Social media and me - Rheumatologist shares his experience

This is a presentation by Dr. Ronan Kavanagh, Rheumatologist, Blogger, and Social Media in Healthcare advocate at Western Rheumatology, Galway, Ireland. His website is at ronankavanagh.wordpress.com

Socmed and me

View more presentations from Ronan Kavanagh

Comments from Twitter:

Dr. Ronan Kavanagh @RonanTKavanagh: @DrVes Thanks! You may notice I pinched a slide idea of two from you. Thanks for that too...

Empathy and patient experience - video from Cleveland Clinic

CEO Toby Cosgrove, MD, shared this video, titled "Empathy," with the Cleveland Clinic staff during his 2013 State of the Clinic address on Feb. 27, 2013. The video relates to any person - not only patients and physicians. It's so worth it 4 minutes of your time:



Physician Communication PEARLS from Cleveland Clinic

- Establish rapport and plan an encounter with the patient

- Elicit the patient perspective using FIFE (function, ideas, fears and
expectations)

- Apply PEARLS (partnership, empathy, acknowledgment, respect,
legitimation and support) to convey empathy

- Incorporate the patient into decision making and education using ART
(ask, respond, tell)

References:

Relationship-Centered Communication for Physicians (PDF) from Cleveland Clinic Academy

Comments from Twitter:

Dr Kelly Sennholz @MtnMD: This is JUST how I see the hospital. Magic place

PracticeMatch @PracticeMatch: Wow...great video!

Wouter van Furth @wvfurth: Take 4 min to watch this video. Worth it.

Mary Maier MD @MaryMaierMD: The Cleveland Clinic - it was/is a great place to train

Better Bedside Manners Improve Patient Care, Says Cleveland Clinic Chief Experience Officer

Nurses, aides and doctors need to have an awareness of the impact of bedside manner and patient health, Dr. James Merlino, chief experience officer at the Cleveland Clinic, says. WSJ video:



From the WSJ:

"Cleveland Clinic Chief Executive Delos "Toby" Cosgrove, a heart surgeon by training, says he had an epiphany several years ago at a Harvard Business School seminar, where a young woman raised her hand and told him that despite the clinic's stellar medical reputation, her grandfather had chosen to go elsewhere for surgery because "we heard you don't have empathy."

Things have changed quite a bit now.

"The hospital launched a program known as HEART—for hear the concern, empathize, apologize, respond and thank—that empowers employees to handle patient concerns from the moment they arise. Healing Services team will call a "Code Lavender" for patients or family members under stress who need immediate comfort. Of patients who had pain, 31% reported a significant decrease after a healing service."

References:

A Financial Incentive for Better Bedside Manner - WSJ http://buff.ly/1pCHitL

What happens when you ask for medical advice on Twitter - CNN's Anderson Cooper knows from experience

What happens when you ask for medical advice on Twitter and you are CNN's host Anderson Cooper with 1.5 million followers:

andersoncooper Anderson Cooper

Ok, thanks for all the great info! I'm pretty sure I have it. Uh oh.

14 minutes ago

andersoncooper Anderson Cooper

How do you know if you have bronchitis? Anyone know?

21 minutes ago

Replies:

@thehighsign I generally just go with the opinion of a million and a half strangers.

@SashaTalebi Crazy times we're living in when @andersoncooper can crowdsource his bronchitis diagnosis via Twitter. Get well soon.

@JPLondon72 When a doctor says "You have bronchitis". Usually. Not always.

@emokidsloveme I feel like @andersoncooper has health insurance. Call me crazy, but I think he could afford to pay out of pocket too. #TwitterER

@Technikohler But why don't you just hit up good ole Gupta and ask him ?

@SadaoTurner hey @sanjayguptaCNN, do u know this guy @andersoncooper

@sherrybutlerpr Tight breathing, Burning in chest, fever. B careful, walking pneumonia

@LizaLizzieHalim i knew when i had troubled breathing&it makes sounds.Then i get the doctor checked&was diagnosed with it. Still have it now.

@lynngosselin I've had bronchitis many times so yes I know...but maybe a Dr. will pick up your post

@feathersong Two words - doctor, antibiotics. Make that three words - stat. Feel better soon, you've got a show to do!

@EldinaV And use a mist vaporizer in your dream and lots of OJ

@teresac8 fever, cough, wheezing and irritated breathing but to be sure see a doctor.

@cheeki3 well you want to the homeopathic route. Oregano oil (diluted in juice) will knock it right out.#justsaying

@sherrybutlerpr Also coughing up phlegm. Get on meds. U don't slow down, so will need that or will really go down. Take good care.

Acute bronchitis: Many patients expect to be treated with antibiotics and cough meds but this differs from guidelines

Mind map of differential diagnosis of cough. See more Allergy and Immunology mind maps here.

Cough is the most common symptom bringing patients to the primary care physician's office. The most common diagnosis in these patients is acute bronchitis, according to a recent review in the official journal of AFP, American Family Physician.

Acute bronchitis should be differentiated from other common causes of cough such as pneumonia and asthma - because the therapies are clearly different.

Symptoms of acute bronchitis typically last 3 weeks. As we already know, the presence of colored (e.g., yellow or green) sputum does not reliably differentiate between bacterial and viral lower respiratory tract infections. This statement was contradicted by a recent study: Green or yellow phlegm likely to be bacterial - confirming beliefs by doctors and patients alike (http://goo.gl/zff8X and http://goo.gl/cwKGs).

Viruses cause more than 90% of acute bronchitis, and therefore, antibiotics are generally not indicated. They should be used only if pertussis is suspected to reduce transmission or if the patient is at increased risk of developing pneumonia (e.g., patients 65 years or older).

The typical therapies that have been traditionally used for managing acute bronchitis symptoms have been shown to be ineffective. The U.S. Food and Drug Administration recommends against using cough and cold preparations in children younger than 6 years.

The supplement pelargonium may help reduce symptom severity in adults.

Many patients expect to be treated with antibiotics and cough medications but this differs from evidence-based recommendations.

References:

Diagnosis and treatment of acute bronchitis. Albert RH. Am Fam Physician. 2010 Dec 1;82(11):1345-50.