{"id":19223,"date":"2017-01-09T18:56:58","date_gmt":"2017-01-09T23:56:58","guid":{"rendered":"http:\/\/pmedicine.org\/epatients\/?p=19223"},"modified":"2024-05-29T13:56:36","modified_gmt":"2024-05-29T17:56:36","slug":"history-lesson-linc-with-tomorrow-warner-slack-on-educational-tv-1967","status":"publish","type":"post","link":"https:\/\/participatorymedicine.org\/epatients\/2017\/01\/history-lesson-linc-with-tomorrow-warner-slack-on-educational-tv-1967.html","title":{"rendered":"History lesson! &#8220;LINC with Tomorrow&#8221;: Warner Slack on &#8220;educational TV,&#8221; 1967"},"content":{"rendered":"<div class=\"embed-vimeo\" style=\"text-align: center;\"><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/198615807\" width=\"640\" height=\"478\" frameborder=\"0\" webkitallowfullscreen mozallowfullscreen allowfullscreen><\/iframe><\/div>\n<p>The much-quoted\u00a0line <strong>&#8220;Patients are the most under-used resource in healthcare&#8221;<\/strong> was first uttered in the 1970s by Warner Slack, MD, when he was a young doctor in Madison, Wisconsin. It&#8217;s seen many versions and incarnations since then, but it all started with Dr. Slack&#8217;s feeling that patients could help a lot by directly entering the basics of their medical history directly into the computer.<\/p>\n<p><!--more-->And last night I found a video of the first TV show about this idea &#8211; from 1967, a full half century ago! That&#8217;s him, on the right. (Check out the keyboard his right hand&#8217;s resting on.)<\/p>\n<p>It&#8217;s from a public television program, back when PBS hadn&#8217;t even been created yet &#8230; back then it was N.E.T., National Educational Television. The program was part of NET&#8217;s new &#8220;Spectrum&#8221; science series, and was titled &#8220;LINC&#8221; with Tomorrow.\u00a0(LINC was Laboratory INstrument Computer, and was a direct ancestor of what would become the PDP series of time-sharing mini-computers from Digital Equipment Corp.)<\/p>\n<p>An article in yesterday&#8217;s Boston Globe, <a href=\"https:\/\/www.bostonglobe.com\/ideas\/2017\/01\/07\/patient-power-through-records\/ejve99vDO4ADXvG5NHsJ0O\/story.html\">Patient Power through Records<\/a>,\u00a0features Dr. Slack and quotes extensively from the show, which tipped me off to go hunting. Part of me wants to paste in all the notes I took while watching it, but I&#8217;ll leave that to you. Broadly, here are the sections:<\/p>\n<ul>\n<li>Opening: defining the problem the show is about. Here there are some quotes I had to laugh out loud about &#8211; the challenges physicians faced 50 years ago.:-)<\/li>\n<li>Demo: Dr. Slack explains how it works to producer Dave Prowitt, and then (at 8:14) has him enter his data, shifts to doctor-exam mode, and ultimately sends specimens to the amazing computerized lab machine, which sends the data back to LINC!:-)<\/li>\n<li>Thoughts about the future. A half century back. Think about what&#8217;s changed and hasn&#8217;t.<\/li>\n<\/ul>\n<p><strong>Readers who are in your early careers:<\/strong> you&#8217;ll probably be around a half century from now, to look back at this, as we&#8217;re looking back at that video. What do you predict, as Dr. Slack did then?<\/p>\n<hr \/>\n<p>If you&#8217;re a history of medicine buff, here&#8217;s some related reading about that era:<\/p>\n<ul>\n<li>This show appeared just as the famous Dr. Larry Weed was introducing his Problem Oriented Medical Record. <a href=\"https:\/\/participatorymedicine.org\/epatients\/2014\/09\/video-larry-weed-father-of-the-problem-oriented-medical-record-grand-rounds-1971.html\" target=\"_blank\" rel=\"noopener\">Here&#8217;s our post about it,<\/a> with video of a 1971 lecture he gave &#8211; that&#8217;s a hoot, too. (Check out the overhead projector.)\n<ul>\n<li>The POMR was world-changing, because believe it or not, until then there was no standard way\u00a0for doctors to organize their notes!<\/li>\n<li>Here&#8217;s our\u00a02011 post\u00a0<a href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2011\/11\/alert-lawrence-weed-father-of-the-problem-oriented-medical-record-looks-ahead.html\">Lawrence Weed, father of the Problem Oriented Medical Record, looks ahead<\/a><\/li>\n<li>In\u00a0<a href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2008\/03\/non-practicing-patients.html\">this 2008 post<\/a>, SPM co-founder Gilles Frydman has some some fascinating Weed quotes about the patient-provider relationship, e.g. &#8220;The unaided human mind is not a reliable instrument for this processing of information in the solution of patients\u2019 problems. It should not be licensed to try the impossible.\u201d<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>The show&#8217;s producer \/ interviewer Dave Prowitt went on to win\u00a0<a href=\"http:\/\/www.emmys.com\/bios\/david-prowitt\">an Emmy in 1972<\/a> for the &#8220;Pentagon Papers&#8221; PBS Special.\n<ul>\n<li>From <a href=\"http:\/\/digital.lib.umd.edu\/archivesum\/actions.DisplayEADDoc.do?source=MdU.ead.npba.0054.xml&amp;style=ead\">his bio<\/a> at the U of Maryland library:\n<ul>\n<li>As a correspondent in Vietnam filming for the NET series &#8220;The Borders of War,&#8221; Mr. Prowitt became the first public broadcasting reporter to broadcast from a combat zone.<\/li>\n<li>Prowitt&#8217;s other endeavors at WNET included developing &#8220;This Week with Bill Moyers,&#8221; and &#8220;Bill Moyers Journal.&#8221;<\/li>\n<\/ul>\n<\/li>\n<li>This show was part of Prowitt&#8217;s\u00a0WNET science series &#8220;Spectrum,&#8221; which\u00a0later turned out to be a competitor to a new science idea from WGBH in Boston: Nova.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The much-quoted\u00a0line &#8220;Patients are the most under-used resource in healthcare&#8221; was first uttered in the 1970s by Warner Slack, MD, when he was a young doctor in Madison, Wisconsin. 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