Monthly Archives: June 2011

Chronic Illness & the Perils of Unconditional Love of Family – The Devil’s in the Details

With 2011 “Father’s Day” having come and gone and with it the obligatory and often uncomfortable Family “Gatherings” that should be full of joy and catching up but yet slowly become transformed into a game of:  “Who’s Winning so far in this Game called Life?” or “You have the Big Job but I’m my own Boss but then again I can go to my three (3) vacation homes anytime I want while you can only go to your beautiful California Wine Country Estate at certain times of the year.  We need to decide this before the Watermelon is served, any ideas?”

I am sure this is NOT true in all Family Gatherings but I would bet that some form of this competitive nature is present in most.  And I mean that from the quality of the barbecue selections to the casual verbal slip of vacation plans, plastic surgeries, expensive private kindergarten schools, college options and new major financial acquisitions.  Normally, this would be of no consequence to me because I’m a logical person who refuses to get caught up in that and, more importantly, I love my family and cut them the great amount of slack I hope they cut me whenever something hurtful, thoughtless or insensitive results from these Family Gatherings.  But, when you have a Chronic Illness and are currently “in crisis” and probably on a high dosage of medically-necessary mood-altering drugs (e.g., Prednisone), you tend to have thinner skin, possibly require more attention and then, before you know it, a confluence of events unfolds and happy family occasions turn into Story Plot lines for the Worldwide Wrestling Federation (“WWF”) TV Shows.  I wish that weren’t true but we are mere mortals and believe that our families are our last refuge of Unconditional Love, yet sadly, that’s not always the case just like when we grew up thinking those “Lucha Libre” Wrestling TV Shows were real.

But having lived 48 years on this planet, I have come to learn that the phrase “Unconditional Love” is what taught attorneys that “the devil’s in the details” and economists that “there is no such thing as a free lunch.”  Yes, I do have several loving relatives who would “move mountains” to help me (and I for them) and they have done extraordinary things on my behalf such that I never have to worry about their compassion, support and understanding. But there are other instances and familial relationships that are not at all what they appear to be in terms of Unconditional Love.  As a result, they conjure up a unique Emotional mix of Sadness and Anger in the family member with the Chronic Illness such that he or she is made to feel like a failure in the eyes of these other more fortunate, healthy and otherwise blessed family members.  Again, when a chronically ill patient is “in crisis” and likely on medically-necessary mood altering medications, there is a greater sensitivity to being “judged” like this but when you are made to feel that some of those closest to you have “given up on you” when you are all but 48 years of age, only the unprecedented level of your anger and rage can hold back the tears of sadness and disappointment.

I don’t understand how people who have been blessed with good health, good luck and an aversion to multiple personal and/or professional disasters can have an educated opinion on seriously chronically ill people who have fought increasingly devastating and expensive disabilities for many years.  Thankfully, however, we chronically ill people have so much to worry about simply to get through the day that even addressing this type of emotional situation is non-productive, negative in every sense of the word and thus a complete waste of time.  Making “cold” decisions like this is difficult, especially when it comes to “removing” certain people you Love from your Life.  But when you do battle with an incurable and auto-immune chronic illness like Crohn’s Disease, just by way of example, you need to most efficiently collect and then marshal all of your energy and positive thinking into focusing on survival and then hopefully on future opportunities that will help move your Life forward.  A very wise friend of mind refers to this day-to-day “Life Coping Process” as trying to continually “kick the Can down the street” even if only a few inches for that is progress.  This friend always gave me this kind of “practical” advice as he knew that would be most useful to me.  Well, he recently was diagnosed with a challenging potentially lethal Disease and is battling it as I write this.  I am sure he will take his own advice but just in case I call often to remind him.  In any event, I would never wish these fortunate family members ill-will and I am genuinely happy for them that they “got theirs” but they clearly are not at all in tune with the harsher realities of Life and how “the best laid plans….”  Accordingly, I’d like to think that’s because they don’t know any better because I prefer to be sad than angry about them “giving up on me.”  Some would say this is a rationalization on my part, and perhaps that’s true, but it’s one which is non-judgmental and helps me move forward without anger or resentment toward them.

Since it was just Father’s Day, it is appropriate to interject a Life-Changing lesson I learned from my Dad who passed away in early February, 2008. He was an old fashioned kind of a guy and his biggest “fault” in Life was that he loved my Mom, to whom he was married to for 53 years, possibly too much.  Sure, he loved me and my sisters and was a great Dad but at the end of the day it was my Mom who brought him his happiness.  I always admired how sure he was of his Love for my Mom but I also did wonder if that came at some price in terms of not really developing other close relationships with Male Friends, for example.  But it somehow worked for them and for quite a long time, so, what do I know!   Towards the latter part of my Dad’s life, however, he started to get sick and experience all sorts of medical problems involving so many different body parts that a 2-hour discussion with him could serve as “Continuing Education” in Anatomy for Medical Professionals!  First he got hit with Cancer then with several Heart Bypass Surgeries and he soon thereafter had to face Lung/Breathing issues related to the Cancer Chemotherapy and Radiation.  After making it through all of that, his Cancer came back and he fought his way through that challenge too.  At one point, he also had to have his Knees replaced and I recall he had such a great sense of humor about that type of “relative” minor surgery that he once described himself to me as if writing the text for an advertisement seeking a Lost Dog who has all of these medical problems yet ironically answers to the name, “Lucky.”

All joking aside, my Dad was a tough son of a gun and dealt with whatever he had to do in order to be able to eventually recover so he could sit across the dinner table holding my Mom’s hand while on some romantic European Cruise vacation.  That’s how simple Life and Happiness was to him.  That’s also how smart my Dad was since most people travel through Life seeking happiness yet he found it 50+ years ago and never took his eye off the Ball.  However, the medical problems soon got even worse and hit him more frequently and they literally affected his ability to “keep up” with my Mom.  She never minded this change in my Dad because she loved taking care of him but his old-fashioned macho roots allowed the persistent medical problems to often change his personality and normally positive outlook on Life.  Who could blame him with all he had to deal with? Although, I had the most unique perspective about my Dad’s health primarily because of the simultaneous increasingly pervasive damage caused by my Crohn’s Disease.  I wasn’t happy about this Disease hospitalizing me over and over again but I didn’t want to become “Angry” about it because I was afraid it would alienate me amongst my Friends.

With my Dad, I could see he was getting Angry at his Fate because it was taking him away from my Mom and thus “his eye off the Ball.” While I TOTALLY UNDERSTOOD his frustration, I thought he was making a mistake by giving into such a strong and potentially isolating emotion because my Mom loved him so much that it didn’t matter to her.  His anger eventually made him appear as a bitter man at times to those who never knew him but beneath it all I knew he was always the funny, loving Dad who I was proud to call my Father.  Some Fathers teach their sons lessons by showing them “what to do,” but I believe my Father taught me how to handle my Crohn’s Disease by, ironically, showing me “what NOT to do.”  A “Ralph Kramden” method, perhaps, but my Dad was very funny and would never admit when he was wrong and thus I firmly believe that I learned not to get angry at my Fate because of the way in which my Dad handled his overwhelming amount of medical challenges.   There’s simply no upside to getting angry about things you cannot control and I am sure my Dad would tell me that if he were here today.

Additionally, the week before Father’s Day, I got involved in an enjoyable chat on Twitter with a fellow sufferer of Crohn’s Disease and he was in a “down” mood and venting a bit about his inability to control what the Disease is doing to his life, business and children.  With the exception of the children part since I don’t have any, I have initiated the same exact conversation with him on several other occasions.  In that way, Twitter is the perfect Life Venting Tool because you can vent and interact with others without leaving the comfort of your bedroom.  He always seemed like a very kind and smart man so I enjoyed our “conversations.”  But this time when he started lamenting about helplessly watching his business fall apart as he struggled with the many extremely difficult and debilitating symptoms of Crohn’s Disease and the medications used to treat it, I had to share with him a dose of tough “love” that has been tossed in my direction on an occasion or two.

I told him that his business is irrelevant because all his children will remember will be HOW he handled his Disease.  They won’t care about not getting some electronic gadget for Christmas but they will remember that in spite of the pain and frustration of not being able to maximize what he perceived to be the quality of his children’s lives because of a Disease he was unlucky to acquire, he nevertheless pursued and demonstrated to them that the measure and makeup of a person is not what he or she attains in Life but HOW they live their lives, HOW they treat other people and HOW they do this in the good, bad, sad and happy times.   After all, success is easy to handle and thus it is often postulated that how a person handles failure or adversity might be the best indicator of just how successful he or she will ultimate become.  I made him think.

There are also worse things in Life than having to live with such a pervasive and painful condition such as Crohn’s Disease.  For example, this past summer during a long hospitalization I met a very cool and cheerful guy who appeared to be approximately my age (I was 47 at the time).  I befriended him after having seen him through his hospital room doorway passionately watching some baseball game on his TV as I walked around the hospital floor trying to recuperate from surgery.  One day out of sheer boredom, I gently knocked on his open hospital room door and asked if he would mind if I came in to pass the time talking sports since he seemed to be an avid sports fan.  He could not have been more hospitable or happier that I asked and that began a few days of me dropping by to casually and lightly chat.  But after having initiated this “relationship” via a few days of stopping by HIS room, I asked my Nurse how come he never came by my room?  Protecting Patient Confidentiality, she told me to ask him.  So, in a polite but jokingly fashion to keep it “light,” I went to his hospital room one afternoon when I knew we were both safe from being dragged down for more diagnostic tests and I started another sports conversation and then I asked.  He told me that at 21 years of age he was in a Motorcycle Accident and for the past 20 years or so has since been paralyzed from the SHOULDERS DOWN with exception of limited use of his arms.

I’m sure he had (and has) his depressing days but each time we spoke he was upbeat about his full-time insurance job and the various sales commission touchstones he was meeting.  Naturally, I listened to his stories and watched him try to maneuver his body around his hospital bed by using a metal bar that hung from the ceiling but I was more in awe of his ability to simply “carry on” after having had a 21-year taste of walking, independence and all the perks that came with good health only to wind up with 20 subsequent years of only being able to move his arms and face.  While he clearly maintains an independent lifestyle, he is surely dependent on Doctors, Nurses, Family Members, Friends, etc. for the most basic of Life’s necessities.  I wondered if I could do that.  Would I want to continue living knowing that I would never reach the “Potential” forecast for me as an Attorney/MBA and personable man of honorable intentions and vast personal and professional relationships?   How would I accept the probable finality of knowing that I’d never again have a cool, spontaneous and passionate encounter with a beautiful woman?  What about playing golf with buddies? This brave man’s life is much different than mine and anyone I know and I hope he finds this Blog Post and drops me a line because I never got to say goodbye when I let that Hospital and I would very much like to keep in touch. I not only enjoyed his company but I can learn a great deal from someone with his perspective and I imagine he might say the same about me.

There are people living with other difficult Life situations yet we don’t hear much about them.  Some accept their fate and decide to live unhappy lives and can’t wait until their “ticket is punched.” Others realize what I tried to convey to my Twitter Buddy above and they “keep on keepin’ on” because they understand that people are counting on them to be strong, smiling and inspiring.  It is certainly the most difficult thing to do but, for me, I just think of any young athlete committed to a wheelchair for the rest of his or her Life and I suddenly become THANKFUL for the INCREDIBLE Family Members and Close Friends who do support and understand me.  To live any other way would be to disappoint them and in the process make it impossible for me to look in the mirror.

In that regard, I am currently in a bad spot but it is important to me that I am able to look in the mirror and know that I am always fighting.  I have a serious Lung Disorder which seems to be a cumulative side effect of some of the Crohn’s Disease Medications I was prescribed for a few years (i.e., the “Anti-TNF Agent Drugs”).  The staggering cost of my Medical Care (regardless of the number of Books I sell!!) has forced me to move in with my 76-year old Mom who had much different plans for her Golden Years but instead she demonstrates her Unconditional Love for me 24/7, 365 days a year.  I have Soul Mate-type Friends who respect me and my tenacity and who have helped me through so many difficult times yet I don’t know if my Lung Disorder will get better or worse or if it will kill me.  The Doctors think that a Very High Daily Dose of Prednisone for approximately one (1) year should cure the Lung Disorder (or at the very least open up my Breathing Passageways so that I can resume somewhat of a normal Life) but I could also still have substantial Lung problems from the Healing Scar tissue. Then there are the Crohn’s Disease issues regarding the available treatments for future severe Flare-ups.  More specifically, what medications do my Physicians prescribe now that I cannot take these “Ant-TNF Agent” Drugs like Remicade, Humira and Cimzia which are currently the “cutting-edge” medication treatments for severe cases of Crohn’s Disease like mine?  (Please understand that these Anti-TNF Agent Drugs literally work miracles for many Crohn’s Disease Patients and each worked extremely well for me for extended periods of time but then they were “rejected” by my body in a variety of painful ways.)

I always find it helpful to compare my approach to battling my chronic disease to those methods used by other people faced with similar medical challenges.  The advent of Health Care Social Media (“HCSM”) has made this possible almost instantaneously via different Social Media Platforms.   To that end, another Twitter friend contacted me this past week when she was in full-blown crisis mode (and stated that she was Suicidal) and asked me what to do because she needed a certain Crohn’s Disease drug but could not afford it and she shared her frustration that her Crohn’s Disease had been ruining her Life for too many years.  I told her first and foremost to contact her Psychiatrist ASAP (as she had mentioned she was under the care of one) then I wrote the following:  “the longer you live, the longer you live.”  I meant that the longer she fights to survive, the greater the possibility that some new Crohn’s Disease drug will be discovered which could change her Life dramatically for the better.  She soon tweeted me back that she had seen her Psychiatrist and thanked me for my helpful perspective.  Her Psychiatrist also tweeted me echoing the same kind sentiments.  While I wrote the above to help her, it also helped me gain perspective.  So, again, it seems to be about “HOW” she chose to live her life (at least at that moment) and the temporary relaxation she attained from reading my words and, more likely, listening to the words from her Psychiatrist, gave her much to do and think about.  This took her mind off of the negative thoughts she had expressed to me and I hope she has found a way to continue down this more positive path.

In my case, and I strongly recommend this to others battling chronic illness, I must forget about any unfulfilled potential and focus on getting healthy and then hopefully being able to pursue new personal and professional opportunities.  As for people’s expectations of my pre-chronic illness potential and me not having fulfilled it, that “train has left the station” long ago and family member or not, I must move on to more positive thinkers.  So, I’m gonna keep writing about coping with chronic illness, when I am healthy enough to do so, and hope that by conveying my experiences I help other people around the world  summon up the courage and energy to continue their respective fights for survival and hope.  Personally, that means good/improved health, being able to again work and exercise, maybe another Book deal but this time with Audio versions in numerous countries and in several different languages!  But most important of all, I envision Smiles on the faces of the family and friends who did not give up on me.  You see, for those who truly care about me, and I only assume this because it is why I care so much about them, it was, and is, never about “Potential.”  It’s about “Will” and the “Measure of the Man” and how they’d respond when their backs were against the wall for 25-30 years with a very expensive chronic illness which caused over 200 hospitalizations and now almost 20 Surgeries and a possible lethal Lung Disorder.  Would they fold?  Can they be broken by an enemy they cannot see?  I think NOT and THAT is why I Love and Respect them as Family and as Friends.   They need not be identified by name because they all know who they are.  These are the kinds of people I want and need in my Life so I can focus on the battle at hand and I love them for being there.  Anybody or anything else is of no concern to me now.

Doctor-Patient Relationship – Communication, Collaboration, Mutual Respect & Trust

Due to Health Technology and the increased focus on Consumerism in Health-care, the Doctor-Patient Relationship is changing as fast as Congressman Anthony Weiner’s explanations about his Twitter transgressions.  All jokes aside, however, this is becoming a real problem for BOTH parties as Doctors try to service (and grow) their existing Patient Populations while simultaneously deal with increasingly challenging Health Insurance Company/Payor Productivity Payment Requirements and Patients literally don’t know what to do with their sudden “Patient Empowerment” which they keep hearing about from Dr. Sanjay Gupta on CNN.  As with anything else in Life, things ALWAYS come back to BASICS.  Thus, if you focus on Simplicity and treat others the way you would want to be treated, you can’t go wrong.  But how do we do that to fortify the Doctor-Patient Relationship in a 24/7, 365-day world of Health Care Social Media (“HCSM”) in which just one negative comment by a disgruntled Patient (or one with a basic personality conflict with the Doctor) can initiate an unfair world-wide Professional Reputation attack on a Medical Professional who was just trying to do his or her job?

As an almost 30 year sufferer of the Chronic, Incurable and Auto-Immune “Crohn’s Disease,” I have  had dealings with Doctors who have possessed a broad set of great, good and bad traits such as: gifted and compassionate; poorly skilled; poor communicator; excellent but with bad bedside manners (these are usually Radiologists by the way!); arrogant; strictly business (while being  closely examined – “Michael, your Surgical Wound looks like it is healing fine but did you know that you have an outstanding balance of $249,86?”); so myopic toward their own Specialty that if an ax were lodged into my forehead and they were a Pulmonologist they would give me the “all clear;” and bad listeners.  Given this continuing eye-opening experience, I have learned that the foundation of the Doctor-Patient Relationship rests on: Communication, Collaboration, Mutual Respect and Trust.

However, this foundation is a Two-Way Street as I find the most common problem with Doctors to be their refusal, reluctance or mere forgetfulness to use their most effective diagnostic tool, i.e., LISTENING.  Often times, their failure to Listen is driven by the extraordinary Diagnostic Testing Tools at their disposal such that it is now likely that a Test Result will tell them what they think they need to know, and thus they shun all Patient expertise no matter the Disease, Duration of Disease or constructive comment from the Patient.  Doctors should know better as Patients are PEOPLE and sometimes even the most technologically advanced diagnostic test will miss something so obvious or it will pick up on something completely irrelevant such that each miss or misdiagnosis could have been quickly dismissed by the Patient.

That said, Patients have an obligation to be succinct out of Respect for the Doctor’s Available Time when they do speak, elaborate or ask questions in an unsolicited manner during a consultation or examination with a Doctor since the Doctor is up against time constraints the Patient is unaware of and as a result the Patient is only allotted a certain amount of it and therefore it must be used wisely and for that Patient’s benefit.  But when the Patient “permits” the Doctor to do his or her job, this enhances the relationship for the next interaction – whenever that will be.  This “interplay” of sorts is where the Mutual Respect notion comes into play.  As the Joe Friday character from TV’s “Dragnet” would often say or infer, “Just the Facts, ma’am.”  Patients would be wise to be mindful of that same approach during the Doctor-Patient consultation/examination.

I also think Communication, Collaboration, Mutual Respect and Trust is most solidly built when both parties are conscious of establishing “consistency” because the Doctor-Patient Relationship requires a certain “familiarity” between the two (2) to afford enough time for each to best understand the other.  Over time, this comfort with one another breeds Trust and Credibility.  [This is why changing Doctors because of changes in Health Insurance Coverage is so difficult on Patients and I think almost discriminatory against chronically ill Patients like myself who count on a long-established relationships with particular Doctors in most efficiently treating Disease flare-ups.  It is also more cost-efficient but since the Health Insurance Companies operate their businesses like Oil Cartels, they don’t care about Efficiencies of any kind for if they did we would at least see Electronic Medical Records (“EMRs”) in place YEARS AGO.]

In summary, the Doctor-Patient Relationship is Fine; it just needs to get back to Basics.  Additionally, if “nurtured” properly, this professional relationship typically gets better over time.  If it does not, however, THEN it is time for the Patient to find a new Doctor.  Conversely, when the Doctor-Patient relationship stagnates and its lack of usefulness for the Patient is NOT apparent to the Patient (and that can easily happen  for a number of innocuous reasons), the Doctor should tell the Patient that he or she would be better served by another Doctor – especially in this new Global HCSM environment in which the possibility of an almost instantaneous unfair Reputation Attack is only a Tweet or  Click away.  BTW – that’s how a Doctor should handle unfair criticism that is posted in HCSM.  If it has malicious intent, call an Attorney but if it is simply a Patient venting, just stick to certain rules, be fair to all Patients, and treat your Patients as “People” AND in the manner YOU would want to be treated if they were the Doctor and you were the Patient.

Part 2 of 2 – The Journey down the Road to Correct Medical Diagnosis

Getting the Proper Diagnosis can be a grueling process when you have symptoms that don’t fit into a typical category or all traditional diagnostic tests all prove to be negative.  Medical Professionals then “pile on” by trying to help you but ultimately standing behind these time-tested diagnostic tools.  It is at that point when you decide to embark upon a “Journey” of sorts the end of which you hope will give you the answer you need to be correctly diagnosed and successfully treated.  But that Journey can be lonely, expensive and LONG.  It can also have Emotional Effects upon you and those you love.  You will be told to “give up” or “it’s in your head” but you know you can’t and that it’s not.  You “Listen to Your Body” and, for what it’s worth, no one knows what it means better than you.

This Video shares the lessons I’ve learned having successfully gone down this Journey to Correct Medical Diagnosis.

The often LONG “Journey down the Road to Correct Medical Diagnosis” – Part 1 of 2

“Goin Down the Road Feelin’ Bad” is one of my favorite Grateful Dead songs and its title and lyrics were my inspiration for trying to help with a very serious problem Patients face when they know something is wrong with them but they cannot get it diagnosed or it takes years to be properly diagnosed and then treated.  Medical Tests don’t pick up these problems, your symptoms are not consistent with any “textbook” diagnosis and then Doctors with the best of intentions start questioning whether your problem is more psychological than physical.  This is when beloved Friends and Family Members start to chime in, again, with the best of intentions and with your best interests at heart, and that’s when the often marathon-like time-frame and usually lonely path of seeking this seemingly elusive diagnosis and then getting it properly treated can have long-lasting emotional effects.  In many cases, the emotional distress and mental torment, of what I refer to as the “Journey to Medical Diagnosis,” can be more serious than the underlying physical/medical problem which initiated the Journey.

In the almost Thirty (30) years of battling the auto-immune and incurable “Crohn’s Disease,” I have had MANY of these difficult to diagnose problems and in some cases Medical Professionals erroneously were too eager to attribute them to my perplexing Chronic Disease when the typical Diagnostic Tests were Negative and my symptoms simply didn’t match up with anything else.  However, I ALWAYS “Listen to my Body” and it tells me to refuse to accept such “textbook” and vague approaches.  That’s when I started to seek ANSWERS.

At first, I failed a few times but was wise enough to learn from my mistakes.  But each time I went on this Journey, the one constant which proved to be determinative of success was my unflinching resolve in “Listening to my Body.”  In this approximate 7-Minute Video, I share what I have learned so that you will have success in ultimately getting diagnosed and treated and hopefully you won’t have to suffer the emotional effects typically caused when you embark upon this Journey down the Road to Medical Diagnosis.  While it is not always possible to stave off ALL of these emotional effects, I am sharing tips and Patient Tools that will enable you to at least be aware of them so that you or a Friend or Family Member can help you keep them “in check.”  Part 2 will be posted next week.

 

 

WegoHealth.com asked: “What does ‘Health Technology’ mean to Me?”

This Picture was originally Published on the following Blog:  http://www.orangejuiceblog.com/2009/06/government-healthcare-review-reprint

Kudos to the Folks at WegoHealth.com for asking the Right Question at the Right Time.

First off, I think this is an incredibly TIMELY “Topic” and excellent Discussion Starter because I find that too many people and diverse groupings of Medical Professionals are trying to quickly figure out “Health Care Social Media” (“HCSM”) simply to monetize it and capitalize on what they think are its capabilities.  IMHO they are making the same mistakes made by the music industry when the Internet first made Digital Music so easy and enticing to download.  In hindsight, a “Wait and See” attitude would have been more prudent and served those music executives and litigious artists much better in the long run as the “newness” of instant digital 24/7 access initially made for a hot consumer commodity but soon wore off. Nevertheless, more open and technologically-savvy minds than the groovy cats  in the music industry, who incidentally made more money than they should have off of the creative work of others without taking anywhere near the career risks, grew the new medium availability of music into a viable business model.   This new iTunes-dominated business also changed Buying Behaviors and Consumer Consumption of Music.  “Collaboration” for maximum benefit to all interested parties (i.e., Fans, Bands, Writers, Music Publishers, Record Companies, Apple, iTunes, etc.) seems to have been the Lesson and still  drives the end-game even if the per-song percentage payout is less than that previously generated by retail.  But adapting to, and THEN learning how to utilize, new technology are keys to survival and profitability.  That Lesson needs to be carefully  monitored with respect to HCSM, especially at this point in time when it seems to be  purely a Patient-Driven medium.  Therefore, while the end-game for HCSM and its capabilities is not yet defined, I think the more productive conversation is about “Health Technology” since THAT is what we are really talking about.  What is it?  How can we use it?  Is it different for Patients and Medical Professionals?  Is HCSM the industry of “Health Technology” or just an Application of it?

Accordingly, when posed with the question, “What do the words Health Technology mean to Me?” I instantly make a Separation between Health Technology for Patients and Health Technology for Medical Professionals.

As somewhat of a “Professional Patient” having battled Crohn’s Disease for the past 25 years with 200 hospitalizations under my belt, I first think of Health Care Social Media and the various Patient Technology Tools that are derived from “Health Technology.”   That said, however, I think the medium of HCSM will evolve into “THE” Game-Changer of Health Technology by bringing “Efficiencies” back to both the business of Health-care and to the Practice of Medicine.  The almost instantaneous database-like availability of Patient information and experiences created through HCSM allows Patients around the Globe to access what they need, when they need it, directly from other Patients in similar circumstances.  Thus, HCSM could become a Behavior-Changing medium much the same way the creation of Amazon.com changed the way we purchase Books after first reading about them in The Sunday New York Times.

In the “old days,” we’d jot down the Book Title and eventually make it to the Bookstore to purchase the book but now we spark up the Computer and with just a few clicks the book is on its way to our homes.  Audio-books have even improved upon that “Purchasing Experience Efficiency.” This type of impact would be extraordinary with HCSM and I think it is entirely possible since no one but Patients can participate in HCSM in any meaningful way for fear of Ethical, Legal and Licensure Constraints no matter how well-intended they are or how up-to-date their respective Professional Licensing Boards are with respect to the possible perils of Social Media and Health Technology.  HCSM, and some aspects of Patient-driven Health Technology “Patient Tools,” are simply moving too fast for Medical Professionals to be adequately protected from the perils of a Global Patient Population seeking medical advice 24/7.  So, if Patients take their HCSM  “Credibility” responsibilities seriously, Health Technology will have created an Amazon.com-like Clearing House of Information and Experiences which Patients can utilize to more efficiently manage their Health-care issues which in turn will assist Physicians and Hospitals in treating a much better informed and prepared Patient Population.

By way of example, I use “Health Technology” every day when I Tweet about HCSM, or seek input about the side effects I am having to Crohn’s Disease medications or ask for  recommendations about Doctors.  This use of Health Technology often leads me to Niche Health-care Facebook Pages where I learn even more detailed information.   As a Patient, I also “Subscribe” to Disease-specific email Yahoo or Google Groups which bring individual Patient stories and queries to my email in-box every day.  I try to participate in the dialogue so that I don’t “take” more than I “receive.”   I also do this with Medical “Key-Word” searches on Yahoo and Google so that at the end of each day I am up-to-speed on the latest research on Crohn’s Disease.  I also Subscribe to several Medical Podcasts and even Host my own which focuses on Living with Chronic Illness.  This helps me stay current with the latest issues I may be faced with either regarding my illness or regarding Health-care in general.  I also participate in a variety of “Tweet Chats” which are medical-related and usually comprised of such a diversified audience of folks involved with Health-care that I come away ALWAYS learning something new or at least made aware of a different perspective.  It is also fascinating to converse with people in Australia, for example, about how Health-care is faring in their country.   I also read certain Blogs and maintain one myself (Voila!) and this gives me the opportunity to share with others what I’ve learned from the above and/or it offers me the chance to share information and experience that might help others.

When I think about “Health Technology” from a Medical Professional’s point of view, I think about an exchange I had last evening with a Physician who wondered how Patients can get the best Health-care without having a Smart-phone!!  Perhaps I am narrowing the point she was making but I am trying to illustrate that we are talking about Two Completely Different Worlds when we try to explain “Health Technology” and what it means to Patients as opposed to its purpose in the day-to-day lives of Doctors, Nurses, Technicians, Medical School Professors/Students, etc.  I happen to think that is a GOOD THING because HCSM seems to be a Patient-Driven Medium whereas the Mobile Phone (and many other Technology Gadgets) seem to be efficient and effective Health Technology Tools for Physicians and Hospitals.  I do think a Smart-phone can be a GREAT aid to Physicians who are always pressed for time and thus anything which provides them with more clarity is betterment to Health-care and that is good for Patients.  Electronic Medical Records (“EMRs”) also come to mind in this side of the “Health Technology” discussion as it is an Eventuality because we must break away from the Inefficiencies seemingly favored by behemoth Health Insurance Companies and other Payors who utilize Oil Cartel-like business practices hoping that Health-care is never made Efficient such that it becomes more affordable, more effective and therefore more accessible to more people.  There is much debate about the adoption of EMRs and at this point in time I think ANY argument against them is ridiculous because if we are routinely doing Banking on the Web, and with no problems, then there is no longer a viable excuse not to use EMRs.

Other than that, I think of “Health Technology” for Medical Professionals as any Gadget or Tool which enables them to Diagnose/Treat faster and more accurately and which generally enables them to do their jobs in the most safe, effective and efficient manner.