The pain radiated from the top of Annette Monachelli’s head, and it got worse when she changed positions. It didn’t feel like her usual migraine. The 47-year-old Vermont attorney turned innkeeper visited her local doctor at the Stowe Family Practice twice about the problem in late November 2012, but got little relief. Two months later, Monachelli was dead of a brain aneurysm, a condition that, despite the symptoms and the appointments, ...

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One day while on shift in the emergency department, I looked out into the waiting room at the dozens of people waiting to be seen.  Many had been waiting for hours. Some looked bored. Others appeared agitated by the long wait time. One thing that nearly all of them had in common, though, was the presence of a smartphone within arms reach.  I wondered, rather than spending their time mindlessly ...

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As someone who has been in the medical field for nearly ten years, I have had the opportunity to follow many physicians. I started off shadowing physicians, standing behind them as they would speak to patients in their rooms. Now, as a resident physician, I spend hours and hours each week in the clinic seeing my own patients. Every week, I read about burnout and how it affects fellow physicians deal ...

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AI, artificial intelligence, is all the rage right now in medical news media. And this has many practicing physicians, even medical students, concerned. Will AI make diagnose heavy specialties such as dermatology and radiology obsolete? Can AI give rise to new medical specialties? How many tasks traditionally done by doctors will now be handled by AI? I believe that there is a right to be worried. We do not have any ...

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Physicians and other health care professionals are uniquely suited to understand artificial intelligence. They've studied or routinely use mathematics, data analysis, and algorithms. They comprehend pattern recognition, decision trees, rules-based systems, and statistics. These are the very components of AI.  Perhaps the only thing our premed and medical training didn't teach us was how to code. But we understand how coding is done. Add to this our training in how ...

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First, there was Bitcoin, a cryptocurrency that utilizes blockchain, a decentralized system of data collection and transactions that we are told will defy hacking. (Wasn’t the Titanic said to be unsinkable?) We read that cryptocurrency and other blockchain functions will be a societal gamechanger, much like the internet was when Al Gore invented it some years ago. My state of Ohio will now accept Bitcoin as payment for commercial taxes. And, of ...

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Apocryphal story from residency: On morning rounds in the critical care unit, the post-call resident starts to present a complicated patient admitted overnight with chest pain, and after the first bits of the history have been presented, the wise old cardiology attending turns to the gathered medical students who are just starting their first clinical rotation and asks them what they ...

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For many months, artificial intelligence has been in my peripheral vision, just sitting there, ignored by me because it seemed too far in the future to be interesting now. And then, there were all these terms — Big Data, machine learning, data science — which circled the subject and, frankly, gave me a bit of a headache. Artificial intelligence is upon us, unleashed and unbridled in its ability to transform the world. ...

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I have been practicing telemedicine successfully for four years. In 2015, I had to beg doctors to work in telemedicine. Because so many doctors were wary of it, I started to get licensed in multiple states, and now, I have 15 state licenses. Well, what a difference a few years makes. Now, in 2019, I get six to seven Linkedin, Facebook, and Instagram messages a week from physicians asking ...

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At some point in my career, I had the crazy idea that if I could scale the patient-centric work I was doing in my community at a small rural hospital — then I could make more of an impact. This is why, when a technology company came calling, dangling a carrot in front of my nose to “disrupt” health care, it seemed like a no brainer to make the leap ...

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