Blog

Blog Break


I admit that it's been a while since I've felt like this. When I first started my blog more than a year and a half ago (has it been that long already?), I was like most people - full of energy - very excited about the project - writing really great posts, etc. At some point, people really start reading what you're writing and your blogroll starts to grow and things are going great.

It's kind of funny because that is the exact moment when I remember taking my first blog break. I was feeling overwhelmed. For some reason, I was putting pressure on myself to post every day and to try to "top" the last post with something more creating and/or entertaining. So, I had to step back for a little while and get some perspective.

And, as people who read here often know, I take blog breaks every so often when I'm feeling like that. Well, Monday, something happened at work to put a huge weight on my shoulders again. I mean, it's not life shattering and some people would think that it's mundane. I won't bore you with the details. Suffice to say that I have found the need to take a little break from blogging while I get things sorted out.

Unfortunately, that means that I'm also going to cancel my shows for the rest of this month. My apologies to Bongi and ScanMan for doing this. To be honest, trying to get the audio to work with a new site and worrying about whether it was going to work, just added to my stress this week - something I really didn't need.

I'll be back by the first of next month as I get things sorted out. I won't be totally gone. You can keep track of what I'm doing on Twitter and I may even do a video post every once in a while in the next few weeks. Back soon....

Epocrates & iPhone




Last week, Apple finally announced the iPhone software development kit. Many, including me, have been waiting for applications to place on my iPhone so I can finally get rid of my other PDA. While the demo for the gaming apps took most of the tech headlines, the medical community (especially those with iPhones) should take notice of an important application that was also "demoed" at last week's Apple event.

I have been using Epocrates ever since I was back in residency. And, I have been waiting for this application to be written on the iPhone. In the cnet video above, they show what one epocrates engineer could do in two weeks of programming. What was impressive to me was the use of the photo of pills, which I think will be helpful in my office setting. I cannot wait to see the full product when it is released. Hopefully, other medical software developers will follow suit and write more cool stuff for the iPhone.

Show 27 Wrap-up




Thanks so much to Berci from Science Roll for being on the show. (see video post above) We had a great conversation about his life as a medical student. We also discussed his first and only trip to the United States. We was asked to do presentations in Long Beach, California and at Yale. I mean, I have never been to Yale - let alone asked to do a presentation there. Very impressive.

We also talked about his opinions regarding Web 2.0 and Medicine. An interesting perspective. He has a passion for genetics and genomics. If you don't know what exactly they are, he does a good job at trying to define these complicated terms. He graduates from medical school in about a year and a half. He either wants to pursue a PhD or residency. (I think some places offer both of these tracks.)

I certainly wish him the best of luck. We also talked about his blog carnival called Medicine 2.0. I've read this and, I have to admit, that some of that stuff is right over my head. Don't get me wrong, genetics is very important. It's just that it's pretty complicated and the research in genetics is very complicated. Nevertheless, I volunteered to be a host for Medicine 2.0 in the future. Berci told me that he would definitely help me through the process.

I have a favor to ask all of you out there in the medical blogosphere. I would really appreciate it if you could give me feedback on this week's show. In particular, I'm looking for your opinion of the sound quality of the show. Could you hear me ok? Could you hear Berci ok? For those of you who listened live, how easy or difficult was it to navigate the Talkshoe site?

I'd like this feedback to see what you think of Blog Talk Radio verses Talkshoe. I won't share my opinions yet, because I don't want to bias your feedback. But, any information and feedback is helpful to me as I decide where to do the majority of my shows. Have a great weekend, everybody!

Dr. A Show 27 on Talkshoe




Thursday, March 6th, 2008 at 9pm Eastern Time

Join us on Thursday night for Bertalan Mesko who is from the blog called Science Roll. This will be a unique show in that our guest will be live, but on an entirely different continent. I think that we have the technology working (hopefully). We will be broadcasting live on Talkshoe. For those interested, here is the Talkshoe FAQ.

For first time Talkshoe listeners:
*Although it is not required to listen to the show, I encourage you to register on the Talkshoe site prior to the show. I think it will make the process easier. To get to my show site, click here.

*Talkshoe has software called "ShoePhone" in which just by plugging in a headset, you can talk on the show without dialing a phone number. After registering your ID, I encourage you to click here and download and install the shoephone software.

*When the show goes live, make sure your headset is already connected and then log into the site. Then, click on the button below to activate the shoephone software.

*This will open a window called "Talkshoe Pro." Look for the shoephone button below and click on it.

*You will then see the Talkshoe interactive software window as below. There is a chat room in there. And, you will be able to see who else has a microphone. Who knows, I may unmute you to say hello!

*Now, of course, you don't have to download the software to listen to the show live or listen to the show later. And, if you want to dial in with your cell phone to talk on the show, you can do that as well. Click on my link above to get the phone number and ID number of the show. But, why would you want to do that when there is a free option? See you for the show!

The Bertalan Mesko Interview


For the first time ever on The Doctor Anonymous Show, we have a scheduled guest, for the entire show, who will be joining us from Europe (about 5,000 miles or 7,500 kilometers from where I'm sitting right now).

Bertalan Mesko who is the author of Science Roll will be joining the show on Thursday, March 6th, 2008 at 9pm Eastern Time. He will be joining us live when it will be 3am his time. So, you cannot miss this show. According to his blog, he is a medical student at the University of Debrecen, Hungary (5th year of the 6). Here is other information from his blog:

I plan to become a clinical geneticist specialized in personalized genomics. I believe that the future of medicine belongs to this field. On this blog, my aim is to make medicine, genetics more readable even for those who are not too interested in them. That’s why I mostly write about genetic testing, personalized genetics, the most important news of clinical genetics and, of course, popular medicine.

I also work on the relationship between web 2.0 and medicine. I try to provide useful content; tools and services that could ease the work of physicians, medical students, nurses or medical librarians. I have already given presentations at the University of Yale, the hospital of Greenwich or the Medicine Meets Virtual Reality conference in Long Beach, but I keep giving slideshows at Hungarian clinics and departments.

I maintain two blog carnivals:
Gene Genie: the carnival of genes and gene-related diseases
Medicine 2.0: the carnival of web 2.0 and medicine

My Hungarian medical blog can be found here: mediq.blog.hu I’ll never forget the works of Stanislaw Lem, I like listening to Ray Charles and consider Isaac Newton as an idol.

Now, I have to tell you that the technical aspect of this has been really challenging this week. Right now, this is scheduled to be The Talkshoe Doctor Anonymous Show.

I don't even know if the technology is going to work at this point - we're still trying to work that out. So, this may be on of my best shows ever, one of my last shows ever, or, I might even cancel the show at the last minute. So, you'll definitely have to tune in. I'll have some instructions tomorrow on how to utilize the Talkshoe site. Let's hope this works!

Get out and vote!


It's primary election day here in Ohio. If you have been following the news at at all, you know that the US presidential race believes that Ohio is a key state not only today but in November for the general election.

I've already asked some patients this morning and they have told me that they don't vote and will never vote. The reason? Well, they do not want to be called to jury duty. What kind of lame excuse is that? (Jury duty should be from the pool of people with a driver's licence and not registered voters, anyway.) I kind of went off on someone this morning, "Then, you are not allowed to complain how high the cost of health care is. And, you are not allowed to complain about what's going on, because you did not vote."

Now, people tell me that voting doesn't matter anyway. Doesn't matter? There are countries around the world whose only goal is to have a voice in how they are governed. We here in the US are definitely spoiled and don't know how good we have it. So, get out there and vote today! I'm Dr. A, and I approved this message...

Dr. A Show 26: Wrap-up




Thanks so much to Dr. Doug Farrago from Placebo Journal for being on the show. We talked about what it's like being a Family Medicine physician in Maine. Talked a little bit about his boxing career and a little bit about his practice. Of course, we talked about his book, his magazine, his blog, and his youtube channel. It's great seeing a doc utilizing all kinds of new media. I'm hoping other docs do the same in the near future.

Next week, I'll be taking the show over to Talkshoe which is another internet radio site. Our guest will be Bertalan Mesko from Science Roll. Very impressive blog if you have never checked it out before. He also hosted Grand Rounds this week. The link to The Doctor Anonymous Talkshoe Show is right here.

I'll talk more about it soon. But, it's similar to BlogTalkRadio in that to fully participate in the show, you'll need to officially register on their site for an id. What's interesting about it is that you do not have to use a phone to call in they have something called The ShoePhone - which is software you download. And, if you have a microphone or headset for your computer, you can use that to participate in the show. So, that's what is going on for Show #27. In the mean time, enjoy Show #26!

Doug Farrago, MD on The Dr. A Show


BlogTalkRadio Listen Live

Thursday, February 28th, 2008 at 9pm Eastern Time




Join us on Thursday night for Dr. Doug Farrago who is the the self-proclaimed "King of Medicine" and is creator of the empire we know as The Placebo Journal. This is probably one of the only people in the medical blogosphere who is more connected than me.

Not only is he an author of a book and a blog, he also has a magazine and even has his own channel on You Tube called "Placebo Television." In the above video post, he talks about Dr. Robert Jarvik who was back in the news this week. He ends each video with this signoff, "Thank you for tuning into Placebo Television, where we always keep our finger on the prostate of medicine." Can't wait to ask him about that.

Take part in the chat room, which is the "show within the show." A great opportunity to interact with medbloggers you've only read about. You can even call into the show to talk and/or ask a question. See you for the show!

For first time Blog Talk Radio listeners:
*Although it is not required to listen to the show, I encourage you to register on the BlogTalkRadio site prior to the show. I think it will make the process easier.

*To get to my show site, click here. As show time gets closer, keep hitting "refresh" on your browser until you see the "Click to Listen" button. Then, of course, press the "Click to Listen" button.

*You can also participate in the live chat room before, during, and after the show. Look for the "Chat Available" button in the upper right hand corner of the page. If you are registered with the BTR site, your registered name and picture will appear in the chat room.

*You can also call into the show. The number is on my show site. I'll be taking calls beginning at around the bottom of the hour. Hope these tips are helpful!

I'm A Blogaholic: Gone




The I'm A Blogaholic blog was started almost a year ago during the whole Flea episode - and when Fat Doctor took down her blog (she did eventually come back). At the time, the blog was a great way for people to just talk about what was happening at the time.

But, as typically happens, people move forward and move on. And, that has showed in the past few months. The number of posts and the number of visitors have decreased. So, I've decided that The I'm A Blogaholic Blog has run it's course and will be taken down in the next few weeks. So, thanks for the memories!

Google YOUR private health information?


What if I told you that companies like Google and Microsoft will soon have the opportunity to handle your private medical information? Maybe this is information that you do not want anyone else to know - other than - say your doctor? Earlier this week the state of Tennessee announced a partnership with AT&T for the first statewide network to share health information.

An article in today's Washington Post states that the Cleveland Clinic, in association with Google, will be starting a pilot project that is aimed at putting personal electronic health records in the hands of consumers. (I've talked about personal health records on this blog in the past)

What Cleveland Clinic wants to do is have the ability to merge outside electronic medical records with their own system. For example, if I refer a patient up there, currently, the only thing I can do is send paper records and even x-rays up to Cleveland Clinic with the patient. How much more convenient would it be for me and the patient to have a way to send electronic records and have the opportunity to feed it into their system. That would save time and paper.

What Google wants to do is be the reservoir of all this information - and in some way, make this information available to the health consumer - meaning the patient - meaning you. That's a good idea, right? Here's the problem: What about all the privacy issues? How comfortable are you that companies like Google and Microsoft would have your private medical information?

Medical files in the care of health-care providers like doctors, pharmacies and hospitals enjoy legal protections specified by the Health Insurance Portability and Accountability Act (HIPAA). Covered files are strictly controlled, can't easily be subpoenaed, can't be exploited for profit and have to be stored securely. But Microsoft and Google aren't health-care providers.

"When you move records from a doctor to a personal health record, your protection evaporates," said Robert Gellman, author of a World Privacy Forum study on the subject released last week. He concluded that such systems "can have significant negative consequences for the privacy of consumers."

People joke about "googling" someone - like friends - or even enemies - just to see what comes up. I know my patients "google" my real name to try to learn more about me. What if MY personal medical information was in the hands of Google? What if YOUR personal medical information was in the hands of Google or Microsoft?

In this country, our privacy is pretty much gone anyway. I mean if you're out in public and do something stupid, someone with a camera cell phone records it and is on you tube within the hour. Or Flickr? Or someone blogs about it? And we've all heard of employers who have obtained this information and people are fired. But, this is invasion of privacy on an entirely new level.

Now, people from a potential boss to a private investigator would possibly have the ability to look up your most private medical and health information? This is just wrong and it's dangerous. The article says that an act of Congress is needed to require non-medical providers like Google to follow the same privacy laws that I follow and that hospitals follow. Do you think this will happen? What do you think about these tech companies holding your personal medical information?

Update: This post is less than 2 hours old, and I already have someone fired up! Check out Cathy's take on this (she's been a patient at The Cleveland Clinic).