- Opiods and addiction
- There is a Frontline video, but the article, "How Bad is the Opioid Epidemic?" presents shocking graphics about how bad it really is. The video is called, "Chasing Heroin" - saw this last year. You can watch later.)
- LA Times article on Oxycontin
- Read or listen to Dr. Lemke's interview about treating addicts.
- Watch John Oliver's video: Drug companies marketing to doctor, who then follow their advice. https://youtu.be/YQZ2UeOTO3I
- Patient Engagement & Access to Data
- OpenNotes & BlueButton (innovations)
- e-Patient Dave (http://www.epatientdave.com) - his mantra
- Other examples
- The Controversies...
- Read Rosenthal's first chapter on Unaffordable Healthcare. Know why the current market for healthcare just doesn't deliver. "It is deeply, perhaps fatally, flawed." Faced with disease, we are all potentially victims of medical distortion.
- Listen to her interview (reading is only a summary)
- The history and physical (H&P) is covered in great detail in the new chapter seven on a "Crash Course on Diagnosis", including what medical students typically learn:
- chief complaint
- history of the present illness and review of systems
- diagnosis and treatment
- and Hope for Healthcare
- Chapters from "When Doctors Don't Listen" and the 8 pillars
- The Patients Playbook
- The patient revolution
- In the last chapter of Rosenthal's book, Better Healthcare in a Digital Age, she breaks it down into two parts:
- How you can (and can't) benefit from new technologies now
- System change: What we want from technology
- I will likely add some other hopes mentioned by students but for now, think about your own lists of technologies or systems (with justification from starred readings on the class schedule or your/others blog posts, or other cited readings) for what we can (and can't) benefit from now and what we want technology to do for healthcare moving forward.
I'd like to see the following topics/questions to investigate on the final
ReplyDelete1. E-Patient Dave/Patient Centered Care
2. Our discussion last week on Opiods
3. Week 11 - Mobile Health
4. Week 12 - Future of Medicine
Some questions that I have are:
1. How do we best prepare for this final?
2. What are your expectations regarding the final
In terms of taking it in class on 1pm Wednesday, I can do so as long as I can provide advance notice of my absence to my boss.
Even if this is a take-home exam, please submit topics. Your presentation topics may be part of this as well. (So ask questions about your presentation, if nothing else.)
ReplyDeleteAnd submit questions for extra credit.
DeleteI would like to see questions about our peer's presentations and about opioid use, because we spent a lot of time talking about both. The questions that we had in our in-class quiz were great, so it would be good to see similar ones on the final.
ReplyDeleteMy questions:
- When can we expect to see our presentation grades?
- I know our final paper is now just a blog post, but are there guidelines for what you want to see in our post?
- Will you still post articles in our Facebook page after class?
I graded your presentations. I posted the guidelines in D2L for the final post. Sorry I didn't announce it. I'll post it here and above.
DeleteGrading Guidelines
I will evaluate the final blog post on the following criteria:
• 5 points - Introduction. Mostly covered in presentation. Just say again the goal of the project and what you hoped to learn.
• 10 points - A summary of what you discovered from the research you did. What surprised you, or what did you learn that was unexpected when you first started?
• 5 points - Implications of the project, both what it means now and next steps.
https://www.nytimes.com/2017/04/24/upshot/spend-a-dollar-on-drug-treatment-and-save-more-on-crime-reduction.html?rref=collection%2Fsectioncollection%2Fhealth&action=click&contentCollection=health®ion=stream&module=stream_unit&version=latest&contentPlacement=32&pgtype=sectionfront
ReplyDeleteShould we invest more in drug treatments? Who would pay for it? Implications on healthcare system?
https://www.wsj.com/articles/shoulder-surgery-is-the-new-testing-ground-for-painkillers-1464023988
Based on the video, could opioids ever be fully replaced by alternative treatments? Use the assigned PBS article "Why do Americans Spend So Much on Pharmaceuticals?" for counter arguments.
https://www.wsj.com/articles/new-tools-help-patients-make-tough-decisions-in-the-er-1461608262
Based on the video, are patients able to make the best decisions for themselves when it comes to their care? Relate to e-Patient Dave.
Great questions. I'll be posting articles that are a bit longer, but really get at the opiod drug addiction from the two investigative reports. One is the one I mentioned about West Virginia. The other is from the LA Times. In both of these articles, the finger points directly to the drug companies (and docs who follow their poor advice). More on this later, though. It's a sad state of affairs when people in pain go through withdrawals and then take more drugs to ward off the anxiety. Why? The 12-hour oxycontin never lasted 12 hours and the FDA did nothing to change that. So innocent people got addicted quickly and docs only increased the dosage to help patients.
DeleteKatherine, you provide some great links. The podcast by Elisabeth Rosenthal (see the class schedule (linked here and on the Final Links page above) talks about what patients can do, devoting half her book to the topic. Her appendices are great, but not linkable from here. I may link to them on our blog later.
DeleteRegarding the NYTimes article cited above, the LA Times second story about how more than 1 million OxyContin pills ended up in the hands of criminals and addicts, and what the drugmaker knew, provides reasons for why drug rings turned to opioids, then later heroin, then fentany. This investigation is about Oxycontin, where it all started. It is absolutely riveting. Part 1 is listed on the final, but all four parts are linkable. After the final, or when you all have time, I urge you to read them.
I would like to see question in the final exam from:
ReplyDeleteWeek 10 - Patient Care Systems
Week 11 - Mobile Health
Week 13 - Pharma and Medicine.
It would also make sense to see the questions from opioid and peers' presentations (provided you make the presentation accessible for student to refresh their memory before the finals).
All presentations are accessible. See the 'Presentations' page at the top of the blog.
ReplyDelete