Joshua Schwimmer, MD, FACP, FASNTechnology in Medicine

Google Suggest and Healthcare

Joshua Schwimmer, MD, FACP, FASN
When you type a search query into Google's web search, a feature called Google Suggest will offer searches that other users have typed that are similar to the one you're typing. Sometimes, this can provide an eye-opening view of how the Internet — or at least, the people who search Google — feel about a particular topic.

For example, here are the Google suggested searches for "Doctors are..."


In case you were wondering — no, thousands are people aren't all searching for "doctors are sadists who like to play god and watch lesser people scream" because they necessarily feel that way — it's a quote from the movie Juno.

Here are some other similar searches from Google Suggest.

Nurses are:
  • nurses are great
  • nurses are angels
  • nurses are mean
  • nurses are heroes
Medicine is:
  • medicine is keystone of the arch of socialism
  • medicine is working but u.s. economy isn't healthy yet
  • medicine is an art
  • medicine is not candy
Hospitals are:
  • hosptials are generally categorized as nonprofit for-profit or governmental
  • hospitals are cold
  • hospitals are challenged by competition for paying patients
  • hospitals are dangerous
I am sick:

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Connecting with Physicians Online, a Study by Google

Joshua Schwimmer, MD, FACP, FASN

Google Inc.Image via Wikipedia

In November 2009 Hall & Partner published a study sponsored by Google titled "Connecting with Physicians Online." (Here's the webinar on YouTube and here's the PDF of the presentation.)

The study's aim was to better understand how physicians use the internet in their clinical practices. As you'd expect from a study sponsored by Google, it was particularly focused on how physicians use search.

The study surveyed 411 physicians from a range of specialties (PCPs, endocrinologist, cardiologists, psychiatrist) and with a range of experience (2 - 30 years in practice) on their use of the internet in clinical practice. Additionally, various clinical scenarios were presented designed to mimic actual situations the physicians might encounter.

Here are some of the findings. All these percentages seem low to me.
  • 86% of physicians have used the internet to gather health, medical, or prescription drug information.
  • Only 21% of physicians who use the internet in their clinical setting access the internet for medical information in the patient exam room.
  • 58% of physicians access the internet more than once daily.
  • Only 81% of physicians use search engines. Of these, 92% use Google (naturally), but only 13% use Google Scholar. (I'm not certain where Pubmed fits into this — I presume it falls under "search engine.")
  • Physicians most commonly searched online for general condition information and specific drug information.
  • As a result of online research, physicians made a change in medication or initiated a treatment about 30% of the the time.
  • 78% (only 78%?!) believe the Internet has made practicing medicine easier.
  • 8% of all physicians clicked sponsored links, but 21% of psychiatrists clicked on sponsored links. (Analyze that.)
  • 92% of physicians clicked on the first search result.
To delve further into the summary PDF, click here.











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Laparoscopic Surgery Performed at 4X HD

Joshua Schwimmer, MD, FACP, FASN
The holy grail of resolution is not high definition video, but telepresence — resolution so good it feels like you're looking through a window, not a TV set or a monitor. Resolution so detailed you feel like you are there.

redone

The RED Digital Cinema Camera Company offers a new line of high definition video cameras which have gained an enthusiastic following among directors. (For example, Steven Soderbergh said that "Shooting with RED is like hearing the Beatles for the first time. RED sees the way I see.") Here's a sample of HD video of Paris shot with the RED.

Dr. Steven Palter, an obstetrician/gynecologist and fertility specialist, recently performed the world's first laparoscopic surgery with the RED camera at a resolution equivalent to 4X HD. The procedure was presented on October 20 at the 65th Annual Meeting of the American Society for Reproductive Medicine (ASRM) in Atlanta. According to Dr. Palter,
"The images are the sharpest, most detail-rich and color-correct endoscopic images ever created anywhere. There is not a more accurate view inside the human body... By increasing resolution to this level we allow the surgeon to be actually immersed in images that surpass the live surgical experience. The resolution approaches that of the human eye but it is combined with 10 fold magnification through the telescope which operates just inches away from the disease. The progress from regular surgical film technology is like comparing sitting in an HD home theater to watching a video on a cell phone..."
More information may be found at Doc in the Machine.

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Finding Doctors and Health Care Professionals on Twitter

Joshua Schwimmer, MD, FACP, FASN

My social Network on Flickr, Facebook, Twitter...Image by luc legay via Flickr

A little over a year ago, before Twitter was the tech/pop culture phenomenon it is today, doctors like myself had a problem: how do you identify other health professionals on Twitter? (At the time, there must have been at least dozens. Dozens.)

This was the first solution. In retrospect, it was hilariously cobbled-together:
This is a feed containing the conversations of all known doctors and medical students who use Twitter: http://feeds.feedburner.com/doctorsontwitter. (If that doesn't work, you can try the original feed from Yahoo Pipes instead.) Technical details, for those interested: I used this list of doctors/medical students on Kidney Notes, ran each person's Twitter feed through Yahoo Pipes, then burned a FeedBurner feed.
When FriendFeed debuted, I created "The Doctor's Room," which was populated by both Twitter feeds and RSS feeds of physicians. Unfortunately, the "room" feature was poorly designed by FriendFeed (which has since been acquired by Facebook). Like the Yahoo Pipes experiment, the FriendFeed room was an educational failure.

A month ago, Twitter finally debuted the "lists" feature, allowing each user to create subscribable lists of other users. Below is a sample. (For clarity, the second column is the number of users in the list, the third column is the number of users subscribed to the list. Got it?)



While not a perfect solution, lists are a simple way to discover health care practitioners on Twitter. (Finally.) Services like Listorious have also appeared which use the Twitter API to create searchable lists of lists.

For easy reference, here's a list of some of the more popular lists of doctors on Twitter:
(You can find me at twitter.com/JoshuaSchwimmer. The full lists of lists which include me is at twitter.com/JoshuaSchwimmer/lists/memberships. This post also appears on The Efficient MD.)

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Hilarious Journal Articles and NCBI ROFL

Joshua Schwimmer, MD, FACP, FASN

A live frog levitates inside the Ø32mm vertica...Levitating Frog, Image via Wikipedia

Two years ago, I began collecting "hilarious journal articles" and posting them on kidneynotes.com. Here's a sample:
At last count, I had collected 98 articles. If you're interested, you can peruse the entire collection at delicious.com.

(Please note that sometimes these articles are about conditions that are deadly serious, and my intention is not to make fun of anyone, but to show appreciation for humor in scientific writing, which is often dry.)

Hilarious journal articles even have their own awards: the Ig Nobel Prizes, which has been presented at Harvard since 1991. You'll find the complete collection of prize winners here.

And since January of 2009, two Molecular and Cell Biology graduate students at UC Berkeley have written a blog devoted entirely to squirt-milk-out-your-nose grade scientific research. Their website is NCBI ROFL, which stands for National Center for Biotechnology Information — creators of PubMed, where most of the abstracts are published — Rolling On The Floor Laughing.

It's outstanding. Go have a look.

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