The Patient Will See You Now: The Future of Medicine is in Your Hands

440,000 lethal, preventable events each year from care in hospitals, or “roughly one-sixth of all deaths that occur in the United States each year.

an interconnected, instantaneous, molecule-to-manufacturer managed care system can tap science and save money.

a recent survey of sixty highly ranked United States hospitals asked their employees whether they’d feel comfortable receiving medical care in the unit in which they work. The response at more than half the hospitals was a resounding “No!

As we reviewed in Chapter 7, we will get away from keyboards in the office, also known as “death by a thousand clicks,” and replace them with computer processing of natural language into notes.98–100

consumers find it easier to discuss costs with their pharmacist than to have to deal with their doctors.

David Cutler wrote in MIT Technology Review, “the single most unused person in health care” is the patient.

Eventually, each individual will not only own their data, but it will be secured in a personal cloud or system, with the owner granting rights for others to access. Now that’s a flip.

If I think more about death than some other people, it is probably because I love life more than they do.

If people let the government decide what foods they eat and what medicines they take, their bodies will soon be in as sorry a state as the souls who live under tyranny.” —THOMAS JEFFERSON

Imaging via a pocket ultrasound device decidedly transcends the antique stethoscope from 1816, regarded as the icon of medicine.

Indeed, the data might even preempt the need for a “visit,” and when they do prove necessary, they will no longer be visits or appointments but informative, data-driven discussions. There

It may just mean that the best way to cut the ever-increasing costs of health care around the world will be to provide cheap smartphones with Internet service to those who otherwise could not afford to buy them.

It’s hard for most of us to accept that we are nine parts microbe and only one part human, at least as far as a count of our cells goes.

medical harm as one of the top three killers in the United States.

Nick Dawson, a leader of the Society of Participatory Medicine, uses Evernote as his electronic medical record, pulling in data from sensors and sharing with providers or family members.64

Presently, there are just over one hundred medications that the Food and Drug Administration labels as having an important, known DNA interaction.42

second major driver of open knowledge has emerged. These are MOOCs (massive open online courses), which broadcast lectures to tens of thousands of people who have an Internet connection and want to sign up.

Sharing, transparency, and openness are all now fast-moving trends in medicine that have been potentiated by the digital infrastructure.

Similarly, the HealthMap algorithm, which scours tens of thousands of social networks and news media, was capable of predicting the 2014 Ebola outbreak in West Africa nine days before the World Health Organization.21b

Statins, particularly potent ones, induce diabetes in at least 1 of 200 individuals treated.

the average person is projected to have between six and seven connected devices by 2020.

The Hippocratic Oath is deadly silent on communication between doctor and patient relevant to the patient’s treatment.

there are over six thousand prescription drugs, but we only have pharmacogenomic information for just over one hundred

there is a new phenomenon known as “flipping,” whereby students can listen to lectures at home or on the go, but come to class for an interactive, non-lecture experience.

The staff of such a monitoring center could represent the future “hospitalist”—not likely to be called a “home-ist”—a physician particularly trained and adept at the interface of machines and people. You might describe them as geeks with compassion, not necessarily an oxymoron.

The two primary factors in these deaths are nosocomial (hospital-acquired) infections11 and medical errors.

this really took off in 20116–11 with a Stanford University artificial intelligence class: 160,000 people signed up from 195 countries after one public announcement and 23,000 finished the course.

This study demonstrates that patients who view their lab test results online overwhelmingly react with positive rather than negative emotions.”12

took ten years and $5 billion to sequence the first human genome, and now it takes less than twenty-four hours and costs less than $1,500.5

When you put together open medicine, open science, open access, open source, and open data—Open5—all sorts of new channels of research activity become available, and existing ones become exponentially more powerful.