Let's get the disclaimer out of the way: We love Uber. As physicians with roots in the Bay Area, we use Uber all the time. The service is convenient, (usually) swift and consistently pleasant. With a few taps of a smartphone, we know where and when we'll be picked up -- and we can see the Uber driver coming to get us in real time. When the vagaries of San Francisco ...

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With the growing demand of patient demands, change in healthcare delivery with Affordable Care Act, physicians are asked to adapt to these changes rapidly. In order to be efficient and provide this level of care to patients, the use of digital technology in medicine has grown dramatically. New platforms for integrating medical care and digital technology have been developed to enhance doctor patient communication. Digital technology encompasses a broad range of ...

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Before the adoption of new technologies which will undoubtedly improve health care (as it has the retail and finance sectors), it must be introduced in ways which are digestible, scalable, and subject to rapid iteration. Is mobile technology different from the adoption of any other change in health care delivery? I think not. The culture of care certainly requires change as care models are changing. The point of care is shifting to the home, professionals ...

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I passed the 60 mark more than a year ago and since then have been more aware of my limitations: some joint aches, getting tired easier, more need to rest and longing for a slower pace in my everyday routine. Meanwhile, general medical practice is speeding up and increasingly shedding its limitations. As information expands exponentially, doctors need not only to keep up with the information that reaches them directly, but ...

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Applications for mobile devices are commonplace.  These small but often sophisticated programs are quite varied and allow for anything from vehicle GPS navigation, taxicab or car pickups in New York City or rating wines and restaurants.  As with most new gadgets and technologies, medicine and healthcare provide many opportunities for expansion and use. When we examine the available applications found at Apple's App Store, it is evident that medical mobile ...

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The medical and health app market is growing rapidly, there’s no question about it. One as yet unanswered question though is how to regulate this emerging industry. This is something we’ve talked about before in a viewpoint published in JAMA Dermatology as well as on iMedicalApps. While it is still early on and we will in many ways have to see which approach is most suitable, its clear that some way ...

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Patient portals are very much the future of health care. Having easy access to ones’ medical history, diagnoses, and test results, seems like such a natural thing that it’s hard to imagine that only a couple of decades ago medical information was regarded as private for the physician’s eyes only. Of course, the Internet and technology revolution has taken this concept to a whole new level. Health care organizations across the ...

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The governor of Vermont, Peter Shumlin, devoted all of his annual speech to the problem of drug addiction. On the national news, Shumlin points out the link between prescription painkillers and death, and he calls for treating opiate addiction as a medical problem no different than cancer. The White House praised the governor’s position. Meanwhile in another part of Washington, I’m involved in the federal effort to link the law ...

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When it comes to the health care of a frail older person, families really need a good personal health record (PHR) system. So I am once again preparing to take a look at what’s available, in hopes of finding something that I can more confidently recommend to the families I work with. (To see what medical info I urge families to track, see this Geriatrics for Caregivers post.) I have -- ...

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One of the spinoffs of being an oncologist is that you do not to take the world for granted.  Each morning, I walk around the yard and smell the morning breeze. I am thankful for my children, my wife and my own health.  I am thrilled, if occasionally skeptical, to have the opportunity to pay taxes in a country that I love.  So, who would believe I would take our ...

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