Dave deBronkart Profile picture
Mar 14 10 tweets 13 min read
@pheski @KDrum @PHEski Since my glaucoma diagnosis a year ago this has been a major complaint. (short thread) First: epatientdave.com/2021/12/21/why…
@pheski @kdrum I was aggravated by how hard it is to do this essential thing (instilling eye drops) (why haven't they fixed this???), then further aggravated a few months ago upon discovering this 2017 @Marshall_Allen @Propublica expose of the eye drop business. propublica.org/article/drug-c… 2/
@pheski @kdrum @marshall_allen @propublica The solution to this, and much more, came when last year I found a solid e-patient community, FitEyes. Here's a grab from my first link above: 3/
@pheski @kdrum @marshall_allen @propublica They told me about two applicators that are so simple it makes me want to tear my hair out: why don't docs tell us about this??? The first (the one I use) is MagicTouchEye.com. Screen grab: 4/
@pheski @kdrum @marshall_allen @propublica YES IT's THAT EASY AND IT WORKS. Here's me doing mine just now. (Great timing) NO MORE TILTING THE HEAD BACK. The drop sits in the little cup at the tip then jumps to the eye at first touch.
@pheski @kdrum @marshall_allen @propublica A similar product, which I find less convenient, is SimplyTouch, which claims to let you instill drops without even removing your glasses. 6/ amazon.com/Simply-Touch-E…
@pheski @kdrum @marshall_allen @propublica Re the "Arg!!!" factor, it's not like this is a new issue: this 2012 article (ten years ago!!) in @JOGJournal said nearly 9 out of 10 patients were unable to dispense eye drops correctly! pubmed.ncbi.nlm.nih.gov/21336146/ 7/
@pheski @kdrum @marshall_allen @propublica @JOGJournal Honestly this is a perfect example of why the shift to #PatientCenteredCare is so important: scientists are acculturated to build on the science (molecules & tissues) which is good but if *patients* had a voice in what they should work on next, improving *practice* might rank. 8/
@pheski @kdrum @marshall_allen @propublica @JOGJournal And that in turn is why good patient communities are an invaluable adjunct to the best science, which we call Participatory Medicine (see @S4PM). Let patients help - stop telling us to stay off the internet, if you (the professions) aren't going to listen to what WE need. /end

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More from @ePatientDave

Apr 8, 2021
@JFreemanDaily @SusannahFox @gfry Thread:
Here's the last edition (2015) of the Pew Health Tips page summarizing Susannah's research, before Pew stopped publishing it. pewinternet.org/Commentary/201…
/more
@JFreemanDaily @SusannahFox @gfry An interesting question is why someone's ASKING you for proof that people aren't ignorant. Sounds to me like they're not looking to improve care, but are for some reason looking for excuses not to modernize ... ironically by being ignorant.
dave.pt/googlemug
/more
@JFreemanDaily @SusannahFox @gfry As for surveys: "S4PM Survey Shows People Want to Collaborate with Their Doctors and Co-Produce Their Clinical Data" participatorymedicine.org/epatients/2016…
/more
Read 6 tweets
Dec 17, 2020
Hey patient activists - do you know of dangerous errors in someone's medical record, the kind that can cause harm or diagnostic errors? Want to help improve that?

Orientation for developers Thursday 1pm ET; public (YOU) is welcome. Blog post:
confluence.hl7.org/pages/viewpage…

/thread
The @HL7 #FHIR Patient Empowermt group has an APPROVED PROJECT to define data standards to submit correction requests through apps.

Sound like a worthy project? Our first "Connectathon" is in Jan, & Thurs 12/15 @ 1pm ET is an orientation for software devels. ALL INVITED. /2
Patients & non-coders, all are welcome; HL7 meetings are all fully open. Beware - this is a technical meeting - but it will be great if a few dozen patient voices show up with moral support for this important project!

GoToMeeting 1pm ET Thurs: global.gotomeeting.com/join/322275573 /end
Read 4 tweets
Aug 31, 2020
.@AnthemBCBS I'm pretty sure you hope somebody will be able to undo the erroneous "noncompliance" letter you faxed my doctor because yr computers apparently have REALLY bogus logic in them.

46 minutes into this call so far; this 3rd lady doesn't know why they xferred me to her. Image
Note: none of the four response options he can send you includes "Sorry, Anthem, you're wrong - remove the false 'noncompliance' assertion from his record."

You will be looking into this & correcting my record, I'm sure. I don't mess around w malprogrammed medical records.
Please note, too, @AnthemBCBS, that none of the agents I spoke to on your Rx member services line had any clue how to even FIND OUT where such a letter would have come from.

Let's talk & get this sorted out.
Read 5 tweets
Jul 27, 2020
Ladies & gentlemen: I'm SO THRILLED to participate in this announcemt! My new business partner: Toronto-based "Gimme My DaM Data" radiology image retriever PocketHealth! Direct result of my #SIIM18 keynote & #OpenNotes work.

There's work to do - game on! news.pocket.health/2020/07/27/adv…
Read 5 tweets
Jul 25, 2020
@JFreemanDaily @MightyCasey @BraveBosom @GraceCordovano @lymepolicywonk @khoney @mike_mitt @draparente @ThePatientsSide @TheLizArmy We can dig through all the e's but people keep adding to then, as befits a social movement. More important and useful IMO are example stories. I joined a patient community as did @jfreemandaily and each found useful info that helped save us. ...
@JFreemanDaily @MightyCasey @BraveBosom @GraceCordovano @lymepolicywonk @khoney @mike_mitt @draparente @ThePatientsSide @TheLizArmy @SaraRiggare is highly engaged in self awareness, self monitoring, even defining her own protocols. Each of these is the opposite of a passive disengaged patient.
...
@JFreemanDaily @MightyCasey @BraveBosom @GraceCordovano @lymepolicywonk @khoney @mike_mitt @draparente @ThePatientsSide @TheLizArmy @SaraRiggare Another classic is @HugoOC who very much wants all his heart's data but @Medtronic continues to stiff him. So @AliveCor empowers him and enables him to be engaged and informed.
...
Read 13 tweets
May 29, 2020
@rickybloomfield From comments on that post: Debi of @MyPatientLink used the app she created to spot dangerous polypharmacy (from 3 states away) to rescue mom from real trouble. participatorymedicine.org/epatients/2020…

more ...
@rickybloomfield @MyPatientLink Sadly, her father too was severely mismanaged but thru the app she was able to get his problem correctly identified to ease his intense pain in his final days. participatorymedicine.org/epatients/2020…

Note: in both cases this was data the providers had & were failing to manage. #LetPatientsHelp
@rickybloomfield @MyPatientLink In another comment @VincentKeunen linked to why he developed his app participatorymedicine.org/epatients/2020…. (It's telling that so many people who encounter these problems DEVELOP apps, if they can.)
Read 10 tweets

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