I read an interesting book review today titled:
Patient, Heal Thyself ‘The Patient Will See You Now’ Envisions a New Era of Digitally Perfected Care' by Eric Topol
The review is located in
http://www.nytimes.com/2015/01/06/s...new-era-of-digitally-perfected-care.html?_r=0
Here is a portion of the review:
Dr. Topol’s overriding thesis is that the old days of “doctor knows best” are as good as gone. No longer will doctors control medical data, treatment or profits. Instead, thanks to the newest science, humanity will finally achieve truly democratic health care: Up with patients! “Our Bodies, Our Selves” for all!
Among the empowering changes Dr. Topol heralds:
■ Soon there will be no more demeaning, time-wasting visits to a doctor’s office. A smartphone outfitted with the right apps and attachments will easily substitute, analyzing, explaining and transmitting all relevant physiological data to the doctor, generally without the need for the patient’s corporeal presence. (Dr. Topol himself reports he hasn’t used a stethoscope for years, substituting more accurate audio and video electronic tools.)
■ There will no more hospitals, those expensive, disease-ridden anachronisms. “The hospital room of the future will be the bedroom,” Dr. Topol predicts. The sick person’s home will be outfitted for the occasion with all the right portable sensors, and voilà, hospital services “performed in the comfort of our own home. Seeing our own data on our own devices. In charge.”
■ Medical diagnosis will be streamlined: No more doctors struggling to explain your symptoms with endless tests and scans. Instead, web pages full of sequenced genes and all forms of biologic and behavioral risk calculations will supply a likely diagnosis instantaneously. Furthermore, the patient may well be the one to make that diagnosis and present it to the doctor for review, for all information will be freely available.
and the last three paragraphs:
Finally comes the interesting philosophical question of whether all patients really do want — or, indeed, should want — to be their own doctors. You could actually write a book on that question, a book that might penetrate a little closer to the essence of medicine than Dr. Topol ever gets.
Certainly, people who are engaged in their own medical care fare much better than those who are passive and disengaged. But how engaged must a person be? When does engagement become burdensome?
Sick people have a primal need to be cared for; almost always, the sickest patients find that relinquishing the tough decisions to someone else brings huge relief. Healthy people may certainly enjoy monitoring their own physiology, but that activity can take up an awful lot of time. There are many wonderful things to do in this world other than keeping track of your own organs. Sometimes, it just makes sense to have someone do it for you.