{"id":772,"date":"2008-11-24T23:23:16","date_gmt":"2008-11-25T04:23:16","guid":{"rendered":"http:\/\/pmedicine.org\/epatients\/?p=772"},"modified":"2008-11-24T23:23:54","modified_gmt":"2008-11-25T04:23:54","slug":"illness-in-the-age-of-e-a-case-study-in-participatory-medicine","status":"publish","type":"post","link":"https:\/\/participatorymedicine.org\/epatients\/2008\/11\/illness-in-the-age-of-e-a-case-study-in-participatory-medicine.html","title":{"rendered":"Illness in the Age of &#8216;e&#8217;: A case study in participatory medicine"},"content":{"rendered":"<p>Last month, the <a href=\"http:\/\/www.connected-health.org\/events\/symposium-2008.aspx\" target=\"_epd\">Connected Health Symposium<\/a> at Harvard Medical School saw a first: a full-length case study in participatory medicine, described concurrently by both the patient and his physician. The physician was our own Danny Sands MD, and the patient was our e-Patient Dave. It was &#8220;a remarkable story,&#8221; as Matthew Holt <a href=\"http:\/\/www.thehealthcareblog.com\/the_health_care_blog\/2008\/10\/e-patient-dave.html\" target=\"_epd\">said<\/a> on The Health Care Blog:<\/p>\n<blockquote><p>&#8230; a great session in which e-Patient Dave (Dave deBronkart) and his physician, Danny Sands described his use of listservs, the Internet, email and BIMDC\u2019s PatientSite and other tools in his (successful!) battle with renal cancer\u2014after being told median survival was 24 weeks. I won\u2019t tell the whole story as they\u2019re trying to get it published in an authoritative journal\u2014so that physicians will pay attention and promote this use of technology by patients.<\/p><\/blockquote>\n<p>The presentation was videotaped, and we present it here.<br \/>\n<!--more--><br \/>\nThe audio is sharp and clear, but unfortunately the exposure was way off, so the original video was very dark. We&#8217;ve lightened it, so it&#8217;s somewhat better; we hope you&#8217;ll bear with us.<\/p>\n<p>The talk was 55 minutes long. There are six clips, because YouTube&#8217;s limit is 10 minutes per clip. At bottom are the slides, to augment the video.<\/p>\n<p\/>\n<p\/>\n<b>Part 1: Reconnecting and Agenda Setting<\/b><\/p>\n<p><object classid=\"clsid:d27cdb6e-ae6d-11cf-96b8-444553540000\" width=\"425\" height=\"344\" codebase=\"https:\/\/download.macromedia.com\/pub\/shockwave\/cabs\/flash\/swflash.cab#version=6,0,40,0\"><param name=\"allowFullScreen\" value=\"true\" \/><param name=\"allowscriptaccess\" value=\"always\" \/><param name=\"src\" value=\"https:\/\/www.youtube.com\/v\/ZBu_kvqZVb4&amp;hl=en&amp;fs=1\" \/><\/object><\/p>\n<p\/>\n<p\/>\n<strong>Part 2: Discovery and Diagnosis<\/strong><\/p>\n<p><object classid=\"clsid:d27cdb6e-ae6d-11cf-96b8-444553540000\" width=\"425\" height=\"344\" codebase=\"https:\/\/download.macromedia.com\/pub\/shockwave\/cabs\/flash\/swflash.cab#version=6,0,40,0\"><param name=\"allowFullScreen\" value=\"true\" \/><param name=\"src\" value=\"https:\/\/www.youtube.com\/v\/LE2NfIGgHC4&amp;color1=0xb1b1b1&amp;color2=0xcfcfcf&amp;hl=en&amp;fs=1\" \/><\/object><\/p>\n<p\/>\n<p\/>\n<strong>Part 3: How We Used e-Tools<\/strong><\/p>\n<p><object classid=\"clsid:d27cdb6e-ae6d-11cf-96b8-444553540000\" width=\"425\" height=\"344\" codebase=\"https:\/\/download.macromedia.com\/pub\/shockwave\/cabs\/flash\/swflash.cab#version=6,0,40,0\"><param name=\"allowFullScreen\" value=\"true\" \/><param name=\"allowscriptaccess\" value=\"always\" \/><param name=\"src\" value=\"https:\/\/www.youtube.com\/v\/xrLLmXrlLoA&amp;hl=en&amp;fs=1\" \/><\/object><\/p>\n<p\/>\n<p\/>\n<strong>Part 4: Outcome and Insights<\/strong><\/p>\n<p><object classid=\"clsid:d27cdb6e-ae6d-11cf-96b8-444553540000\" width=\"425\" height=\"344\" codebase=\"https:\/\/download.macromedia.com\/pub\/shockwave\/cabs\/flash\/swflash.cab#version=6,0,40,0\"><param name=\"allowFullScreen\" value=\"true\" \/><param name=\"allowscriptaccess\" value=\"always\" \/><param name=\"src\" value=\"https:\/\/www.youtube.com\/v\/WiT9hBJOfMg&amp;hl=en&amp;fs=1\" \/><\/object><\/p>\n<p\/>\n<p\/>\n<strong>Part 5: Audience Discussion<\/strong><\/p>\n<p><object classid=\"clsid:d27cdb6e-ae6d-11cf-96b8-444553540000\" width=\"425\" height=\"344\" codebase=\"https:\/\/download.macromedia.com\/pub\/shockwave\/cabs\/flash\/swflash.cab#version=6,0,40,0\"><param name=\"allowFullScreen\" value=\"true\" \/><param name=\"allowscriptaccess\" value=\"always\" \/><param name=\"src\" value=\"https:\/\/www.youtube.com\/v\/odLVZac5T48&amp;hl=en&amp;fs=1\" \/><\/object><\/p>\n<p\/>\n<p\/>\n<strong>Part 6: The e-Patient Perspective<\/strong><\/p>\n<p><object classid=\"clsid:d27cdb6e-ae6d-11cf-96b8-444553540000\" width=\"425\" height=\"344\" codebase=\"https:\/\/download.macromedia.com\/pub\/shockwave\/cabs\/flash\/swflash.cab#version=6,0,40,0\"><param name=\"allowFullScreen\" value=\"true\" \/><param name=\"allowscriptaccess\" value=\"always\" \/><param name=\"src\" value=\"https:\/\/www.youtube.com\/v\/QtJup9U_y14&amp;hl=en&amp;fs=1\" \/><\/object><\/p>\n<p\/>\n<p\/>\nHere are the slides, with some annotations. At bottom right, click the slide-screen icon to enlarge to full screen; click it again to restore view.<\/p>\n<div style=\"width:425px;text-align:left\" id=\"__ss_785635\"><a style=\"font:14px Helvetica,Arial,Sans-serif;display:block;margin:12px 0 3px 0;text-decoration:underline;\" href=\"http:\/\/www.slideshare.net\/debronkart\/illness-in-the-age-of-e-presentation?type=powerpoint\" title=\"Illness in the Age of \\&#39;e\\&#39;\">Illness in the Age of \\&#39;e\\&#39;<\/a><object style=\"margin:0px\" width=\"425\" height=\"355\"><param name=\"movie\" value=\"http:\/\/static.slideshare.net\/swf\/ssplayer2.swf?doc=illness-in-the-age-of-e-dd-for-slideshare-1227586384094491-8&#038;stripped_title=illness-in-the-age-of-e-presentation\" \/><param name=\"allowFullScreen\" value=\"true\"\/><param name=\"allowScriptAccess\" value=\"always\"\/><\/object><\/p>\n<div style=\"font-size:11px;font-family:tahoma,arial;height:26px;padding-top:2px;\">View SlideShare <a style=\"text-decoration:underline;\" href=\"http:\/\/www.slideshare.net\/debronkart\/illness-in-the-age-of-e-presentation?type=powerpoint\" title=\"View Illness in the Age of \\&#39;e\\&#39; on SlideShare\">presentation<\/a> or <a style=\"text-decoration:underline;\" href=\"http:\/\/www.slideshare.net\/upload?type=powerpoint\">Upload<\/a> your own.<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Last month, the Connected Health Symposium at Harvard Medical School saw a first: a full-length case study in participatory medicine, described concurrently by both the patient and his physician. The [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","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":[1],"tags":[],"coauthors":[8260],"class_list":["post-772","post","type-post","status-publish","format-standard","hentry","category-general"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Illness in the Age of &#039;e&#039;: A case study in 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\/11\/illness-in-the-age-of-e-a-case-study-in-participatory-medicine.html\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Illness in the Age of &#039;e&#039;: A case study in participatory medicine - SPM Blog\" \/>\n<meta property=\"og:description\" content=\"Last month, the Connected Health Symposium at Harvard Medical School saw a first: a full-length case study in participatory medicine, described concurrently by both the patient and his physician. 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