Facebook is lifting the lid on a host of new suicide prevention tools today, as the social network doubles down on efforts to help curb one of the leading causes of death in 15-29 year olds.
There is no doubt that Telemedicine is the future in healthcare. Laws and Regulations are changing and evolving at an exponential pace. In order for doctors and patients to take full advantage of telehealth and telemedicine, a platform cannot focus on the present but needs to be able to seamlessly evolve and adapt to the future. The Co-Founders of Curely (proud to be one of them) figured this out when we met at Singularity University Exponential Medicine. With the help of a “Dream Team” Advisory board, Medical Visionaries, and Engineers, Curely has anticipated the future of medicine. The first step is focusing on the “SOUL” of medicine. It is not the doctor or patient as a single entity but them as a whole. We believe it’s the collaboration of both Doctors and Consumers.
Curely is a Telehealth-Marketplace, in other words it is the “Uber” or “Airbnb” of Medicine. It enables you to speak directly with doctors all over the world and inform yourselves on everyday health issues. You can decide to have a free 5 minute consultation or place a bid for a premium consultation. We see the interaction being similar to that of talking to doctor friends, or doctors in the family that speak freely and truthfully. As physicians we understand the frustrations that can ensue from making a doctors appointment, driving to the clinic, waiting in the lobby for only a short session. We aim to change that. We want you to be in control, whether it is choosing a doctor, language or even setting your own price. At the end of the session, you get to review your doctor. If you liked the doctor, hand out badges that will help their clinic and their reputation or share on your social media to promote their online clinic.
1) Curely allows you to test the waters of Telemedicine or Telehealth by interacting with patients the way it was meant to be. A direct and honest conversation. The way you would speak to your father, brother if they had a medical question. At this point in time it is not meant to substitute a clinical visit. But, as I said, we are anticipating this, and Curely will evolve on designated time frames.
2) Some of you are already comfortable with social networks, interacting with patients this way. Gain reputation points, badges that will improve your future Online Clinic in the platform. Help educate and inform consumers of their everyday health questions and give them clarity. By using Curely at this point you will gain an advantage over others to kick start your online reputation and your practice.
3) If you do not want to test Curely, I invite you to test other platforms and explore telemedicine. If you are not open to such technology at this point in time, the future will bring an interesting awakening.
Changing the way healthcare or medicine is offered is challenging. We need to regain the trust that has been destroyed.
For those consumers looking for answers, (Myself included) next time you have a question, come and try Curely. Why go to the internet and do a search when you can talk with top of the line specialists in many cases for free? At this stage you are coming to Curely to inform yourselves, to learn, and get particular recommendations. It is Not meant to substitute an in-person clinic visit.
Current Feedbacks from our beta-consumers and doctors have been very positive to say the least. As we evolve, It will only get better. For now… Welcome to Curely, welcome to the future of Healthcare.
As the adoption of Social Networks has increased over the last couple of years we have also witnessed a shift of the material that is posted and shared by individuals. Unless you go to reddit, in which Cat posts predominate (kidding btw I love reddit, recommend /r/science, futurology, technology). Many blogs out there tend to find an interesting article from a scientific journal one that is popular in the news and change the title to a “Sexy” provocative combination of words that will awaken an urge to click. Why? Because Clicks = traffic, Traffic = money from Ads.
I will not mention blog names but you all know which they are. In many cases people retweet, re-share content without really reading the article. They get enamored by the sexy title and enjoy the likes, shares, retweets etc. In order not to spread erroneous information, it is extremely important, at least in medical related material, to question and learn more before re-sharing and re-tweeting.
Thus -> The Exponential Regurgitation of Misinformation Factor (ERoM Factor). Which addresses the number of times a trending topic has been posted without it being properly digested by the reader
0) User read scientific related data and agrees with the post.
1) Post impacting the individuals life or daily conversations
2) Post impacting the poster’s friends, family, acquaintances circles
3) Post impacting other individuals by the shares of his circles.
Hopefully your next science or medical shared posts have an EROM Factor of 0
The Society of Coronary Angiography and Interventions: Words of Wisdom for Using Social Media, from a Twitter Guru
TeleMentor gives procedure impacting advice to Interventional Cardiologist performing PFO closure through GoogleGLASS
In a recent sequence of serendipitous events occurring at UAMS, Dr. Eudice Fontenot, Pediatric Interventional Cardiologist from Arkansas Children’s Hospital provided valuable insight to a team of interventional cardiologists (Dr. Barry Uretsky, Dr. Abdul Hakeem and GLASS explorer Dr. Christian Assad-Kottner) who performed a Patent Foramen Ovale (PFO) Closure
PFO closures are usually performed in children and adolescents who have symptoms secondary to significant Right to Left shunts, in non-medical terms, significant non-oxygenated blood mixing with oxygenated blood. On occasion, secondary to anatomical changes in adulthood, a PFO which was not significant can turn into a defect which needs correction. Such was the case we recently encountered. A PFO closure is not something performed frequently in adults, and an even an expert interventional cardiologist could have accumulated 25-50 cases through their career. Even though the procedure could have been done safely by the operator, we decided to contact a pediatric interventional cardiologist, who performs this procedure more frequently.
This is where we saw an opportunity to use of Google GLASS as a way of Livestreaming the procedure to the telementor and obtain his advice in real time. The next step was obvious, before anything, I spoke in detail with the patient (which by the way I will be disclosing his name soon because he wants me to do so as well as his family). I explained to him how we would use GLASS and Hangouts to stream the procedure to an expert who has abundant experience on PFO closures on children, and if needed he could instantly provide his advice. Needless to say, he understood the potential of such a dynamic and was excited to be part of it.
Nov 19 the procedure occurred. We initially had planned to stream the hangout to the tele-mentor at Arkansas Children’s Hospital, but due to heavily leaded walls in the catheterization lab affecting the current data connection, and GLASS being a beta-gadget, we decided to have the expert nearby in case we needed him.
Patient was anesthetized, intubated, and Transesophageal echocardiogram performed to guide the implantation of the Amplatzer closure device. Shortly after, access was obtained with a femoral sheath and the device was inserted and advanced to the left atrium across the PFO. At this point in time, the interventional cardiology team spotted a mobile artifact within the tip of the amplatzer highly suggestive of thrombus. These images were transmitted live to the tele-mentor who agreed on the diagnosis and suggested at this point to retrieve the device to avoid the possibility of a thromboembolic event. When the device was retrieved, we confirmed our suspicion, a thrombus in the tip of the amplatzer was observed. The tele-mentor further guided us on how to flush the sheath and adequately clean the thrombus from the device. At this point in time we decided to end transmission and ask the tele-mentor to come to the cath lab to provide further recommendations. Soon after the device was reinserted, deployed with excellent angiographic, echocardiographic and physiologic results. Procedure was a success and patient was subsequently discharged with adequate arterial oxygen saturation, effectively treating his problem.
After discussion with my colleague and Google GLASS pioneer Rafael Grossman MD, we agreed that this was the first time that the advice given by an expert through Google GLASS directly impacted and helped the decisions made in a medical procedure.
Example of looking at TEE monitor with GLASS to demonstrate quality
Whole story to be released soon via another source, with procedure pictures, names and more details
We are living an era of disruption in which exponential technologies have the potential to change dramatically the way medicine is practiced but in order to do so certain regulations need to also do so.
As other Medical Google GLASS explorers, I am disappointed and frustrated on the concern of incorporating such technology in a faster pace in the hospital. Yes, there are pros and cons but let me mention what is the most important pro, PATIENT OUTCOMES!
Every time I stumble with people asking me about what GLASS can do, I am happy to do so. In addition I tell them about my projects in medicine as well as how colleagues are using them in telemedicine and telementoring like Rafael Grossman. Needless to say they are all impressed. After talking with them I go ahead and describe a scenario.
“Imagine you are in the cathlab or in the operating room and your doctor is performing a particular procedure.Suddenly he/she faces a situation in which he would like a second opinion from a colleague to make sure he is making the right call. In order to do this your doctor could use Google GLASS and communicate via HANGOUTS. Your information could be intercepted by wandering eyes in the transfer, but at the end your doctor will get relevant feedback. If this impacted your outcome, would you care about your privacy in this point in time?
So far, out of approximately 50 people I have asked this question, 100% said they could not care less. If this will help the doctor GO AHEAD! It is the patient’s data! Shouldn’t he/she decide how it is going to be used?
The reader may argue on this but, If I am the patient, and my doctor wants a second opinion from another doctor, and this implies him using google glass in a non secured network to impact outcome. I could not care less…
I was asked to give a talk in my University which is The University of Texas Medical Branch, regarding exponential technologies in Medicine. For those who do not know me, I am a cardiologist who is passionate about incorporating technology into medicine. I have no doubt that major changes will be happening in the incoming years in the way we practice as well as how we engage with our patients. Click here for the link to see or download or copy paste http://goo.gl/IwCdB
Before giving the talk I overheard people saying “it is a joke, this is a cardiology meeting, what is he talking about” I also heard others with more positive comments. As one of my slides states “The problem with close minded people is that their mouths are always open”.
Soon after initiating my talk I could see how the audience became captivated with what I had to say. My goal was to open some eyes to the potential of exponential technologies. I wanted to show them technologies that are and will be game changers in our every day practice, and hopefully ignite some light bulbs to stop conventional routine thinking and dream a little…
Hope you like the slides
Update: 3 hours after the upload it became top presentation of the day, 6 hours later top presentation talked about in facebook, and 36 hours later 30,000 views
E-Mail: christian.assad-kottner at singularityu.org
Christian, Assad-Kottner, MD
Interventional Cardiologist who happens to be a Professional TechGeek as well. In his free time Dr. Assad likes to teleport himself to Neverland and play Rugbi with the Lost Boys. You can find him there.
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