{"id":135,"date":"2008-05-11T15:24:50","date_gmt":"2008-05-11T20:24:50","guid":{"rendered":"http:\/\/72.9.147.40\/archives\/2008\/05\/randy-pausch-empowered-patient-participatory-medicine.html"},"modified":"2008-05-11T15:24:50","modified_gmt":"2008-05-11T20:24:50","slug":"randy-pausch-empowered-patient-participatory-medicine","status":"publish","type":"post","link":"https:\/\/participatorymedicine.org\/epatients\/2008\/05\/randy-pausch-empowered-patient-participatory-medicine.html","title":{"rendered":"Randy Pausch, empowered patient \/ participatory medicine"},"content":{"rendered":"<p>Chapter 12 of <a href=\"http:\/\/en.wikipedia.org\/wiki\/Randy_Pausch\">Randy Pausch<\/a>\u2019s best-selling book <em><a href=\"http:\/\/www.amazon.com\/Last-Lecture-Randy-Pausch\/dp\/1401323251\/ref=pd_bbs_sr_1?ie=UTF8&#038;s=books&#038;qid=1208696005&#038;sr=8-1\">The Last Lecture<\/a><\/em> opens with a classic anecdote of what it looks like when an empowered patient practices participatory medicine with an equally participatory care team:<\/p>\n<p><!--more--><\/p>\n<blockquote><p>CT scans revealed I had pancreatic cancer, and it would take me just ten seconds on Google to discover how bad this news was. Pancreatic cancer has the highest mortality rate of any cancer; half of those diagnosed with it die within six months, and 96 percent die within five years.<\/p>\n<p>I approached my treatment like I approach so many things, as a scientist. And so I asked lots of data-seeking questions, and found myself hypothesizing along with my doctors. I made audio tapes of my conversations with them, so I could listen more closely to their explanations at home. I\u2019d find obscure journal articles and bring them with me to appointments. Doctors didn\u2019t seem to be put off by me. In fact, most thought I was a fun patient because I was so engaged in everything. (They didn\u2019t even seem to mind when I brought along advocates \u2013 my friend and colleague Jessica Hodgins came to appointments to offer both support and her brilliant research skills in navigating medical information.<\/p><\/blockquote>\n<p>E-patient \/ participatory principles spotted in action here:<\/p>\n<ul>\n<li>Being actively engaged in your care<\/li>\n<li>Getting in action to find out everything you can<\/li>\n<li>Not being afraid to asking questions<\/li>\n<li>Not being afraid to hypothesize \u2013 to wonder what might be going on<\/li>\n<li>Doctors who <i>like<\/i> patients being engaged in their case<\/li>\n<li>Bringing along advocates<\/li>\n<li>Doing additional work outside the appointments (so not all of your wondering takes up the doctors\u2019 time)<\/li>\n<\/ul>\n<p>I don\u2019t know if Randy Pausch even knows the terms \u201cempowered patient\u201d or \u201cparticipatory medicine.\u201d My point is just that this is a perfect illustration of what participatory medicine looks like, on the hoof.<\/p>\n<p>I invite everyone &#8211; bloggers and guests &#8211; to post similar anecdotes of participatory medicine spotted &#8220;in the wild.&#8221; Stories like this help everyone recognize what we&#8217;re talking about. (Counter-examples are welcome, too, to show what it looks like when participation is discouraged!)<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Chapter 12 of Randy Pausch\u2019s best-selling book The Last Lecture opens with a classic anecdote of what it looks like when an empowered patient practices participatory medicine with an equally [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"give_campaign_id":0,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[21,87,6,7,2],"tags":[],"coauthors":[8260],"class_list":["post-135","post","type-post","status-publish","format-standard","hentry","category-e-ptsresources","category-net-friendly-docs","category-newsgossip","category-positive-patterns","category-trendsprinciples"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Randy Pausch, empowered patient \/ participatory medicine - SPM Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/participatorymedicine.org\/epatients\/2008\/05\/randy-pausch-empowered-patient-participatory-medicine.html\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Randy Pausch, empowered patient \/ participatory medicine - SPM Blog\" \/>\n<meta property=\"og:description\" content=\"Chapter 12 of Randy Pausch\u2019s best-selling book The Last Lecture opens with a classic anecdote of what it looks like when an empowered patient practices participatory medicine with an equally [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/participatorymedicine.org\/epatients\/2008\/05\/randy-pausch-empowered-patient-participatory-medicine.html\" \/>\n<meta property=\"og:site_name\" content=\"SPM Blog\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/participatorymedicine\" \/>\n<meta property=\"article:published_time\" content=\"2008-05-11T20:24:50+00:00\" \/>\n<meta name=\"author\" content=\"e-Patient Dave\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@s4pm\" \/>\n<meta name=\"twitter:site\" content=\"@s4pm\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"e-Patient Dave\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/participatorymedicine.org\\\/epatients\\\/2008\\\/05\\\/randy-pausch-empowered-patient-participatory-medicine.html#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/participatorymedicine.org\\\/epatients\\\/2008\\\/05\\\/randy-pausch-empowered-patient-participatory-medicine.html\"},\"author\":{\"name\":\"e-Patient Dave\",\"@id\":\"https:\\\/\\\/participatorymedicine.org\\\/epatients\\\/#\\\/schema\\\/person\\\/964cf120da8ac17067b46802eb561e5d\"},\"headline\":\"Randy Pausch, empowered patient \\\/ participatory medicine\",\"datePublished\":\"2008-05-11T20:24:50+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/participatorymedicine.org\\\/epatients\\\/2008\\\/05\\\/randy-pausch-empowered-patient-participatory-medicine.html\"},\"wordCount\":359,\"commentCount\":6,\"publisher\":{\"@id\":\"https:\\\/\\\/participatorymedicine.org\\\/epatients\\\/#organization\"},\"articleSection\":[\"e-Patient resources\",\"Net-friendly Docs\",\"News &amp; 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