{"id":21005,"date":"2018-10-09T08:15:05","date_gmt":"2018-10-09T12:15:05","guid":{"rendered":"https:\/\/participatorymedicine.org\/epatients\/?p=21005"},"modified":"2018-10-10T06:50:00","modified_gmt":"2018-10-10T10:50:00","slug":"dr-patti-brennan-spm2018-speaker-preview-supporting-the-care-between-the-care-the-role-of-the-national-library-of-medicine","status":"publish","type":"post","link":"https:\/\/participatorymedicine.org\/epatients\/2018\/10\/dr-patti-brennan-spm2018-speaker-preview-supporting-the-care-between-the-care-the-role-of-the-national-library-of-medicine.html","title":{"rendered":"Dr. Patti Brennan &#8211; #SPM2018 speaker preview \u201cSupporting the Care Between the Care: The Role of the National Library of Medicine\u201d"},"content":{"rendered":"<p>[Update: this post has been picked up and <a href=\"https:\/\/www.nbcnews.com\/health\/health-news\/undercover-study-highlights-patients-struggle-medical-records-n918301\" target=\"_blank\" rel=\"noopener\">cross-posted<\/a> on the widely read The Health Care Blog]<\/p>\n<p><em>Here\u2019s the latest in our\u00a0<a href=\"https:\/\/participatorymedicine.org\/epatients\/category\/spm-conferences\/spm2018\">series of posts by and about<\/a>\u00a0the outstanding speakers we\u2019ve lined up for the Society for Participatory Medicine\u2019s second annual conference on\u00a0Oct. 17\u00a0in Boston, attached to the prestigious Connected Health conference.\u00a0<a href=\"https:\/\/www.connectedhealthconf.org\/boston\/2018\/Society-for-Participatory-Medicine-Presents%3A-Make-Health-Happen\">Register here<\/a>. (Our\u00a0<a href=\"https:\/\/participatorymedicine.org\/epatients\/category\/spm-conferences\/spm2018\" target=\"_blank\" rel=\"noopener\">#SPM2018 blog series<\/a>\u00a0has more about the speakers and activities.)<\/em><\/p>\n<p><!--more-->Since my earliest days in this work &#8211; even before our Society was formed &#8211; Dr. Patricia Flatley Brennan RN, PhD, FAAN, FACMI (or &#8220;Patti,&#8221; as she&#8217;s known to her many friends and fans) has been one of the most optimistic voices. She&#8217;s always been a dedicated, enlightened researcher, academic (at the University of Wisconsin, Madison) and voice of patient participation. On top of that, she was the director of the Robert Wood Johnson Foundation&#8217;s\u00a0terrific\u00a0<a href=\"https:\/\/www.rwjf.org\/en\/library\/research\/2010\/10\/project-healthdesign--rethinking-the-power-and-potential-of-pers.html\" target=\"_blank\" rel=\"noopener\">Project HealthDesign: Rethinking the Power and Potential of Personal Health Records<\/a>, which ran from 2006-2014, an absolutely pivotal period in the onset of personal health data. Patti knows that knowledge is power, and that patient power is naturally optimized when patient knowledge is optimized.<\/p>\n<p>So you can imagine how thrilled I was when, in 2016, she was appointed the next Director of America&#8217;s National Library of Medicine (NLM). In addition to being extremely participatory, perhaps it&#8217;s no coincidence that she&#8217;s the first woman and the first nurse in the post.<\/p>\n<p>In a moment I&#8217;ll say more about the history of this position, and its significance in the timeline that led to SPM. For now, consider this about her topic at <a href=\"http:\/\/s4pm.info\/conference\" target=\"_blank\" rel=\"noopener\">our conference<\/a>, &#8220;the care between the care,&#8221; particularly the NLM&#8217;s role.<\/p>\n<p>In advocating to improve care, patient voices have often pointed out that the vast majority of the time in our lives, medically, is spent\u00a0<em>not\u00a0<\/em>in the hospital or the doctor&#8217;s office. &#8220;Doc Tom&#8221; Ferguson (1943-2006), progenitor of our society, wrote (back in the 1980s!) about medical self-care, whose impact depends on our skills and our knowledge. He published books and magazines on the subject, and in 1994 was medical editor of the\u00a0<em>Millennium Edition Whole Earth Catalog\u00a0<\/em>(the year browsers arrive), and just 18 months later published the book\u00a0<em>Health Online.<\/em><\/p>\n<p>Just months before <em>Health Online\u00a0<\/em>was published,\u00a0Patti&#8217;s predecessor as NLM Director, Dr. Donald Lindberg, extended the reach of the Library by leading the creation of\u00a0the indispensable literature search site\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>, then\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/\" target=\"_blank\" rel=\"noopener\">PubMed Central<\/a>.<\/p>\n<p>The conference where Dr. Brennan will join us is titled\u00a0<strong>Democratizing Healthcare.<\/strong> Can you see the beautiful synchronicity in Doc Tom and the NLM concurrently seeding that democratization by spreading both skills and knowledge? In 1994?<\/p>\n<p>But there&#8217;s more to the connection, right there in the e-Patient White Paper (our founding document) (<a href=\"https:\/\/participatorymedicine.org\/e-Patient_White_Paper_with_Afterword.pdf\" target=\"_blank\" rel=\"noopener\">English PDF<\/a>) (<a href=\"https:\/\/participatorymedicine.org\/wp-content\/uploads\/2013\/03\/Libro-blanco-de-los-e-Pacientes.pdf\" target=\"_blank\" rel=\"noopener\">Spanish PDF<\/a>):<\/p>\n<ul>\n<li>The opening anecdote tells the 1994 story of patient Edwin Murphy, about to have knee surgery, who\u00a0<em>got busted for trying to get at the only journal article\u00a0<\/em>about that surgery. Busted by hospital security! They had security people keeping patients away from the medical literature!<\/li>\n<li>The most potent chapter of the White Paper (for me anyway) is #2, &#8220;Content and Connectivity,&#8221; including the pivotal &#8220;Seven Preliminary Conclusions.&#8221; In #6, &#8220;Clinicians Can No Longer Go It Alone,&#8221; Dr. Lindberg is quoted as saying &#8220;If I read and memorized two medical journal articles every night, by the end of a year I\u2019d be 400 years behind.&#8221;\u00a0 (Today that number is over 1,000 years.)<\/li>\n<\/ul>\n<p>Holy forehead-slapping crap: doctors don&#8217;t know everything??\u00a0 At the time (2006) it was mind-blowing &#8211; and I can tell you first-hand, there are still a lot of people (patients\u00a0<em>and\u00a0<\/em>doctors) who think doctors\u00a0<em>should\u00a0<\/em>know everything and patients should stay offline and out of the way.<\/p>\n<p>Witness the <a href=\"https:\/\/washingtonpost.com\/national\/health-science\/doctors-dismissed-her-but-she-turned-out-to-be-right-after-years-of-needless-suffering\/2018\/09\/14\/b5364c64-9593-11e8-810c-5fa705927d54_story.html\" target=\"_blank\" rel=\"noopener\">Washington Post&#8217;s horrific story<\/a> last month of the &#8220;prominent Manhattan gynecologist&#8221; who chided, &#8220;Stop practicing Google medicine.&#8221; You might think &#8220;But that&#8217;s Google not the literature,&#8221; but I&#8217;ve heard exactly the same about patients searching the literature. The obsolete attitude is &#8220;Foolish patient, medicine is hard &#8211; stay out of my way.&#8221; And it costs lives, like that of <a href=\"https:\/\/www.bbc.co.uk\/programmes\/p02v044s\" target=\"_blank\" rel=\"noopener\">19 year old Bronte Doyne<\/a>.<\/p>\n<p>As we&#8217;ve long said, participatory medicine is a movement in which networked patients shift from being mere passengers to responsible drivers of their care. The drivers need knowledge, and that&#8217;s where the role of the NLM Director comes in. And that&#8217;s why it&#8217;s such a big deal to us that Patti Brennan is the one chosen to be the next one. Come hear her!<\/p>\n<p>p.s. Here are two tweets on the &#8220;care between the care&#8221; theme by two SPM members, visually expressing the idea.<\/p>\n<blockquote class=\"twitter-tweet\" data-width=\"550\" data-dnt=\"true\">\n<p lang=\"en\" dir=\"ltr\">&quot;You are already your own doctor&quot; \u2014Tom Ferguson, MD, 1985. <a href=\"https:\/\/twitter.com\/hashtag\/PatientAutonomy?src=hash&amp;ref_src=twsrc%5Etfw\">#PatientAutonomy<\/a> <a href=\"https:\/\/twitter.com\/hashtag\/selfcare?src=hash&amp;ref_src=twsrc%5Etfw\">#selfcare<\/a> <a href=\"http:\/\/t.co\/fp9vrNA7TD\">http:\/\/t.co\/fp9vrNA7TD<\/a> <a href=\"https:\/\/twitter.com\/hashtag\/s4pm?src=hash&amp;ref_src=twsrc%5Etfw\">#s4pm<\/a> <a href=\"http:\/\/t.co\/GQT97jOU6K\">pic.twitter.com\/GQT97jOU6K<\/a><\/p>\n<p>&mdash; Hugo Campos (@HugoOC) <a href=\"https:\/\/twitter.com\/HugoOC\/status\/541991369753894912?ref_src=twsrc%5Etfw\">December 8, 2014<\/a><\/p><\/blockquote>\n<p><script async src=\"https:\/\/platform.twitter.com\/widgets.js\" charset=\"utf-8\"><\/script><\/p>\n<blockquote class=\"twitter-tweet\" data-width=\"550\" data-dnt=\"true\">\n<p lang=\"en\" dir=\"ltr\">Every year I spend 1 hour in healthcare, and 8,765 hours in selfcare <a href=\"https:\/\/twitter.com\/hashtag\/worldparkinsonsday?src=hash&amp;ref_src=twsrc%5Etfw\">#worldparkinsonsday<\/a> <a href=\"http:\/\/t.co\/juoVC9GtWm\">http:\/\/t.co\/juoVC9GtWm<\/a> <a href=\"http:\/\/t.co\/GDV2MyPkWl\">pic.twitter.com\/GDV2MyPkWl<\/a><\/p>\n<p>&mdash; Sara Riggare \ud83d\udccc (@SaraRiggare) <a href=\"https:\/\/twitter.com\/SaraRiggare\/status\/586951953869058050?ref_src=twsrc%5Etfw\">April 11, 2015<\/a><\/p><\/blockquote>\n<p><script async src=\"https:\/\/platform.twitter.com\/widgets.js\" charset=\"utf-8\"><\/script><\/p>\n<hr \/>\n<h3>Join Us for #SPM2018 in Boston October 17<\/h3>\n<p>Learn more about SPM\u2019s\u00a0<a href=\"http:\/\/participatorymedicine.org\/conference\" target=\"_blank\" rel=\"noopener\">second annual conference<\/a>\u00a0on Oct. 17 in Boston or\u00a0<a href=\"https:\/\/www.connectedhealthconf.org\/boston\/2018\/Society-for-Participatory-Medicine-Presents%3A-Make-Health-Happen\" target=\"_blank\" rel=\"noopener\"><strong>register here today<\/strong><\/a>\u00a0($100 for members\/$150 for non-members). In our early years it\u2019s priced as a great bargain for a full day. And see this blog\u2019s\u00a0<a href=\"https:\/\/participatorymedicine.org\/epatients\/category\/spm-conferences\/spm2018\" target=\"_blank\" rel=\"noopener\">#SPM2018 series<\/a>\u00a0for more about the speakers and activities.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[Update: this post has been picked up and cross-posted on the widely read The Health Care Blog] Here\u2019s the latest in our\u00a0series of posts by and about\u00a0the outstanding speakers we\u2019ve [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":21007,"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":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[7344,4,59,7,4236,8110,8116],"tags":[],"coauthors":[8070],"class_list":["post-21005","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-patient-conference-participation","category-patient-networks","category-policy-issues","category-positive-patterns","category-shared-decision-making","category-spm-conferences","category-spm2018"],"yoast_head":"<!-- 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