Jumat, 30 Januari 2015

The Patient Will See You Now


The Patient Will See You Now: The Future of Medicine is in Your Hands Hardcover – January 6, 2015

Author: Eric Topol M.D. | Language: English | ISBN: 0465054749 | Format: PDF, EPUB


The Patient Will See You Now: The Future of Medicine is in Your Hands – January 6, 2015
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  • Hardcover: 384 pages

  • Publisher: Basic Books (January 6, 2015)

  • Language: English

  • ISBN-10: 0465054749

  • ISBN-13: 978-0465054749

  • Product Dimensions: 6.1 x 1.2 x 9.2 inches

  • Shipping Weight: 1.6 pounds (View shipping rates and policies)

  • Amazon Best Sellers Rank: #1,105 in Books (See Top 100 in Books)
    • #1 in Books > Medical Books > Medical Informatics

    • #1 in Books > Engineering & Transportation > Engineering > Bioengineering > Biotechnology

    • #3 in Books > Medical Books > Medicine > Internal Medicine > Pathology > Clinical Chemistry





Topol’s earlier book – The Creative Destruction of Medicine: How the Digital Revolution Will Create Better Health Care discussed quantified-self, and aspects of the app-centric health data logging and analyses and concluded that mHealth will form the basis of healthcare disruption. In this book, Topol provides a very interesting thought framework to deduce “what’s next?”


The first section expands his assertion that paternalistic healthcare systems (personified by FDA, AMA, and traditionalists) is really behind the times and the notion “nothing about me without me” is increasingly becoming not only feasible but also demanded by the patients. Providing a detour explaining the evolution of interpretations of the Hippocrates oath, Topol uses that opportunity to take issue (yet again) with the AMA and the entire practice around guidelines. While arguing for increased access for patient-related information to the patients, Topol clearly acknowledges the difference in information and knowledge gaps and points out that mere access is not sufficient, but it is a critical step in rethinking patient engagement and direct participation. To further expand on these themes, Topol borrows Eisentien’s characterization of printing press as a change agent and draws significant parallels with that transformation and smartphones, calling this the “Gutenberg moment”. While a healthy skepticism is warranted in the claims of everything from holy wars to Renaissance to modern science and founding of american republic is attributed directly to the printing press, one cannot easily dismiss the “combinatorial intellectual activity” printing facilitated.



This is a most important, relevant and fascinating book on the future of medicine. An essential read for patients, physicians, industry, policy and regulatory leaders … indeed for everyone! Dr. Topol, one of the world’s foremost cardiologists and an expert in the exploding world of wireless medicine, presents his visionary tour of the digital medical revolution from the front lines.


Why is this important to every one of us alive today?


Because we are confronting a global medical crisis that involves every citizen. Preventable chronic disease has become the single greatest threat to our personal and national economic health. It is crippling our healthcare system and has led to a suboptimal quality of life and loss of human potential.


Patients and doctors alike are laboring under an outdated, inefficient and ineffective medical paradigm, where the patient is expected to put blind faith in fellow mortals ordained as doctors, deferring responsibility for their healthcare to the doctor who knows best. Today we will wait anywhere from a week to over 2 months to be granted audience with this priest-like figure entrusted with Infallible Knowledge about our health.


When the day finally arrives we’ll spend an average of 62 minutes in the waiting room for a consultation that will be finished in 7 -12 minutes. If we have a common set of symptoms we will be given a symptomatic diagnosis (or several), prescribed a drug (or several) that might mask it (them) and be sent home with little understanding, or possibly just trust, and no actionable strategy other than to take our medication(s) and book a return appointment.


Total health care spending in the U.S. is currently 18% of the GDP and expected to climb to 20% by 2022.






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