Personalized Medicine of the Future

“When you walk into a superstore, you would drop a sample of blood or saliva on a BlackBerry-type device. When you’re done shopping for groceries, the store would present you with a printout of your ailments and a bag of personalized medication. That medication would also contain digestible computer chips, which would relay real-time reports on your body’s fluctuations.” washingtonpost.com

G. Steven Burrill addressing AdvaMed 2008, a medical technology industry conference in Washington last week, spoke about the upcoming era of personalized medicine.

Shoulder Stand

ShoulderstandchairThat I’m going to yoga classes while on vacation is testament to how much I enjoy them. With kids back in school, there was flood of moms at last night’s class. And one other guy. We did the should stand.

Apparently being upside down is good for you because it allows the blood to flow in the other direction. And, I confess, I did experience some mild euphoria from the exercise.

And I can assure you, this is exercise. By the time we were finished I was sweaty and panting. If you don’t feel as good as you would like to, try a yoga class.

Touching my toes

ForwardbendLast night’s yoga class focused on the forward bend. We spent almost 90 minutes stretching, loosening muscles and joints, learning a little about body mechanics.

Kevin, the instructor, pointed out that touching our toes (or the floor) wasn’t really the point of our exercises, but merely a small measure of our progress.

It’s been a while since I touched my toes without bending my knees. At the beginning of the lesson, I was a good 6 inches from the floor and my lower back went to Defcon One. But by the end of the lesson, I was able to touch the floor (while making sounds that would shake a Gitmo guard).

At one point I was looking back between my legs at a middle-aged woman, bent double with her elbows on the floor. Oh my.

Last night’s lesson erased any notion that yoga is not exercise. When it was over, I hobbled down the stairs to my car and had a good long cry.

My first yoga class

YogaFeeling a little stiff these days. Muscles don’t have the elasticity they once did. So I decided to take a yoga class. A couple of the volunteer instructors are regulars at the Coffee Zone. So I decided to check it out.

There were only five of us in tonight’s class and the other four were too polite to laugh out loud when I made little mewling sounds. But I must say I enjoyed the hour and plan to go back. My Christmas card will be me touching my toes.

Internet helps doctor get back to basics

A week ago I posted about doing an iChat consultation with my new doc. Tonight I found this story about a doctor in Washington who has taken his entire practice online:

Dr. Howard Stark’s office is quiet. Very quiet. No patients sit in his waiting room. No receptionist answers the telephone. Stark does not have a receptionist. Instead, he and his assistant Michele Norris-Bell check e-mail alerts on handheld devices and — between seeing patients in person — on a desktop computer.

Stark has moved most of his practice, based in Washington, onto the Internet and he couldn’t be happier. Since he started his Web-based service two years ago, he has received 14,000 e-mails. And yet, he feels more like an old-fashioned family doctor in a small town than a modern, harried physician.

‘ "That’s 14,000 phone calls that we did not have to answer and that patients did not have to make," ‘ Stark said.

He does not charge for answering an e-mail. "You have to come in one time a year for an annual exam," Stark said.

The idea –which makes more sense if you read the full story–  came to him while booking a flight.

"I was sitting here and making a seat assignment to go to Miami. And I said, ‘why is it I can make a seat assignment four months in advance and my patients can’t book a half-hour appointment? I started thinking of other things that could be done online."

For instance, written instructions on how to prepare for a colonoscopy, general health tips, or information on Lyme disease.

Which reminded me of the Living Healthy Podcast.

I really think we’ll be seeing more of this.

The doctor will iChat you now

My former family physician was/is a very wired guy. Very web/tech savvy. That was handy because I could shoot him an email when I had a question and he’d respond. When he hung up his stethoscope, I gave up any notion of finding another doc similarly disposed.

I’m pleased to report that my new doc (who must remain nameless) is equally geeked out. So when he suggested we might try a “virtual office visit,” I was surprised and delighted.

We did a little trial run this morning (not him or me in the photo). I had a few questions and he answered them. It was like sitting in his examining room. Of course, there will be times when he’ll need to lay on hands but for  a lot of doctor-patient communication, video chat works fine.

Is this the future of medicine? Who knows. Certainly not for everyone. But for the right physician and the right patient… it’s a pretty efficient use of resources and time.

Statins slow onset of Alzheimer’s

From a story at The Guardian: "The cholesterol-lowering drugs statins may also slow the onset of Alzheimer’s disease, according to US researchers who examined the brains of 110 elderly people after they died. They found the brains of patients who had not taken the drugs were more likely to show signs of the disease."

My pop died of Alzheimer’s, as did Barb’s. Not pretty. This study is comforting to those of us who have been taking statins for years.

Henry Domke hanging up his stethoscope

I have posted frequently about my friend (and personal physician) Henry Domke. I learned this morning (by email and blog post) that he has decided to leave medicine and do art full time.

He cut back his medical practice some years ago to devote more time to his art but this announcement will be a shocker (I suspect) to his patients and the local medical community.

Just as Dodge City wasn’t the same without Doc Adams, Jeff City will miss Old Doc Domke.

iPods help doctors recognize heart problems

Doctors can greatly improve their stethoscope skills and therefore their ability to diagnose heart problems by listening repeatedly to heartbeats on their iPods. Previous research has shown that the average rate of correct heart sound identification by physicians is 40 percent.

In a new study, 149 general internists listened 400 times to five common heart murmurs during a 90-minute session with iPods. After the session, the average score improved to 80 percent.