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  • Thank you. Alright, we're going to start with an exercise. Raise your hand if you know how

  • many steps you took yesterday. Come on! Okay, so fair number. Raise your hand if you know

  • your average blood pressure over the last month. Okay, so, some people in the room - good.

  • Maybe a bit less. And raise your hand if you know how to read your own electrocardiogram

  • - EKG? Okay, so a few select maybe Stanford med alums in the room. We have unleashed the

  • most powerful tool in medicine to date. The digitally empowered patient. These patients

  • have over 30,000 mobile health apps and 115 wearable sensory devices at their finger tips.

  • But these are not all created equally. I see them on a spectrum. On the one hand, products

  • that require very little interpretation and on the other hand products that require some

  • more. So on this end you have your exercise tracking devices and mood diaries. These are

  • great tools and probably no one's going to die if they don't take enough steps in any

  • given day. Moving towards the middle, we have apps that start to offer some medical advice.

  • So prenatal tracking apps, apps that monitor and diagnose psychiatric conditions, and then

  • on this end you have more of your medical devices - so these are handheld electrocardiograms,

  • handheld ultrasound, at home blood tests that are starting to come on the market. Now the

  • food and drug administration has corralled all of these products into a regulatory grey

  • zone. So they call the medical devices but they're not subject to the same rigorous standards

  • that traditional medical device - such as a hip replacement or cardiac stint - would

  • be subject to. So companies don't have to spend hundreds of millions of dollars on clinical

  • trials proving that their product is safe. Well, what are some safety concerns with these?

  • Well, patient confidentiality - they can be hacked. Misinformation. And something I'm

  • actually an expert in: hypochondria. Or rather, cyberchondria. Why am I an expert in this?

  • Because I'm in medical school. So you start medical school - I started - cardiology block.

  • Learned about the human heart. I thought I had a heart murmur that would stay with me

  • forever and I had my friend check it out and it was fine. It was normal. In fact, we did

  • infectious disease: I thought I had picked up a parasite on my study abroad trip in undergrad

  • but I didn't have that. And on our neurology block I had stayed up too late one night - probably

  • had too much caffine, fingers started twitching a little bit - and I thought I had Lou Gehrig's

  • Disease. It's funny but in the moment it can actually be very scary. Now, I wasn't alone

  • by any stretch of the imagination. There's a name for this phenomenon: they call it "medical

  • student syndrome." And studies have shown that up to 80% of medical students suffer

  • from this and it's actually a normal perceptual process. So an increased area of focus on

  • a particular part of the body can start - the person can start to manifest disease that

  • is not actually real. On the first day of medical school, we all took the Hippocratic

  • oath which includes the adage first to "do no harm." Now, if you think about these products

  • and the FDA is not going to fully regulate them and there's a lot of valid arguments

  • that they shouldn't and the physicians who have vowed to protect patients are not necessarily

  • involved and there are potential problems that come out of them. Who is left to protect

  • the patients? Well, at the Graduate School of Business I have a lot of friends who are

  • aspiring health tech entrepreneurs and I tell them that they should probably take their

  • own version of the Hippocratic Oath because they are the ones creating these devices.

  • Well, that's not going to happen over night. So I think it's actually going to be up to

  • you guys: the consumers. In every good market, the consumers have the power to choose. So

  • I'm going to leave you with three things today: 1) Cyberchondria happens. It happens to the

  • best of us. You're probably fine. Most people are mostly healthy most of the time. 2) Choose

  • wisely. Choose products based on sound clinical research and if they do end up towards that

  • end of the spectrum that require medical interpretation, make sure that there's a feature built in

  • where you can get your questions answered. You should be able to press a button and talk

  • to a nurse practitioner or talk to a doctor. And finally, if all else fails, and you find

  • yourself in the middle of the night worrying about some malady because you bought some

  • gizmo that's telling you about some organ that you probably didn't know you had before

  • - don't hesitate to call your doctor! The perspective that comes from spending tens

  • of thousands of hours studying this information and taking care of patients cannot be programmed

  • into an app. Thank you.

Thank you. Alright, we're going to start with an exercise. Raise your hand if you know how

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B1 中級 美國腔

Stacie Vilendrer,"數字化賦權的病人" (Stacie Vilendrer, "The Digitally Empowered Patient")

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    賽魯 發佈於 2021 年 01 月 14 日
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