
 

Illness in the Age of \'e\'

  • 1. Illness in the Age of ‘e’: A Case Study in Collaborative e-Medicine Daniel Z. Sands, MD, MPH Cisco Systems and Harvard Medical School Boston, MA Dave deBronkart, SB Blogger ‘e-Patient Dave’ Nashua, NH Harvard Medical School
  • 4.
  • 5. Hi - there are several things I want to go over when we meet. I suspect several will require referrals, and given the time it takes to get a slot, I'm thinking of making those appointments now. (It's easy to cancel and create an opening for someone else.) I'm 56 and I generally don't have any complaints. Here are the symptoms I'm concerned about: […] What do you think?
  • 7. The Incidental Finding Incidental finding: Shadow indicates mass in upper lobe of right lung X-ray taken Jan. 2, 2007 by orthopedist to diagnose rotator cuff disease
  • 8. The Incidental Finding INDICATION: Right shoulder pain. COMPARISONS: Comparison is made to a chest radiograph from December 23, 2003. TECHNIQUE: Right shoulder, three views. IMPRESSION: 1. Degenerative changes of the acromioclavicular joint. Normal radiographic appearance of the glenohumeral joint. 2. 3.3 cm right upper lobe lung mass needs further evaluation with a chest CT to exclude malignancy. Radiology report as displayed on PatientSite
  • 10. Lesion 1 – Left Upper Lobe 39x43mm Note: This is the left lung – opposite side from the lung in the x-ray
  • 11. Sample finding upon googling my condition Sample finding upon googling my condition
  • 12.
  • 13.
  • 14.  
  • 15.  
  • 16. ACOR is great. I posted two messages tonight and got responses in 4 and 11 minutes. One responder also sent a private note mentioning Robin and Cathy. The other responder was Cathy. :) Through that list I've also found several other useful sites.
  • 17.  
  • 18.  
  • 19. Remote Diagnosis of Wound Infection Photo of infected incision, taken by spouse and emailed to surgeon, avoiding the need for trip to Boston
  • 20. Target Lesion 1 – Left Upper Lobe After treatment with High Dosage Interleukin-2 Baseline: 39x43 mm 50 weeks: 20x12 mm
  • 21.
  • 22.
  • 23.
  • 24.
  • 25. Questions? [email_address] [email_address] Please submit your evaluations!