Dave deBronkart Profile picture
Apr 1 11 tweets 20 min read
@BeLikeLight @RemRunner @TEDTalks @TEDx Hi Julie! I'd be happy to discuss the potential blind spots in that earnest perspective. For starters, if they talk to *doctors* all day, does that mean there's no value going to conferences where doctors speak?

It's not a snarky question. Really think about it. (cont'd)
@BeLikeLight @RemRunner @TEDTalks @TEDx There's a chance the implied message is "I doubt there's anything new I could learn from any patient I haven't met." That is (honestly) a sure-fire way to become out of touch and get blind-sided.
@BeLikeLight @RemRunner @TEDTalks @TEDx I'd be happy to engage in a dialog about specifics. Has this doc heard about what I call "superpatients" - patients like @Doug_Lind_Say who designed his own surgery, @HugoOC who hacks his ICD, the whole #DIYPS / #WeAreNotWaiting T1D community, or T1D pts who pre-bolus, etc?
@BeLikeLight @RemRunner @TEDTalks @TEDx @Doug_Lind_Say @HugoOC Then there's @KimGoodsellROVA who found the unifying genetic cause of her TWO rare conditions (her cardiologist @EricTopol was surprised!), @JillViles who identified the link between her conditions.

If the doc is open minded this cascade forces "Wait, what??" wondering. /contd
@BeLikeLight @RemRunner @TEDTalks @TEDx @Doug_Lind_Say @HugoOC @KimGoodsellROVA @EricTopol @jillviles Such moments often produce scoffs of "Well, but MY patients aren't like that." PRECISELY.

A TED from another superpatient, Tal Golesworthy, who invented a new way to repair aortic root problems (including his own) that's now been used in hundreds of pts ted.com/talks/tal_gole…
@BeLikeLight @RemRunner @Doug_Lind_Say @HugoOC @KimGoodsellROVA @EricTopol @jillviles The above are only pts who created genuine scientific value in their cases & others, which forces most docs to rethink their doc-pt relationship.

Re research, here's @BettinaRyll, whose experience when her husband was dying taught her that researchers should LIST to pts.
@BeLikeLight @RemRunner @Doug_Lind_Say @HugoOC @KimGoodsellROVA @EricTopol @jillviles @BettinaRyll I hope the doc will have enough confidence in top journals to read "The Rise of the Expert Patient," just out this past Monday.

So the question is, NOW what is it the doc feels they couldn't learn from patients, and on what basis do they still say that?
@BeLikeLight @RemRunner @Doug_Lind_Say @HugoOC @KimGoodsellROVA @EricTopol @jillviles @BettinaRyll Then there's this - head of mental health at NIH changes career after listening to a patient (dad of sick kid) question their priorities; realizes the dad's right. Great article (and great listen on NYT The Daily podcast). Listening to patients.
@BeLikeLight @RemRunner @Doug_Lind_Say @HugoOC @KimGoodsellROVA @EricTopol @jillviles @BettinaRyll Then there's @SharonFTerry, one of the OG "superpatients" - back in the 1990s. Medical background? College chaplain, back then. But why listen to her? :-)

Honest: the question is, do you want to learn, or stay expert in your original training? ted.com/talks/sharon_t…

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More from @ePatientDave

Mar 30
ANNOUNCING A BIG DEAL, in a free (but real) test. Through Sunday:

@PocketHealthHQ, where I'm Chief Patient Officer, is testing an exciting new product to let patients & caregivers retrieve imaging records and reports from ANY PROVIDER IN NORTH AMERICA. Help test it./1
They're offering early access to friends & families of employees to try out this new product & provide feedback on their experience.

Fill out the data request form below (takes about 5 minutes). All personal information and records will be kept strictly confidential. /2
When the test period starts we'll send a request to your provider to transfer your imaging to PocketHealth. We'll notify you when it's ready to access in the PocketHealth cloud. (Of course timeline depends on how quick they are!) /3
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Mar 14
@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/
Read 10 tweets
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
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@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…
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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…
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