"You care more about the computer than you do about me!" Thank you for creating what needs to be said, Healthcare Not Fair.

I had just taken over three other residents' phones and pagers when 2-year-old “Bryce” jumped off the couch in our oncology unit, landed on his chin, and bit completely through his lower lip. I quickly reviewed his platelet level from that morning, examined him, and began calling plastic surgery and anesthesia for sutures. While I was on one phone, a second one started ringing. I declined the call and tried ...

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I am an email junkie and spend more time than I would like to admit on emails every day.  I start my day by looking at emails, and I end every evening reviewing emails.  And yes, I spend time during the day checking the computer for pertinent emails that need my attention.  I think many physicians are of the same ilk. According to Alexandra Samuels, who is the author of Work ...

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Startups looking to partner with health systems: This list is for you. So often, it seems like new technologies being developed for health care don’t address the areas of largest need. We sat down with nursing leaders at the University of California, San Francisco (UCSF) to get a sense of what clinical problems could be best addressed by technology. The following list was compiled from interviews with Sheila Antrum (president and senior ...

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Once upon a time long, long ago there lived a man who could see things that other people simply could not see. He was not born with this skill but cultivated it slowly and continuously with years of focused attention. He worked as a physician in a large hospital and would sometimes have students go with him to see patients. As far as the students were concerned, he could really see ...

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Recently, the American Medical Association CEO called digital health care products modern day "snake oil." As a provider and a technologist, I think we need a deeper dive to understand the issues, avoiding the kind of hyperbole that’s so common in politics today. Paul B. Batalden, MD, Senior Fellow, Institute for Healthcare Improvement (IHI), once said "Every system is perfectly designed to get the results it gets." Let’s take ...

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“I love you,” she said as she was leaving the room. “I, I um …” “Not you. Your computer.” She cast my computer, still warm and glowing with its brilliantly colored logout screen, a glance of longing and desire, and left the exam room. “Oh, I thought …” The slamming of the exam room door clipped off whatever the end of that sentence might have been. I sat down and rolled my chair over to ...

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This spring, thousands of medical graduates will cross the stage and become doctors. Yet practicing medicine isn’t the only career for these young professionals; the path to becoming a doctor also provides ample skills for entering the innovation economy. Today’s medical students are perfectly poised to change the gridlock of the U.S. health care system -- and medical schools should empower them with the support and business exposure necessary to tackle ...

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One of the topics’s that I’ve written most about, and also do a considerable amount of non-clinical consulting work on, is how we can improve health care information technology and electronic medical records. As they currently exist, there are unfortunately many drawbacks to health care IT systems, and they have as yet failed to fulfill their immense promise. I’m not a technophobe by any stretch of the imagination. I embrace technologies and ...

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When my father died three years ago,  my comments at his funeral noted that the greatest aspiration any of us can have is to make a difference in the world.  My father’s life made a difference. I’m always self-critical and analyzing my own life.  I moved to Boston 20 years ago this month.   In those 20 years of service to Beth Israel Deaconess Medical Center (BIDMC), Harvard, numerous federal organizations, ...

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