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Product details

File Size: 2486 KB

Print Length: 322 pages

Publisher: Basic Books; 1 edition (December 2, 2011)

Publication Date: December 2, 2011

Sold by: Hachette Book Group

Language: English

ASIN: B006NV93U8

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Given all the havoc that has beset the medical market it is no surprise that Topol has called this a "Creative Destruction of Medicine". The medical system in place from (say) the mid-20th century forward, will not be able to handle the continual flow of retiring baby boomers, let alone senior citizens with ever increasing life expectancies. Like so many promises made over the past years, in its present form medicine will not be able to afford to honor the Medicare entitlement. So the current system must be replaced it with something else that will work.The only good news is that the cost of medicine can be greatly reduced through the aggressive introduction of advanced cutting-edge technology. Topol provides examples of where the injection of a little technology can substantively improve medicine, and at the same time do so at reduced costs. We might be seeing what others in the past have called "inflection points", where radical improvements and changes lead to measurably better patient outcomes.Changes on the cusp, are by no means painless. In the future you personally will be unlikely to get nearly as much one-on-one time with your doctor. Instead you will be seen by other medical professionals like physician assistants, nurse practitioners, and technologists of all stripes . In writing this, I remember the days when my dentist actually cleaned my teeth (!). Now a hygienist tends to that, with the dentist stopping by to take a quick look and shake hands.It would seem the dentists got to the answer faster than medical doctors were able to:Delegate anything and everything you can to less expensive staff so you can see more patients and reap the rewards of an expanded practice.

It is impossible to overstate the importance of Dr. Eric Topol's book and his message. While the text is sometimes more technical than the average reader might be at ease with, the message that health care is endangered is vital to everyone. Politicians have refused to deal honestly with the health care lobby, the biggest and most powerful lobby in America, because its money means votes. As the Baby Boomers retire at the rate of 10,000 a day between now and 2019, the debt of health care -- already a $2.8 trillion monster -- is absolutely going to spiral out of control because nothing was done. My children, and their children, will be pinned under this financial burden their entire lives.Topol has reformative ideas and is busy employing them with real patients. His work in wireless medicine, where multimillion-dollar medical devices have been been reduced in size and expense -- some to the size of a smartphone -- could not only save billions every year in hospital charges, but re-establish the patient-physician relationship that has been lost.Dr. Topol's ideas need to be heard by everyone because the patient of tomorrow will have to be conversant in health care, lest they become one of the 50 percent of bankruptcy filers who do so because of medical bills.

This book is a must for ANYONE who will ever be part of the health care system (as a provider or recipient of health care). Dr. Topol has written this book for the empowered consumer but as a physician who spent a career focusing on quality of care, I found it enlightening and fascinating. Dr. Topol takes us from the population based/guideline based medicine of today (WHEN we are lucky enough to have enough population based evidence for guidelines) to the individualized medicine of the not too distant future and explains how genomics and digitalization will make that possible. There are so many useful aspects to this book including a discussion of how to interpret the literature, how to evaluate the internet as a resource, how to select a top notch doctor and what kinds of conditions that is important for and so much more. Just to find about the MIT OpenCourseWare was worth the price of the book. This book is a major contribution from a doc who has been one of the major contributors to health care in this country. It was recommended to me by a cardiologist friend and I have recommended it to everyone from doc friends to musician friends. Lots of important content written with great clarity in a personal, almost conversational style that makes it a pleasure to read.

Wow Dr. Topol became a role model for me after I read this book.It just sucks that the average person interested in health isn't going to be able to read this book, nor are ideas like this the impetus for social change, because unfortunately complicated ideas from smart people aren't understood by most and thus don't go anywhere without social media efforts and popularity. However Dr. Topol wants a change, and I agreed with some of his ideas. Most intriguing to me was the part about pharmacogenomics and the future of personalization in medicine. Large population based studies attempt to homogenize its sample but never do, because the genes of those individual people weren't measured and people will respond differently. Being able to group people by certain haplotypes and genes is revealing greater answers in medicine, faster. It's dense and has a LOT of information, a LOT of references, which I like. Highly recommended for medical students.

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