Overview

Medicine is an ancient profession that advances as each generation of practitioners passes it down. It remains a distinguished, flawed and rewarding vocation--but it may be coming to an end as we know it. Computer algorithms promise patients better access, safer therapies and more predictable outcomes. Technology reduces costs, helps design more effective and personalized treatments and diminishes fraud and waste. Balanced against these developments is the risk that medical professionals will forget that their primary responsibility is to their patients, not to a template of care. Written for anyone who has considered a career in health care--and for any patient who has had an office visit where a provider spent more time with data-entry than with them--this book weighs the benefits of emerging technologies against the limitations of traditional systems to envision a future where both doctors and patients are better-informed consumers of health care tools.

Full Product Details

Author:   D.C. Lozar, M.D. ,  Elaine A. Moore
Publisher:   McFarland & Co Inc
Imprint:   McFarland & Co Inc
Dimensions:   Width: 15.20cm , Height: 1.30cm , Length: 22.90cm
Weight:   0.345kg
ISBN:  

9781476675206

ISBN 10:   1476675201
Pages:   260
Publication Date:   27 August 2019
Recommended Age:   From 18 years
Audience:   Professional and scholarly ,  Professional & Vocational
Format:   Paperback
Publisher's Status:   Active
Availability:   Available To Order  
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Table of Contents

Table of Contents Author’s Note Preface Introduction One. Buck Rogers Medicine (Utopia) The Electronic Medical Record 7 • Rebooting Humanity 13 •  Challenging Evolutionary Barriers 15 • Augmentation and Wearable 16 • My Thoughts 17 • Reality Check 18 Two. George Orwell Medicine (Dystopia) We Are a Trade, Not a Business 20 • Censorship—Net Neutrality 25 • Freedom 26 • Universal Health Identifier 27 • My Thoughts 28 • Reality Check 30 Three. Frontier Medicine (Old School) Cowboy Charlie 31 • Tragedy Loves Ignorance 35 • Hospitals Built on Bedlam 37 • A Doctor’s Doctor 39 • Sawbones 41 • Apothecaries 42 • The Nightingale’s Song 44 • My Thoughts 45 • Bringing Us Up to Date 47 Four. Beam Me Up, Scotty (Telemedicine) Unexpected Consequences 49 • Luddites 52 • Taylorism 53 •  Dumb and Dumber 55 • My Thoughts 57 • Prescribing Caution 60 Five. The Healing Touch (Origin Story) Lifting the Hood 61 • The Power of Proximity 63 • The Death of the Physical Exam 65 • Case Studies 65 • Appearance Is More Than Skin Deep 69 • You Can’t Arrest Me 70 Six. Go Gently into That Good Night (Death) Waiting for Godot/Death 72 • Accepting Death 74 •  Immortality 76 • Death Is Not Our Enemy 78 • My Thoughts 79 • A Good Death 81 Seven. Lawyers, Doctors and Lobbyists, Oh My (Mala Praxis) Mala Praxis 82 • Sharks in the Water 84 • Bad Medicine 85 •  Money Talks, Doctors Walk 87 • Defending the Castle 88 •  Politics Is a Shell Game 91 • My Thoughts 92 • Case Closed 94 Eight. Medicine Is Dirty (Don’t Bring It Home) The Training Gauntlet 96 • Dividing Up the Family 99 • Testing the Monkey 100 • Cannon Fodder 103 • Quitting Life 106 •  The Sterile Glass Ceiling 107 • Mamas, Don’t Let Your Babies Grow Up to Be Doctors 108 • My Thoughts 109 •  The ­Not-So-Perfect Match 111 • Technology May Clean Medicine 112 Nine. It’s The Money, Stupid (Terminal Economics) How Much Is Your Life Worth? 113 • The Maintenance of Certification (MOC) Scam 116 • Fraudulent Billing 118 •  Big Pharma, Little Ethics 119 • Unions 120 • My Thoughts 123 • Prove It 125 Ten. We’re Only Human (That’s the Point) Trigger Warning 127 • Intersubjective Angst 128 • Dataism Versus Vitalism 130 • Calculating Compliance 133 •  Epicureanism 134 • My Thoughts 135 • The Invisible World 137 Eleven. The Librarians (Custodians of Health) The Good Librarian 139 • Metaphors Are Magic 141 • You’ve Got to Have Heart 141 • Vintage Cars 144 • Minions and Mood 145 • The ­Never-Ending Story 147 • It’s Only Skin Deep 148 • The Endocrine Economy 149 • My Thoughts 152 • Trust Your Librarian 156 Twelve. The Altered Mind of a Physician (Evolution?) Losing Our Minds 157 • Neuroplasticity 159 • There’s a Hole in My Bucket, Dear ELIZA 162 • Deskilled Doctors 164 • Why Can’t I Open the Black Box? 167 • My Thoughts 169 • Paging: Doctor Watson 171 Thirteen. We Are Not Alone (It’s Called a Planet) Socialized Medicine—It Works for Them 173 • Tiered Health System 174 • Global United Health Care 175 • My Thoughts 178 • What Next? 180 Fourteen. The Brave New World (Is Here) Invasion of the Doctor Snatchers 181 • Artificial Emotional Intelligence 183 • That Epigenetic Smile 185 • Waiter, There’s a Cyborg in My Soup 187 • My Thoughts 189 •  Datopia 191 Fifteen. Doctor Tomorrow (What’s Next?) The M in D Is a Terrible Thing to Waste 193 • A ­Hands-Free Physical Exam 195 • AI-Run Nursing Homes 196 • AI, Dearest 198 • My Final Thoughts 200 • Dr. Laicifitra 202 Addendum Chapter Notes Bibliography Index

Reviews

"""The author, a physician, draws on his long and varied experiences... His selection of cases and detailed descriptions of the environments in which they unfold clearly convey his values and a humanistic approach to patient care. ...provides an excellent critique of thoughtless adoption of technology in clinical medicine, and offers suggestions on how to incorporate humanism into the technology development and implementation process...recommended""--Choice"

The author, a physician, draws on his long and varied experiences... His selection of cases and detailed descriptions of the environments in which they unfold clearly convey his values and a humanistic approach to patient care. ...provides an excellent critique of thoughtless adoption of technology in clinical medicine, and offers suggestions on how to incorporate humanism into the technology development and implementation process...recommended --Choice

Author Information

D.C. Lozar, M.D., worked for the National Institute for Health (N.I.H.) in neurobiology research, at Columbus Hospital in downtown Chicago as a surgical resident, and at Cook County in trauma surgery before pursuing family practice and spending the last twenty years honing his skills as a physician in primary care. Visit his website at www.dclozar.com. www.dclozar.com. He lives in Carlsbad, California. Elaine A. Moore has worked in hospital laboratories for more than 30 years, primarily in immunohematology and toxicology. She is a freelance medical writer and laboratory consultant. For more information, visit her website at www.elaine-moore.com. She lives in Sedalia, Colorado.

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