When Patients Complain

A few weeks ago, I was asked to give a talk entitled Cyberbullying: Legal Rights of Physicians Maligned on Social Media. I accepted the talk but changed the title to “When Patients Complain.” I wanted to reframe the discussion. Patients have complained about the quality (or the lack thereof) of the healthcare they receive, even before social media. Social media though has provided a platform where such complaints can get more mileage. Continue reading

TEDEd Lessons for Medical Informatics

I first heard about TEDEd lessons a few years back. A follower on Twitter had asked me if I wanted to apply for a TEDEd fellowship. I checked out the application and one question asked was, How many TEDEd lessons have you created? What’s that?! Since then, I’ve been recommending it at faculty development workshops, as a way for professors to use videos in their classes. A TEDEd lesson is one way a professor can flip his class! Continue reading

The Power of Regret

This post and the #HealthXPH tweet chat on December 2, 9 pm PHT is inspired by an article published in the New England Journal of Medicine, The Power of Regret, by Dr. Jerome Groopman & Dr. Pamela Hartzband last October. In it, regret is defined as having two essential elements –

… imagining that the present situation would have been better if one had acted differently, and self-recrimination for having made a choice that led to a bad outcome.

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Artificial Intelligence & Healthcare

Merriam-Webster defines Artificial Intelligence (AI) as the branch of computer science dealing with the simulation of intelligent behavior on computers, or the capability of a machine to imitate intelligent human behavior.

How do you imagine AI in healthcare? Is it more like No. 5 in Short Circuit or Sonny in I, Robot? Let’s talk about AI and healthcare at the #HealthXPH tweet chat on tonight 29 Jul 9 pm Manila time (9 am EST). Continue reading

Self-diagnosis: valid or dangerous?

At the recently concluded #hcsmph2017, a question was asked during the Unconference –

Is self-diagnosis online valid?

The question was raised in relation to mental health and answering online questionnaires to see if one is depressed. Another participant had also asked the same question, relating how a friend’s father had died of stroke because of a neglected headache. Apparently, the family members had relied on Google search and delayed going to the doctor. This inspired me to have this topic for the next #HealthXPH tweet chat on 29 April Saturday, 9 pm Manila time. I had previously written about Dr. Google and why self-diagnosis annoys doctors. Continue reading

#OurLoveStory in 15 Tweets

So yesterday was Friday the 13th and my 15th wedding anniversary. I’d seen someone do anniversary tweets before (cannot remember still who it was, so if you do please leave a comment). I thought this was a good idea to surprise my husband. Only problem was he’s not on Twitter so I had to post a summary on Facebook. I wasn’t sure how it would go down, as it was PDA (Public Display of Affection). But I think he’s enjoying the attention.

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Consumerism in healthcare and the Physician-Patient Relationship

On PsychCentral.com, Dr. Rick Nauert writes in this post entitled Money Changes Physician-Patient Relationship – 

“We have forgotten that aspect of professional folk wisdom,” Hall said. “Doctors need to make their treatment recommendations in the context of what patients can and can’t afford, with the understanding that some patients can’t afford what they might recommend.”

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The Challenge of Care Coordination

As an endocrinologist, care coordination is something I struggle with in my clinic. There being only 200 or so endocrinologists in the Philippines, I often see patients from places where there are no endocrinologists. They travel great distances to see me. As you can imagine, persons with diabetes will need care from others such as an ophthalmologist, cardiologist, nutritionist, dentist etc. These healthcare professionals may or may not be available where the patients live. If they are not available where they are, I have to choose who to refer to in the faculty medical arts building (attached to a medical school and a university hospital) where I hold clinic and ask my secretary to schedule an appointment for them. While all medical specialties are housed under one roof, scheduling can be hit or miss. Sometimes, the patient can be seen that same day before they travel back home and sometimes not. Tracking whether the patient has indeed been seen is another problem. I can find out months later when the patient comes to her appointment with me that she was not seen for example by an ophthalmologist despite my referral.

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Why does self-diagnosis annoy doctors?

This picture has circulated in my Facebook feed since last month. It didn’t feel right but I decided not to say anything as I saw some colleagues sharing it. I was wary of offending someone. However, there was one post in particular recently where I simply could not in good conscience keep quiet. And I said –

I am a physician and I find this picture offensive.

So what happened? The person who posted the picture deleted my reply! That’s what made me decide to write this blog post. Continue reading