{"id":12996,"date":"2012-08-16T11:34:39","date_gmt":"2012-08-16T15:34:39","guid":{"rendered":"http:\/\/pmedicine.org\/epatients\/?p=12996"},"modified":"2012-08-16T12:08:09","modified_gmt":"2012-08-16T16:08:09","slug":"hey-lurkers-hi-step-right-up-speak-up-here","status":"publish","type":"post","link":"https:\/\/participatorymedicine.org\/epatients\/2012\/08\/hey-lurkers-hi-step-right-up-speak-up-here.html","title":{"rendered":"Hey lurkers – hi! Step right up, speak up here!"},"content":{"rendered":"

For a couple of years I’ve been wondering when controversy and snark would hit this movement. Looks like it showed up this morning.<\/p>\n

Today one of our members posted on our members-only email group:<\/p>\n

I was on a phone call recently with some colleagues in health IT and I was intrigued to learn that some people monitor this group to assess the S4PM \u201cbrand\u201d and that they were watching us \u201cwash our dirty laundry in public\u201d.<\/p><\/blockquote>\n

See, though I called the email group members-only, its\u00a0archive<\/em>\u00a0is open to the public. A year or two back, the members voted for that, so people could hear our conversations about this new approach to care, without having to join. (Only members can post<\/em>\u00a0to the list, but the archive<\/em> is public.)<\/p>\n

So now, look how some people (reportedly) respond to this openness: they use it to “assess our brand” (as if we were a marketing organization), and they gossip that opening the dialog to public viewing is somehow grandstanding.<\/p>\n

(It’s not like we broadcast it; you have to know where the archive is and go look at it from time to time. I can’t see how that’s “washing dirty laundry in public,” but that’s what we were told.)<\/p>\n

I replied – and I mean it, because I think this is symptomatic of sickness in healthcare:<\/p>\n

Okay – this one pushed my button, in what I hope will be a useful way, once people get past the “reaction” level:<\/p>\n

What kind of flipping IDIOT would interpret an\u00a0open, transparent process<\/em>\u00a0as “washing your dirty laundry in public”?<\/p>\n

A classic paternal “we don’t need to change healthcare” idiot, that’s who. People who think it’s better to\u00a0not\u00a0<\/em>let others know your thoughts.<\/p>\n

(And yes, I know they’re reading this.)<\/p>\n

Hey you-all out there, pardon my French, but why don’t you have the **lls to identify yourselves and\u00a0participate in the conversation<\/em>? \u00a0What’s your objective in covertly\u00a0monitoring<\/em>\u00a0what we’re saying?<\/p>\n

I often say in my speeches, it takes a particular kind of perversion to keep patients in the dark about medical knowledge and then insult how little they know. I think it takes another kind of perversion to hide and watch and giggle or sneer about what people are discussing.<\/p><\/blockquote>\n

So, you who are observing, “assessing our brand,” and snarking about our open process: you know who we <\/em>are, and who’s saying what; since you have opinions you’re sharing with others, would you care to speak up? Replying here on this blog won’t require joining<\/a> (which only costs $30\/year).<\/p>\n

Again, I’m taking the unusual step (which I’m sure some won’t like) of outing this conversation because I know crunch-time is coming in healthcare, and it’s time for people to spend their energies on useful <\/em>conversations, not burning calories gossipping about what others are doing as they try to create change.<\/p>\n

Speak up, y’all. Be empowered. Leave a comment.<\/p>\n

 <\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

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