We've all been hearing about the cool app Snapchat, which allows people to send pictures and videos that only last a few seconds before disappearing. Because of the disappearing thing, the worry that I keep reading about is that teens will use it for sexting, figuring that it's no problem if they take sexy pictures or videos, because they won't last. Now I worry about sexting as much as anybody else ...

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You’ve heard all of the advice about backing up your computer regularly, making sure that you have your passwords stored in a safe place, protecting yourself against digital identity theft, but what does that have to do with providing care for a person with special needs? Let’s count the ways. First: Resources. Much of the information you need is online, and your personalized data may be password-protected. Anyone who has ever been ...

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A few weeks ago I was following an online discussion conducted by a widely followed health site. During the discussion, they had a physician who was giving out wellness advice to users via Twitter. That physician had one tweet in particular that terrified me. Why you shouldnt give medical advice on Twitter Why you shouldnt give medical advice on Twitter As the above screenshot shows, one tweet mentioned that when in doubt regarding ...

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The position paper from the American College of Physicians and the Federation of State Medical Boards, is a humbling reminder of the challenges that today's physicians face when entering the online space. Their recommendations for online medical professionalism, written by ethics committees for the two organizations, "provides recommendations about the influence of social media on the patient–physician relationship, the role of these media in public perception of physician behaviors, and strategies for physician–physician ...

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How should doctors behave online? This is a funny question, isn’t it? Medical establishment loves rules and hierarchy. Social media does not. Social media levels the playing field of who gets to talk; it gives real caregivers a voice. That’s very cool. This is just a guess, but I suspect there are many more acts left to play out in the healthcare social media play. The American College of Physicians and the Federation ...

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I love social media so much that I give seminars on how academics should use it to advance their careers and fields of study.  Today I’m writing about what I hate about it to answer a question often posed to me by social media skeptics: what are the downsides to participating in social media?  At the risk of completely undermining my mission to encourage greater academic presence on social media, ...

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This month I hit a milestone on my Sina Weibo microblog; I finally reached 10,000 fans. It took more than two years, and I suppose I could have sped it up by paying for fake zombie fans. However, I preferred to earn this honor with good old fashioned hard work. Ten thousand fans is a tiny amount compared to many Chinese microblogs, including several at my own hospital like our ...

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Since 1992, I have advocated for all of us to have the information, support and guidance we need to act to improve our health and get the most from our health care. I believe – and there is considerable evidence to back me up – that we do better when we participate in our care to the extent we are able. As someone who has been diagnosed with several different types ...

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In late fall of 2011, I was tired of medicine. While seeing patients was still enjoyable, I felt underappreciated in my employment and frustrated by the endless BS that I dealt with -- new laws undermining the trust my patients place in me, increasing requirements from insurance companies for ordering tests or medications, more forms to sign, less time with patients, a cumbersome EHR to learn, more non-CME education requirements ...

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It all started with my sending a tweet. Actually, that's not quite true. The way it really started was with my frail elderly patient calling me in mid-January, to tell me he thought he had a UTI. But that part of the story is not new and novel; I've often had patients contact me with similar concerns. I did what I usually do: ordered a urinalysis (UA)  and urine culture (UCx). (I ...

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