All day long I listen to stories.

Some doctors use genetic analysis or study shadows.  Others push laparoscopic trochars.  I listen and look for patterns.

Sure I study the intestinal mucosa with fiberoptics.  And the physical exam can add something.  But the real money’s in the stories.

It’s used to be that stories and patterns drove medicine.  Narrative and intuition were all we had.  Then came technology and all its precision.  But I suspect that as medicine becomes more and more precise, the stories will find their way home.

They say that the future of medicine is personalized.  And what’s more personal than someone’s story?

 

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It’s arrived: The Creative Destruction of Medicine – How the Digital Revolution Will Create Better Health Care, Eric Topol’s prescient view of the near future of medicine.

This book details how four areas of digital medicine – wireless sensors, genomics, imaging and health information – are about to undergo a super-convergence marking perhaps the most disruptive period in medicine’s history.  Topol describes a coalescence of “the rapidly maturing digital, nonmedical world of mobile devices, cloud computing, and social networking with the emerging digital medical world of genomics, biosensors, and advancing imaging.”  An overarching theme in The Creative Destruction of Medicine is the inevitable march from population medicine to the science of the individual.

So why is this book is important?

We need to see the future.  Only by understanding the future are we able to plan for the needs of our next medical generation.  I’d like to put The Creative Destruction of Medicine into the hands of every professional medical educator and ask ‘are we preparing the physicians for the work that lies ahead?’  If not, this book should serve as a starting point for a conversation surrounding medical education reform.

It emphasizes the expanding role of the patient.   Medicine is increasingly anchored to the individual.  Creative Destruction makes it very clear that consumers will drive many of the changes currently brewing in health care.  This is perhaps the first book accessible to patients that clearly characterizes the changing face of medicine.  Every patient should read this book in order to understand the rapidly evolving role in they play in their own care.

It brings elements of a manifesto.  Any book that describes the state of the medical profession as sclerotic or ossified should have your attention.  The Creative Destruction of Medicine is a call to action for doctors and patients alike.  We must see our world and our job as doctor and patient very differently.  In a profession so uncertain of its future, we need precisely the vision and critical dialog offered here.  The final chapter confronts the challenges facing the creative destruction and reads like a commencement address.  I read this twice.  Pure gold.

Eric Topol knows what he’s talking about.  And as a master clinician, researcher and communicator, Topol is the man perfectly positioned to tell this story.  It’s this authority and breadth of experience that makes The Creative Destruction of Medicine so plausible.

Buy five copies, read one and gift the other four.  I suspect that 150 years from now when historians are looking back at the most dramatic flexion point in medicine’s history they’ll reference this book as one of the first to identify the start of medicine’s creative destruction.

Join the dialog on Twitter at #CDoM

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How Often Should a Physician Blog?

January 16, 2012

Recently someone asked how often a medical blogger should post.  True-to-form there was the suggestion that you post daily. This is a timeless question.  But I’d be careful believing that there’s a firm answer. What you do with your blog and how often you do it depends upon what you seek to gain from your [...]

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When Doctors Monkey Around

January 14, 2012

When I talk about social media I usually describe my earliest entree in to Twitter as ‘monkeying around.’  An innocent flirtation with no real endpoint.  The point is that I didn’t know what it was or how I might use it, but I was curious.  Recently a skeptical physician-friend approached me after a talk and [...]

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Medical Grand Rounds – January 10th, 2012

January 10, 2012

Welcome to this edition of Medical Grand Rounds.  I scoured the web and pulled together what I think are some of the more interesting posts and news items of the past couple of weeks.  I’ve tried to explore some voices that perhaps haven’t crossed your radar.  We’ve got sociologists, medical students, IT gurus, medical futurists [...]

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Medical Grand Rounds is Coming to 33 charts

January 5, 2012

I’m your humble host for Medical Grand Rounds on January 10th, 2012.  As you heard last week from Margaret Polaneczky, Grand Rounds is evolving as a more focused, curated publication.  Rather than a 4,000 word chain-o-links, Nick Genes, Val Jones and others felt that a focused collection of recommendations would be more manageable for both [...]

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A Simpler Ladder of Social Engagement

January 3, 2012

I’ve been thinking about how we use social media.  How can we characterize what we do?  I have always used Charlene Li and Josh Bernoff’s Social Technographics ladder for thinking about the various levels of social media participation.  I want to make it simpler for use in teaching others about social media. Perhaps there could be [...]

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Time

December 30, 2011

Time is my most precious commodity. It isn’t contacts, followers, friends, subscriptions, readers, link love, mentions, or people’s attention.  It’s time.  With time I can have all of these things.  Extra money and amazing ideas are of little use without time. The world is full of experts telling me how I should use my time. [...]

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Distracted Doctoring

December 27, 2011

This review by John Halamka is worth a read.  He discusses the emerging phenomenon of distracted doctoring – physicians preoccupied with technology at the expense of patient care.  The review was followed closely by a New York Times piece on the same subject. We’re experiencing a crisis of information.  Our channels of input have crossed [...]

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Doctors and the Permission to Speak

December 16, 2011

Let’s say you’re a doctor and you have an idea, opinion, or a new way of doing things.  What do you do with it? It used to be that the only place we could share ideas was in a medical journal or from the podium of a national meeting.  Both require that your idea pass [...]

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