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Colin Mitchell SpR Geriatric Medicine / GIM
Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IT in Medicine – The Future? C
What did IT ever do for us? C
IT in Healthcare – The Present ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IT in Healthcare – The Present ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mentalism Miyawaki Y, Uchida H, Yamashita O, Sato M-a, Morito Y, Tanabe HC, Sadato N, Kamitani Y (2008) Visual Image Reconstruction from Human Brain Activity using a Combination of Multiscale Local Image Decoder. Neuron 60(5):915-929. Presented contrast pattern Reconstructed contrast patterns Mean of reconstructed contrast pattern
Decision Support ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Problem with Decision Support Yes please Sod off Hi! I see you’re looking after a patient with a history of chest pain!  Would you like my help?
What is it?
Web 2.0? ,[object Object],[object Object],http://en.wikipedia.org/wiki/ Web_2.0 & Image under CCL from http://hello.eboy.com
Web 2.0? ,[object Object],[object Object],http://en.wikipedia.org/wiki/ Web_2.0 & Image under CCL from http://hello.eboy.com
Some non-medical examples…
FAIL
Politics 2.0 http://www.barackobama.com
[object Object],[object Object],[object Object],[object Object],[object Object],Organizing without organizations From “Here Comes Everybody” by Clay Shirky. Pub 2008 by Penguin Books
OK, enough about Web 2.0, what about…
Dr. Google ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Tang & Ng. BMJ. 2006 December 2; 333(7579): 1143–1145
NEJM Case  Google diagnosis  Final diagnosis  Google correct? 5  Infective endocarditis  Infective endocarditis  Yes 6  Gastrointestinal bleed  Linitis plastica with bowel obstruction  No 7  Cushing's syndrome  Cushing's syndrome secondary to adrenal adenoma  Yes 8  Eosinophilic granuloma, osteoid osteoma  Osteoid osteoma  Yes 9  Extrinsic allergic alveolitis, tuberculosis, BOOP  Hot tub lung secondary to Mycobacterium avium No 10  Amyotrophy  Ehrlichiosis  No 11  Tuberculosis, lymphoma  Lymphoma  Yes 12  Neurofibromatosis type 1  Neurofibromatosis type 1  Yes 14  Uveitis  Vasculitis  No 15  Amyloid  Amyloid light chain  Yes 16  Hyperaldosteronism  Phaeochromocytoma  No 17  Acute chest syndrome  Acute chest syndrome  Yes 18  Tuberous sclerosis  Endometriosis  No 19  Aspergillus  Aspiration pneumonia, brain abscess  No 22  Graft versus host disease  West Nile fever  No 25  Cirrhosis  Pylephlebitis  No 26  Hypertrophic obstructive cardiomyopathy  Hypertrophic obstructive cardiomyopathy  Yes 27  Spongiform encephalopathy (Creutzfeldt-Jakob)  Creutzfeldt-Jakob disease  Yes 28  Churg-Strauss syndrome  Churg-Strauss syndrome  Yes 29  Polymyositis or dermatomyositis  Dermatomyositis secondary to non-Hodgkin's lymphoma  Yes 30  Cat scratch disease  Cat scratch disease  Yes 31  Henoch-Scholein purpura  Cryoglobulinaemia  No 33  juvenile polyposis + HTT, links to MADH4 mutation  MADH4 mutation (HTT plus juvenile polyposis)  Yes 34  Toxic epidermal necrolysis syndrome  Toxic epidermal necrolysis syndrome  Yes 36  Encephalitis  MELAS  No 37  Long QT syndrome, Brugada syndrome  Brugada syndrome  Yes
Reaction to Dr. Google ,[object Object],[object Object]
Reaction to Dr. Google ,[object Object],[object Object]
Wisdom of the Crowds ,[object Object]
 
How many… ,[object Object],[object Object]
[object Object],Google Flu Trends http://www.google.org, http://www.google.com/trends Sarah Palin: Flu (aggregate):
Wikipedia / Health Wikis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MedBlogs & RSS
Social Bookmarking ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Twitter, Flickr and tagging CCL: Markus Angermeier @ Aperto.de
Podcasts, iTunes & iTunesU
[object Object],[object Object],[object Object],2 nd  Life Jeremy Kemp  - San Jose State University. http://www.simteach.com/
Health 2.0 – What does it change? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
iMedix
RateMDs.com
[object Object],[object Object],Electronic Records
SugarStats
Relief in Site
Health 2.0 – What does it change? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Problems / Unintended Consequences ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IWGC – Patients rating Doctors Screenshot from NHSblogdoctor – The original was removed, appropriately.
(Literally) at your fingertips
Access ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
iPhone ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
iPhone Apps
iPhone ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
In summary… ,[object Object],[object Object],[object Object],[object Object],[object Object]
Questions? http://obamicon.pastemagazine.com
Thank you. Yes please Noooo! Hi! I see you’re finished. Would you like me to tell Dr Lewis about any of your other hobbies?

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Health 2.0 for UK SpRs

  • 1. Colin Mitchell SpR Geriatric Medicine / GIM
  • 2.
  • 3. IT in Medicine – The Future? C
  • 4. What did IT ever do for us? C
  • 5.
  • 6.
  • 7. Mentalism Miyawaki Y, Uchida H, Yamashita O, Sato M-a, Morito Y, Tanabe HC, Sadato N, Kamitani Y (2008) Visual Image Reconstruction from Human Brain Activity using a Combination of Multiscale Local Image Decoder. Neuron 60(5):915-929. Presented contrast pattern Reconstructed contrast patterns Mean of reconstructed contrast pattern
  • 8.
  • 9. The Problem with Decision Support Yes please Sod off Hi! I see you’re looking after a patient with a history of chest pain! Would you like my help?
  • 11.
  • 12.
  • 14. FAIL
  • 16.
  • 17. OK, enough about Web 2.0, what about…
  • 18.
  • 19. NEJM Case Google diagnosis Final diagnosis Google correct? 5 Infective endocarditis Infective endocarditis Yes 6 Gastrointestinal bleed Linitis plastica with bowel obstruction No 7 Cushing's syndrome Cushing's syndrome secondary to adrenal adenoma Yes 8 Eosinophilic granuloma, osteoid osteoma Osteoid osteoma Yes 9 Extrinsic allergic alveolitis, tuberculosis, BOOP Hot tub lung secondary to Mycobacterium avium No 10 Amyotrophy Ehrlichiosis No 11 Tuberculosis, lymphoma Lymphoma Yes 12 Neurofibromatosis type 1 Neurofibromatosis type 1 Yes 14 Uveitis Vasculitis No 15 Amyloid Amyloid light chain Yes 16 Hyperaldosteronism Phaeochromocytoma No 17 Acute chest syndrome Acute chest syndrome Yes 18 Tuberous sclerosis Endometriosis No 19 Aspergillus Aspiration pneumonia, brain abscess No 22 Graft versus host disease West Nile fever No 25 Cirrhosis Pylephlebitis No 26 Hypertrophic obstructive cardiomyopathy Hypertrophic obstructive cardiomyopathy Yes 27 Spongiform encephalopathy (Creutzfeldt-Jakob) Creutzfeldt-Jakob disease Yes 28 Churg-Strauss syndrome Churg-Strauss syndrome Yes 29 Polymyositis or dermatomyositis Dermatomyositis secondary to non-Hodgkin's lymphoma Yes 30 Cat scratch disease Cat scratch disease Yes 31 Henoch-Scholein purpura Cryoglobulinaemia No 33 juvenile polyposis + HTT, links to MADH4 mutation MADH4 mutation (HTT plus juvenile polyposis) Yes 34 Toxic epidermal necrolysis syndrome Toxic epidermal necrolysis syndrome Yes 36 Encephalitis MELAS No 37 Long QT syndrome, Brugada syndrome Brugada syndrome Yes
  • 20.
  • 21.
  • 22.
  • 23.  
  • 24.
  • 25.
  • 26.
  • 28.
  • 29. Twitter, Flickr and tagging CCL: Markus Angermeier @ Aperto.de
  • 31.
  • 32.
  • 33.  
  • 36.
  • 39.
  • 40.
  • 41. IWGC – Patients rating Doctors Screenshot from NHSblogdoctor – The original was removed, appropriately.
  • 42. (Literally) at your fingertips
  • 43.
  • 44.
  • 46.
  • 47.
  • 49. Thank you. Yes please Noooo! Hi! I see you’re finished. Would you like me to tell Dr Lewis about any of your other hobbies?