Eric Dishman: Health care should be a team sport

77 Replies to “Eric Dishman: Health care should be a team sport”

  1. this was quite an emotional talk, it is good to see people who are emotionally attached to something try to make a difference

  2. "putting the patient at the center of a treatment team"
    yes it should be this way, but it is not.
    Also politicians should put the people at the center of their decisions, but that will not happen either.

  3. What and should astronomers put stars in the middle of our solar system?
    You sir are ridiculous! 😛

  4. sounded good at first.besides pushing the smartphone wireless apps up agaist our vulnerable tissues for diagnosis at home, at 7:30 he says "soon many of us will have implantables" (the chip) and behavioral and blood protien monitoring sensors,ect. so…its just another TED talks vid pushing the implantable chip real neat ,if your with bill gates and the elite eugenics movement

  5. and all of this will work conveniently with IBM's agenda 21 slavery cities(IBM smartplanet) where even your bowel movements will be monitored and controlled by you smartmeter

  6. As long as we have places like Kindred, and Rick Scott as our Governor, we will never have a fair shake hear in Florida. Kindred is the death hospital and Rick Scott was convicted of the largest Medicare fraud in the history of the U.S. he was fined 1.8 billion dollars yet he still has his hands in our hospitals, destroying the lives of many people.

  7. your view allows for no greatness, i agree that in our current world, that isn't happening, but we can work toward it happening

  8. Can you blame dmosiers view though, when protests happen a majority of people prefer to go on with their lives however disparaging rather than vocalise their frustration with a system that does not represent them.

  9. As a 4th year year medical student who is to graduate in 1 month, I find this guy really disoriented. He does not realize that people with rare and complicated diseases like his need extensive testing. Also he thinks that he can incorporate medical technology into everyday life (never gonna happen because you need doctors to interpret all the data generated). He's right about personalized medicine because the aim is to treat the patient and not the population and this is the future of medicine.

  10. From losing my father via Cancer in the Medial Industry of Canada; I have learned to ALWAYS GET A 2nd OPINION. Doctors are people, and they make mistakes. If my father had seen one of the other doctors sooner, the treatment would have gone completely different. Instead, they removed his lung, then found out that there was already other cancer in his system. We really should have sued, but that doesn't help health care for others if we do that. We lost my father, and we hope others learn

  11. I definitely understand what you are saying. At the same time, I have to make the point that protests rarely accomplish things. Often they are composed of people who want to make noise, rather than people who want to change the course of history (to whatever degree). To accomplish things, an organization often works far better when it is a small group of people dedicated to creating a certain reality, rather than a group of people who are simply unhappy with the current state of affairs.

  12. Not to pick on you in particular but that is exactly the problem. "Someone should do something." If change is ever going to happen it is going to be in large part by expressed public demand.

  13. So he's talking about holistic medicine rather than scientific medicine. This isn't revolutionary, it's been around for years.

  14. but doing something for some group, means NOT doing something for another( familiar, political, or emotional-philosophic) i agree with you, though.

  15. @Abedalhamid44 haha you don't need doctors to interpret data you need engineers who know how to think. I went to medical school after getting my professional degree as software computer science n w/o UpToDate or DynaMed docs esp med students r walking shells of there former selves numb to fact of how many medical mistakes kill people. I graduated and said no thank you and have my conscious back. Med School edu esp rotations is stuck in the dark ages.. I develop apps n make millions now go figure

  16. it won't happen because people give up and think that's the way the world is running. Unless you fight for the right thing for yourself, no one will fight it for you. Politicians and doctors fight well so far.

  17. I dont believe that supplying every patient with a personal ultrasound device is cheaper than having people come to one building and sharing the same, more powerful, accurate device. These devices are cool, but you arnt really working out what the real problem is. Just chucking existing tech in the rough direction.

  18. There is already a branch of health care in the U.S. that puts the patient at the center of a team-based approach to medical care. It's called Osteopathic Medicine.

    An ostoepathic physician is a "D.O" instead of an "M.D." It's more holistic & hands on. The basic tenent is that a patient is not a "disease" but rather a person with a mind, body & spirit.

    There are 26 osteopathic medical schools operating across the U.S. today.

  19. wait, the correct diagnosis came through genome sequencing? how will something like that ever be cheaper than traditional medicine?

  20. This would help to unclog hospitals, though experts will always be necessary.
    I don't care if you can tell exactly when you'll develop cancer and how to stop it from growing, technology will always have glitches and we'll always need help to properly set a broken bone or dislocated joint. Uness you'd rather we all become Bender.

  21. how can i get in contact with Eric Dishman.. i have a friend that has been jerked around by our hospital system for about 7 to 8 months now after breaking his collar bone,, i truely belieave this man Mr. Dishman could help him in some way more than i could .. please give me information on how to get into cantact with this person … you will be helping more than you could ever know. text me 714 852 7406 or email me [email protected] if you have any information

  22. i agree with you.this is all about making the "implantable rfid chip" look beneficial.there is still a great debate on whether or not obamas deathcare bill requires it or not,but the smartgrid is almost complete,globally,and ALL devices will be smartphone/smartgrid compliant.IBM smarterplanet,agenda 21 brought to you by bill gates,GE and every huge corp that funded nazi genocide.the chip is the final step.listen carefully @ 7:15-7:30.they will remove this comment,like my others im sure

  23. It seems like, partially, it's suggested we re-initiate bartering and cut jobs from facilities. If the population reciprocates and takes measures to ensure a smooth transition, and regardless thereof, it seems entirely practical and preventative. The problem lies in the previous sentence; lessening income, even if for humanity on the whole, will not likely be taken with any manner of legitimate consideration within the upper echelon of financial supremacy (within the medical field, that is).

  24. As much as I encourage sharing information to benefit others, once those who back companies, or in some way hold stock within medical corporations, see an increasing decline of revenue: I think deals will be made and lives may even be threatened in a political fashion to ensure the status quo. Medical practitioners/investors are paid if you're sick, not healthy, in most cases.

    The system defeats itself since many work for these facilities.

    Basically, it will be brutal before it can get better.

  25. yes ,there is always a solution of the problem inside the problem,thanks for nice analysis ..

  26. I think we should be more careful with Sean. Unlike you, he seems to internalise criticism. It has an effect on him. Lets be more sensitive in our dealings with him.

  27. the part when he talks about care coordination problem around the 9:00 minute mark can easily be solved with better integration of pharmacists in the health care team. pharmacists take 4 years of graduate school education solely dedicated to drugs but are still considered as "pill counting" useless members of the health care team. physicians need to get off their high horse and realize hindering integration of pharmacists in primary care is only causing more pain and suffering.

  28. These new tools should be in the hands of doctors, not random individuals. That way, if something isn't right, the doctor will be able to say, "Hey wait a minute this doesn't seem right".

  29. Full Circle America is doing this NOW. Our program is a person-centered, medical home program that builds a network of support around the individual.

  30. When the current system is utilized correctly, all of the goals Eric mentions are achieved. The patient does all they can at home. When they are in need of care, they visit their primary care physician. If the primary care physician feels that the patient needs to see a specialist, a specialist is seen. If multiple physicians are caring for the same patient, his or her records (allergies, medical history, medications, etc.) are communicated.

  31. No relation… but Mr. Dishman truly does get it.  As a nurse, I hope to be a part of this movement.  To treat our patients holistically.  Great video. 

  32. I agree with Dishman on the fact that health care is more beneficial when there is "care networking". When there is no communication between doctors, the patient may be paying more money to re-do tests and doctors may end up making mistakes. For example, if the patient goes to two different specialized doctors, and there is no communication, then neither doctor will have all of the information/records on the patient, which makes it easier for them to make mistakes that may be detrimental for the patient.

    One thing that can help in care networking is using Electronic Health Records (EHRs). In America, there is a push for EHRs but not all providers are on board. In order for EHRs to be useful, everyone needs to be on board. EHRs can help in sending over information/records for patients to different facilities/practices faster and more efficiently. It will cut costs for both the patients and providers, it will lower the rate of mistakes, and it will even be beneficial when doctors need to write out prescriptions. Overall, it will help to keep the patients healthy and it will help to reinvent health care in a positive way.

  33. I agree with Eric. Health care is a system that should be more about the network. Mistakes are made frequently when there is no communication between the doctors and nurses, then the nurses and CNAs. If one goes to the hospital, then is sent to their own doctor for a follow up, if there is no communication between these two doctors, they could make mistakes and stop or start a new medication that could be potentially harmful to the patient. There needs to be a way where all doctors can communicate with each other and be able to keep the health care system running efficiently without making fatal mistakes, or mistakes at all.

  34. If the current systems are used correctly, the goals Eric mentioned would happen. It takes team work as he says but then you get into the problem of specialist and doctors are too busy to collaborate with each other. I feel we need better medical teams and set up a more personal level instead of just being a part of the "system".

    Let me know what you think I am a college student trying to learn more about healthcare and what comes along with it.

  35. Although this seems like the best case scenario for healthcare as a whole, “care anywhere”, “care networking”, and “care customization” will only work if people are willing to initiate it themselves and, sadly, most aren’t. Being involved with in home health care myself, I know people are stubborn in their ways and if the whose system were to change (even if for the better of all) there would be unwillingness to participate from a large audience. Yes, health is a main priority for most people, but from what I see, most people only look out for their well being and rely on a specialist or primary care physician to do the work for them; however, this is how the healthcare system is set up! To change that, along with everyone’s idea of healthcare, would be a monstrous task.

  36. Hey there, The best results that my step-mom has ever had was with Freds Magic Remedy (just google it) Its the most helpful plan available.

  37. Eric made some great points about how our current health system is flawed. There needs to changes made to benefit health of all. But we have people out there that do not even have access to affordable health care that even allows them to go see a doctor. Since we do not have that how can we expect that patient should have this technology to permit "care anywhere" to be successful? Another issues I have with Eric's approach is that he said that the one-on-one between the patient and the doctor would be not more. But if you want the to happen how can you also want "care customization?" Because with "care customization" doctors and medical teams need to learn the goals and what is important to the patient. But if they don't have the interaction and relationship with the patient how will that happen? It can't. Also, for so many years its been, if you get sick, you go to the doctor and they help. Now people are being asked to do low level care on themselves? How can we ask of that when there are people in this nation that do not take pride or put time into their health? I think Eric's issues stem with the doctors on his original medical team. I would help that a lot of medical teams out there do work together for the good of the patient. Let's try to better the bonds and relationships between doctors and specialist before completely changing the current system. To throw away such a complex system seems like a mess. Let's modify it and use some of these ideas to help promote health for everyone. In addition, as an Occupational Therapy major, a lot of the things Eric lists are already roles of an OT. Like learning self, care and medication management.

  38. Eric, I am a nurse in California and completely agree with your 3-tiered system for personal health care. We have such wisdom and technology available to us today that we should be able to do a better job of reaching out to patients instead of forcing them to reach out to us. Thank you for sharing your experiences!
    BTW, lived and worked in OREGON for many years and love, love, love the Legacy system there : )

  39. I see where the mistakes were made here. Obviously the doctors were not talking within each other. A personal health system could be good. It is amazing how Dishman can just show us an image of his kidney and see how it is doing. Technology is an amazing thing and is great that he can just hurry and see if anything looks wrong on his kidney. This reminds me of another video i have seen. People want more personal care with their doctors and quicker ways to see their doctor. It is true when Dishman says many people can't afford the expensive costs of using the machines doctors have. I'm surprised when he says " eighty percent of medical errors are actually caused by communication and coordination problems amongst medical team members." I have heard this in another video as well. Its horrible that they thought he had a heart problem when he was actually overdosing because they gave him so much medication. There needs to be more team work within health care. If everyone communicates better and more openly, there won't be so many flaws. I think no matter what we do our health care system will be flawed in some way.

  40. There are many points that Eric pointed out throughout his talk that had me thinking. Right from the beginning of his talk, Eric mentioned how he was being seen by six different physicians between two hospitals, yet not one could exactly pin-point the type of condition that he had. All that was mentioned was that he had a kidney problem, yet couldn't have a kidney transplant. What? When I first heard him say that, I immediately questioned it. Kidney problem, yet no transplant? Doesn't make any sense. Then he went on to say how he only has 2-3 more years to live. If I were in his shoes, I would have automatically shut down. When you hear a medical physician say that, you expect them to be 100% confident in what they are saying, if it comes to being life-ending. Obviously Eric lives a lot longer than the predicted 2-3 years, which is great, yet frustrating. If he were to of never ran into that woman in the lobby, or looked up the condition that affects the geriatric population, then he could have been in a "slump" or chose to not live his life out. It's frustrating because when other people, unlike Eric, are told that sometimes they have less than that to live. However, physicians need to make sure they are diagnosing patients with the correct conditions.
    Later on in this talk there was a statement about how sometimes sending patients to the hospitals, may not always be the best move. In addition to that, sending some of the sickest patients to the hospitals may even worsen their condition. People don't normally think of this but hospitals can be the most "sterile" yet most contaminating places at the same time. Think about it. Where do the most sick people go to seek treatment? Hospital. If someone is on the verge of death, most likely where are they? Hospital. A huge virus is going around and causing everyone to become very ill, where are they? Hospital. Hospitals are very beneficial to society, yet a silent killer. Sick people can become more sick, quicker just by going to the hospital. Going to a hospital or clinic can also break someone's wallet as well. No matter how long one is in there, they can be a financial burden to one's family. Sad, yet true.
    Eric made another point, he stated, "Eighty percent of medical errors are actually caused by communication and coordination problems amongst medical team members". WHAT! HOW?! Communication is key, especially when it comes to the health care field, and trying to diagnose a patient. He then went on to discuss how THREE different physicians prescribed him the same medicine in three different versions. He was suffering an over-dose problem. I do not understand how nobody noticed that before hand. There needs to be more and better communication between these health professionals, and egos to not get in the way anymore. Better teamwork skills, leads to better outcomes for the patients at the end of the day.

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