If you can’t keep a Medical License without a Computer why are you allowed to get one without one?

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“Konopka said she wonders if her license was in part taken away because of her inability and unwillingness to use technology to diagnose her patients or log her patients’ prescriptions as part of New Hampshire’s mandatory electronic drug monitoring program…   …She said modern medicine encourages doctors to use electronic records to diagnose patients. But Konopka said she does not want to learn how, as she feels she is experienced enough to diagnose a patient by examining them and talking to them”

What a shame that provision wasn’t made to help this long serving Doctor retain her license. Surely there was some way to help her transition into a medical education teaching role if the lack of interest in using a computer was a deal breaker.

I think it’s also an interesting story because it makes it quite odd that we still don’t require Doctors to use a computer in their medical exams and that although there is 50 years of published evidence suggesting it’s valuable most Doctors aren’t yet enabling their Patients to use computers to communicate with them before they visit their office (often as little more than a complete stranger).

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Join us at the American Academy of Anti-Aging Medicine World Annual World Congress

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In a fortnight (13-16 December 2017) I’ll be in Las Vegas for the 25th Annual World Congress of the American Academy of Anti-Aging Medicine.

“The conference marks a quarter of a century since the American Academy of Anti-Aging Medicine (A4M) began its original mission: to build awareness and deliver innovative, cutting-edge scientific education focused on longevity, and prolonging the human lifespan. Our audiences span the globe, and our renowned speakers, keynotes, and impressive faculty panels assist attendees in implementing and integrating new therapies into practice”.

Keynote topics/speakers include:

Brain Thermodynamics of Sleep- A New Signal for Sleep Optimization and Prolonging Life Span (Marc Abreu MD, Founder/President and CSO, Brain Tunnelgenix Technologies Corp)

Fasting Mimicking Diets, Multi-System Regeneration and Healthspan (Valter Longo PhD, Professor of Gerontology, University of Southern California Davis School of Gerontology)

Inventing the Future of Food (Pablos Holman, Inventor at the Intellectual Ventures Lab, Founder at Bombsheller and Advisor at Glowforge)

Leveraging Technology and Person-centricity to Help People Add Years to Their Lives and Life to Their Years (Dennis Robbins PhD MPH, Principal, Person Centric Solutions)

Healthcare 2.0: Macro Trends Shaping Healthcare Delivery (Nikhil Krishnan, Senior Analyst, CB Insights)

Fasting Regimens and Enhancing the Healthspan (James LaValle RPh CCN, Founder, Metabolic Code Enterprises Inc)

Clinical Application of Fasting Diets in Cardiovascular Health and Inflammation (Joel Kahn MD, Holistic Cardiologist)

Optimizing Men and Women’s Hormonal Health with Fasting Diets (Felice Gersh MD, Gynacologist & Founder/Medical Director, Integrative Medical Group)

Fasting and Fasting Mimicking Diet Strategies to Enhance Peptide and Stem Cell Therapies (William Seeds MD, Orthopaedic Surgeon)

Nutrigenomics and Cardiovascular Disease (Mark Houston MD MS MSc FACP, Associate Clinical Professor of Medicine, Vanderbilt University School of Medicine and Director of the Hypertension Institute)

A Novel Blood Test For SIBO/IBS; Revealing the Pathogenic Autoimmune Mechanism (Elroy Vojdani MD, RegeneraWellness)

The NLS Digital Scan Analyzer: History, Rationale, and Observations (Max Stanley Chartrand PhD, Behavioural Medicine Professor)

The Rise and Fall of Zonulin for Measuring Leaky Gut (Aristo Vojdani PhD MSC CLS, CEO and Technical Director of Immunosciences Lab Inc)

Game Changing Analytical Insight Using AI and Machine Learning (Michael Nova MD, Chief Innovation Officer, Pathway Genomics)

Disruptive Digital Health Technology (David Rhew MD, Chief Medical Officer and Head of Healthcare and Fitness at Samsung Electronics America)

How the Bio-Energetic Field is Affecting all your Interventions (Sangeeta Pati MD FACOG, President and Medical Director, SaJune Institute for Restorative and Regenerative Medicine)

The Heart’s Powerful Electromagnetic Field and How to Optimize its Effect on Cognitive Process, Behavior, and Health (Rollin McCraty PhD, EVP & Director of Research, HeartMath)

Medicine of Energy- Compelling Clinical Outcomes that Utilized Photo-biomodulation and Bio-Acoustics (John Aspley MD E ND DC)

Grounding – A Critical Segway to High Vibrational Living (Steven Sinatra MD, Cardiologist and Author)

Energetics in Medicine: Grow your Clinical Skills in Diagnosis and Treatment of Chronic Disease including Advanced Prostate and Breast Cancer (Silvia Binder ND PhD, Naturopathic Doctor & Co-Founder of the Binder Institute for Personalized Medicine)

Raising the Bar in Cancer Detection and Treatment Utilizing a Non-invasive Diagnostic Technique and Nontoxic Therapies (Mark Rosenberg MD, Founder, Advanced Medical Therapeutics)

Immune Support for Chemotherapy (John Hall PhD, Founder, Zmartar)

Integrated Cancer Immunotherapies and Targeted Modalities (Sean Devlin DO, Highland Springs Wellness Centre)

Urine Metabolites as a Marker for Breast Cancer (David Zava, PhD, Founder, ZRT Laboratory)

Stem Cells: What we Know and Where we are Going (Joseph Purita MD, Founder, Institute of Regenerative Medicine)

Breakthrough in Stem Cell Activation: The First Oral Protein Complex for Tissue Regeneration (Jaquel Patterson ND MBA, Naturopathic Physician and VP Operations & Compliance Officer at Community Health Resources)

The Role of Nitric Oxide in Regenerative Medicine (Nathan S. Bryan PhD, Nitric Oxide Scientist and co-Founder, HumanN)

Trans-Differentiation: A New Frontier of Regenerative Medicine (Gabriel Nistor MD, Chief Science Officer, AIVITA Biomedical)

Ending Inflammation Using Topically-Applied Stem Cell Derived Biosignals (John Sanderson MD, Chief Medical Officer, Cell MedX)

YLIFT Structural Volumizing-Reshaping Total Facial Rejuvenation (non-CME) (Yan Trokel MD, Founder & Director, Y Lift)

The Role of Bovine Colostrum in Skin Health and Beauty (Mark Tager MD, CEO, ChangeWell Inc)

Feminine Rejuvenation: Appearance and Functionality (Alexander Bader MD FAAOCG FAAC, Cosmetic Vaginal Surgeon)

The Complete Woman: Sexual Health, Feminine Rejuvenation and Incontinence (Shelena Lalji MD, Founder, Dr. Shel Wellness & Aesthetic Center)

Strategies for Reversing Immunosenescence (Joseph Raffaele MD, Founder, Physio-Age Medical Group)

Treating Mental Health from the Top Down: Neurotransmitters, Physiology and Mitochondrial Disruption (Peter Bongiorno ND Lac, Inner Source Health)

Medicine at the Crossroads -With Live Patient Demonstration (Pamela Wartian Smith MD MPH, Centre for Personalized Medicine)

The Coming Age of Abundance — Understanding Humanity’s Future (Peter Diamandis MD, Co-Founder & Vice-Chairman, Human Longevity Inc)

Vision 2025: The Future of Healthcare – Building A System Around the Person and not the Disease (Reenita Das, Partner, Frost & Sullivan)

How Much Should We Pay for Healthcare? Technology’s Answer to Measuring Value (Amanda Goltz, VP Digital Innovation, BTG)

Fasting Mimicking Diets to Reverse Metabolic Syndrome, Optimize Weight, and Manage Autoimmune Diseases (Kurt Hong MD PhD, Associate Professor of Clinical Medicine, Keck School of Medicine of USC)

Clinical Breakthroughs of Fasting Diets in Cancer Management and Treatment (Tanya Dorf MD, Associate Professor of Clinical Medicine at USC Keck School of Medicine)

Genomic Insight into the Management of Chronic Inflammation, Immune Dysregulation and Mitochondrial Dysfunction (Robert Miller CTN ND, Founder, Tree of Life)

Precision Medicine: The Direct Connection of Genomics to Functional Medicine (Shalesh Kaushal MD, Chair of Ophthalmology, Umass Memorial Medical Center)

Precision Medicine: The Future of Anti-Aging Medicine, Today (Florence Comite MD, CEO & Founder, Comite Center for Precision Medicine)

New Realities in Medicine:Exploring the Virtual and Augmented Horizon-Panel Discussion (Justin Barad MD, Editor at Medgadget & Founder/CEO at Osso VR)

Closing Keynote: The Patient as CEO-How Technology Empowers the Healthcare Consumer (Robin Farmanfarmaian, Professional Speaker, VP at Invicta Medical, VP at Actavalon and BoD at Organ Preservation Alliance)

Bacterial Toxins’ Threat Against Neuroplasticity (Robert G. Silverman DC MS DABCN DCBCN, NY Chiro Care)

Clinical Systems Biology for the Advanced Integrative Practitioner (Andrew Heyman MD MHSA, Director of Integrative Medicine, George Washington University)

New Research and Applications of Proline-Rich Polypeptides (Andrew Keech PhD, Founder, APS BioGroup)

Hydrogenized Water: Use for Chronic Illness, Anti-aging and Wellness (Garth Nicolson PhD MD, President and Founder, Chief Scientific Officer, Institute for Molecular Medicine)

The Hidden Organ: Strategies for Managing the Gut Microbiome in Clinical Practice (Andrea Girman MD MPS, Integrative Medicine Consultant, Physician & Director of Medical Education at Communitas Consulting)

Diabesity and Microbiome: What’s Known and What’s New (Filomena Trindade MD, Saudade Wellness)

Epigenetic Determinants of Reproductive Aging (Jennifer Pearlman MD NCMP FAARM, Pearl Rejuvenation)

Myo-inositol and Folic Acid for the Improvement of Ovulatory Function and Egg Quality (Michael Krychman MD, Director, The Southern California Centre for Sexual Health & Survivorship)

Trimester 0 and Trimaster 4: Clinical Applications to Minimize the Epigenetic Changes Driving Autism, Infertility, Learning Differences and Postpartum Depression (Dian Ginsberg MD FAARFM ABAARM, Medical Director, Womens Specialty Healthcare)

HRT after Gynecological Cancers (Jennifer Landa, MD, FMNM, ABAARM, Author, The Sex Drive Solution for Women)

Acne, Psoriasis and Hair Loss; The Struggle is Real (Sebastian Denison RPh FAARM, Compounding Pharmacy Consultant)

Shockwave Therapy + PRP for Treating Erectile Dysfunction (Anteneh Roba MD ABEM ABOM ABAARM FAARM, Medical Director, Zinnia Aesthetics & Anti-Aging Clinic)

Multimodality Non-Surgical Rejuvenation of the Aging Face (Maria Khattar MD PhD, Founder & Managing Director, Aesthetica Clinic)

Growth Factors: Harnessing Healing Power, from Restoration to Rejuvenation (Ahmed H. Al-Qahtani PhD, AQ Skin Solutions)

Cut the Fat. Weight Management Best Practices for Better Patient & Physician Outcomes (Sasson Moulavi MD, Medical Director, Smart for Life )

Revolutionizing Medicine with Directed Energy (Richard M. Satava MD FACS, Department of Surgery University of Washington)

Follistatin and Muscle Growth Factor: Peptide Treatments to Reverse Aging (Thierry Hertoghe MD, TH Medical)

Artificial Intelligence for Development and Tracking of Anti-Aging Interventions (Alex Zhavoronkov PhD, Founder, Insilico Medicine)

Healthcare and the Frontiers of Cognitive Computing (Michael Weiner DO MSM MSIST, Chief Medical Information Officer, IBM Healthcare & Life Sciences)

Preventing and Reversing Metabolic Syndrome (Robin Willcourt MD FACOG, Medical Director, Epigenx Integrated Medicine)

How Much Protein do you Really Need and is Excess Dietary Fat Toxic? (Nick Delgado PhD)

Nutrigenomic Applications in the Treatment of Autoimmune and Neuro-Immune Syndromes (Kendal Stewart MD, Neurotologist/Neuroimmune Specialist)

Prevention and Treatment for the Aging Brain (Andrew Campbell, MD)

Managing and Resolving Pain: Effective Non Pharmacological Solutions (Martin Gallagher MD DC MS ABOIM, Medical Wellness Associates)

An Integrative Approach to Autoimmune Disease: Leaving the Era of Reaction and Entering the New Era of Prediction (David Brady ND DC CCN DACBN, Director, Human Nutrition Institute)

Marijuana Medicine? Or Just ‘High’ Profits?: Do Cannabinoids Hold the Key to Immune System and Neurological Disorders? (Raj Gupta PhD MBA, Chief Scientific Officer, Folium Biosciences)

Neuromodulation: The Potential of Cannabinoids in Neuropsychiatric Conditions (Ronald Aung-Din MD, General Neurology & Neuro-psychiatry)

The Role of CBD Targeted Clinical Strategies on the Microbiome and Gut-Brain Axis (Chris D. Meletis ND, Divine Medicine)

CBD for Diabetes and Diabetic Complications (Joseph C. Maroon MD, Neurosurgeon, University of Pittsburgh)

Cannabidiol (CBD) and Brain Health (Michael D. Lewis MD MPH MBA FACPM FACN, BrainCare)

Maximizing the Pharmacy Experience for Patients and Staff (Rich Moon PhD, Pharmacist & Founder, Pharmacy Innovations)

Non-Invasive Vascular Rejuvenation Technology (Richard Gaines MD FAARM ABAARM, Chief Medical Officer, HealthGains)

DNA Song of Life – Key to ZERO Aging (Bill Deagle, MD, AAEM, ACAM)

Back to the Future of Anti-Aging Medicine: What we know from the Mid-Victorians and What we are Learning from Modern Technologies (Thomas J Lewis PhD, CEO, RealHealth Clinics LLC)

The Polydioxanone (PDO) Thread Lift (William Clearfield DO FAARM, Clearfield Medical Group)

Providing the Best Options for your Patient with Combination Treatments: Hybrid Fractional Laser and BBL (Rebecca Gelber MD, Tahoe Aesthetic Medicine)

Intra-oral Injection Technique for Dermal Filler and Comprehensive Aesthetic Treatment Planning (Bonnie Rae DMD, Founder, BeRaediant Inc)

Autologous Lipocyte Micronized Injection (Edward Zimmerman MD, Cosmetic Surgeon, Las Vegas Laser & Lipo)

LED Photomodulation for Skin Rejuvenation (Denise Baker MD, Obstetrician & Gynaecologist)

Exhibitors/Sponsors include:

BodyLogicMD: BodyLogicMD is the nation?s largest and fastest growing network of the most highly-trained physicians specializing in integrative medicine and bioidentical hormone replacement therapy. Integrated with nutrition, cutting-edge therapies and comprehensive wellness strategies, BodyLogicMD?s medically-supervised programs are for men and women suffering from hormonal imbalance and conditions of aging, such as menopause and andropause, and seeking to achieve and maintain optimal health throughout their lives.

Central Drugs: Central Drugs is an industry leader in the art and science of custom compounding, specializing in bioidentical hormone replacement therapy and sterile injectable medications. We offer the best in custom solutions through our state-of-the-art compounding laboratories across our pharmacy locations and outsourcing facility. With an expert team of 15 compounding pharmacists, we are dedicated to helping prescribers improve patient care and wellness across the country through our quality products, expert advice, and friendly customer service.

Designs for Health: Our Company Since 1989, Designs for Health has been the health care professional’s trusted source for research-backed nutritional products of superior quality. By providing comprehensive support through our extensive product line, ongoing clinical education, and practice development programs, we are able to maximize the potential for successful health outcomes. Our wide array of added-value services not only set us apart, but indicate the depth of our commitment to you.

Douglas Laboratories: It’s hard to imagine life without nutritional supplements. Millions of us take one every day. Yet, back in 1955, when the Douglas Laboratories story began, supplements were not part of the mainstream. Sam Lioon, company founder, was a nutritional pioneer. He saw an opportunity to help Americans improve their health, and began selling nutritional supplements directly to healthcare professionals. From that humble beginning, Douglas Laboratories has grown into a globally recognized leader in the development and manufacturing of innovative, science-based nutritional supplements, designed to help healthcare practitioners who are focused on the healthy aging and active lifestyles of their clients.

GAINSWave: GAINSWave is a turn-key business opportunity for progressive doctors who are looking to help patients and drive additional revenues to their practice. The mission of GAINSWave is to improve lives by optimizing sexual wellness utilizing low-intensity extracorporeal shockwave therapy. This non-invasive treatment has been well researched, with over 40 clinical studies proving efficacy, and is the only treatment available that addresses the root cause of erectile dysfunction without the need of drugs or surgery. GAINSWave provides doctors with proven protocols, training, certification, sales and marketing support.

Genova Diagnostics: Genova Diagnostics is a leading clinical laboratory applying systems-based testing approaches to the diagnosis, treatment and prevention of complex chronic disease. Genova specializes in clinical laboratory services with actionable information.

Healthy Habits: Tap into the biggest market in the U.S. 236 Million People are Obese/Overweight. With over 30 years of experience, Healthy Habits will teach you how to build a turnkey medical weight loss business and will dramatically increase your age-management practice. Our program has strong conversion rates to age-management services (Aesthetics, BHRT, IV Therapy, Functional Medicine, etc) and helps maintain a long-term patient base. Up to an 80% increase in patient volume!

Healthy Living Group: The Healthy Living Group brings healthy solutions to men and women who care about living well—from tips for good eating to ideas for self-improvement in body, mind, and spirit. Our environmentally wise and health-conscious content guides readers toward their full potential. We reach more than 6.7 million targeted consumers—from hard-core fitness enthusiasts to people who are simply trying to eat more greens. We engage health enthusiasts on a variety of platforms: magazines, websites, books, events, special-interest publications, DVDs, international editions, and more! Click below to learn more about any Healthy Living title.

Innergy: Innergy Development is a company that is focused on the development of non-invasive medical, health and beauty technology and equipment to allow people to reach their optimum health and life style.

Bob Mangat invigoMEDIA: We Walk Into 6, 7 & 8 Figure Clinics, Find and Plug “Leaks” Worth Hundreds of Thousands of Dollars, and Help Doctors Double Triple, or Even 10X Their Revenue Within 12 Months. We eliminate your STRESS of where your next patient is coming from. We Design “NEW PATIENT” Cash + Insurance lead generation campaigns that automatically reach and attract new leads day and night. We automate the process and train your staff on how to CONVERT new patients to raving fans, sell more services to existing ones, get current patients to refer more, cultivate positive reviews and create systems that automates tasks saving you thousands EVERY month.

Klaire Labs: Klaire Labs brand high-quality nutraceuticals are available exclusively through healthcare professionals to empower them in providing better choices and optimal health outcomes for those under their care. – Scientifically researched, clinically relevant formulas/ – Broad hypoallergenic probiotic selection/ – Specialized antibiofilm, digestive, and systemic enzymes/- Multinutrients, antioxidants and hormone support, and advanced skin care products/ – Ingredients based on purity, bioavailability, documented actions, and safety characteristics/ – 48 years of clinical experience garnering brand trust and brand loyalists.

Metabolic Code: The Metabolic Code is a proprietary approach to clinical assessment and treatment planning implemented as a component of all treatment programming where appropriate within medical and non-medical services. Metabolic Code delivers evidence-based tools, delivered via the web, that support practitioners? abilities to assess, interpret, and recommend proven integrative protocols to their patients while dramatically increasing their patients? adherence and engagement levels resulting in patient centered care and higher levels of wellness.

Metagenics: Metagenics was founded on a revolutionary idea: Our genes do not predetermine our health potential, and through nutrition, we can impact how our genes express themselves. Embodied by our company motto?genetic potential through nutrition?this groundbreaking principle drives us to deliver high-quality, science-based nutritional supplements, medical foods, and lifestyle programs to support healthcare practitioners in their efforts to help patients achieve their health and wellness goals.

Nature-Throid: Nature-Throid and WP Thyroid are natural hypothyroid medications containing both T4 and T3 hormones. Two natural thyroid solutions. Because no two people are alike. RLC Labs also manufactures a-Drenal and i-Throid, (iodine 12.5mg & 6.25mg), which can be used alone or with either Nature-Throid or WP Thyroid for a well-rounded thyroid protocol.

NuMedica: NuMedica® provides the most innovative, science-based nutritional formulas exclusively available to licensed healthcare practitioners. We manufacture our formulas in cGMP facilities with SGS and NSF certifications ensuring the highest quality formulas. Our mission and passion drives us to remain the benchmark of excellence in nutritional science, technology and safety.

Ondamed: The ONDAMED System is a unique treatment solution limitless in its use; whether your focus is chronic disease, injury recovery, performance enhancement, or prevention. A unique biofeedback method allows for detection of hidden stressed or dysfunctional areas on the body, raising the attentiveness to one’s physiology, mental and emotional processes. Specialized applicators emit focused, pulsed electromagnetic fields to the discovered areas of hidden stress or dysfunction to attract local immune response and significantly improve metabolism functions.

Ortho Molecular Products: Ortho Molecular Products, Inc. has been manufacturing dietary supplements with unsurpassed efficacy for over 25 years. Deeply committed to their long-standing pledge to honor the doc-tor-patient relationship, Ortho Molecular Products believes evidence-based, lifestyle and nutri-tional therapies will transform the practice of medicine. To that end, Ortho Molecular Products is dedicated to creating innovative clinical models to help healthcare professionals implement lifestyle medicine into their clinical practice.

Prolon: The ProLon® Fasting Mimicking Diet is a natural, plant based diet that was tested pre-clinically and clinically at the Longevity Institute and Diabetes and Obesity Research Institute of the University of Southern California, and sponsored by the National Institute on Aging (NIA) and the National Institute of Health (NIH). ProLon allows the body to enter a fasting state while continuing to be nourished throughout the meal program. This fasting mimicking diet promotes effects on a wide range of markers that contribute to aging, such as cholesterol, triglycerides, blood pressure, inflammation, IGF-1, and fasting blood glucose. In addition, ProLon helps reduce visceral fat while maintaining lean body mass and spurring stem cell based regeneration. Visit http://www.prolonfmd.com to learn more.

PCCA: PCCA helps compounding pharmacies deliver personalized, compounded medications that make a difference in people’s lives. As a compounding pharmacist’s most comprehensive resource, PCCA provides products, services and support to almost 4,000 pharmacist members throughout the United States, Canada, the United Kingdom and Australia. For more information, visit pccarx.com.

Physicians Lab: Physicians Lab was created to serve two purposes: provide state-of-the-art science to a growing number of physicians focusing on preventive medicine and wellness for the aging population, as well as deliver superior solutions to physician practices and patients, who are actively seeking to manage their health through innovations in technology and preventive medicine. Physicians Lab delivers accurate and reliable results, while providing the tools necessary to complete convenient, affordable, error-free, and timely lab testing.

Power2Practice: Power2Practice offers a suite of practice management solutions which allow you to more effectively run and optimize your integrative medicine business. Our goal is to save physicians time, increase staff productivity, boost patient engagement and provide easy tools to increase your profits.

SpectraCell Laboratories: The SpectraCell Solution: SpectraCell Laboratories, the leader in functional nutritional test-ing, now offers comprehensive hormone testing and a cardiometabolic panel which includes a pre-diabetes risk score. Combined with our genetic test menu, SpectraCell offers the most integrative lab diagnostics for personalized medicine.

T.A. Sciences: T.A. Sciences® is the first healthcare company dedicated exclusively to creating research-based, clinically tested wellness products that help address cellular aging through the science of telomerase activation. TA-65® is a patented, all natural, plant-based compound which can help maintain or rebuild telomeres. It is currently available in TA-65MD® Nutritional Supplements, in 250 unit and 100 unit capsules, and TA-65® for Skin which provides cosmetic benefits in all layers of the skin.

Tailor Made: Tailor Made Compounding pharmacy has established itself as a leading compounding pharmacy specializing in tailor made medications and peptides, providing a high level of patient care to compliment physician’s therapies, and forming a holistic prescriber-pharmacy-patient interface. Located in Nicholasville, Kentucky we are able to provide you with all your compounding needs.

The Cardio Group: The Cardio Group is the leader in Pulse Wave Analysis technology. The Max Pulse cardiovascular device is a three minute functional diagnostic with a focus on endothelial function, arterial elasticity, eccentric constriction as well as remaining blood volume valuations. Within three minutes the patient and clinician are presented with valuable information regarding cardiovas-cular risk factors. The clinician may use this objective data to prove clinical efficacy as well as improve clinical outcomes.

UniSource Health: UNIsource Health offers the RM-3A Medical Device. It is a five time FDA cleared device which provides an innovative unique fast analytical screening system for risk factors pertaining to diabetes, cardiovascular disease, neuropathy and ANS dysfunction as well as other wellness and longevity markers. The non-invasive RM-3A and ABI devices are designed for in-practice early detection of risk variables offering up-to-the-minute data essential to whole-person analysis.

University Compounding Pharmacy: University Compounding Pharmacy specializes in the formulation of drugs that are not com-mercially available. Our pharmacists use state of the art technology with quality chemicals so that your finished medication meets the doctor’s exact specifications. We employ the highest standards in compounding, following nationally recognized United States Pharmacopoeia. In addition to the highest quality of compounds, UCP prides itself with providing the best physician and patient experience.

Wells Pharmacy Network: Wells Pharmacy Network is a compounding pharmacy operating as a 503A pharmacy in Florida and a FDA Registered 503B Outsourcing pellet facility in Tennessee. Wells specializes in wellness, anti-aging, weight management, sexual wellness, thyroid/adrenal health and aesthetic dermatology preparations. Our comprehensive formulary encompasses an array of strengths and sizes of medications including Testosterone, hCG, Vitamin Injectables, Peptides and Sermorelin. Preparations come in many dosage forms such as creams, capsules, injectable, troches and sterile implantable pellets.

ZRT Laboratory: With almost 20 years of experience and results from over 8 million tests, ZRT Laboratory is a recognized leader in innovative, safe and meaningful hormone and wellness testing. Health care providers in all 50 states and 96 countries use our tests, as do research teams including the CDC, the NIH and many renowned universities. Today, ZRT Laboratory offers far more than numbers alone. We are recognized the world over as a team devoted to providing the most accurate results with the most educated insight into their meaning.

Can’t join us in Las Vegas? Click on the following to join the event via the livestream:

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NOTE: If you’re joining us in Las Vegas please get in touch (via the comments thread) if you’d like to be interviewed for a report we’re producing on the A4M 2017 World Congress. 

The A4M World Congress is collocated with the MedTech Impact Expo and Conference.

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Topics/Speakers include:

CMO SCHOOL: HOW TO BECOME A MEDICAL ADVISOR (Arlen Meyers, MD, MBA, Co-Founder, Society of Physician Entrepreneurs)

LEVERAGING TECHNOLOGY AND PERSON-CENTRICITY TO HELP PEOPLE ADD YEARS TO THEIR LIVES AND LIFE TO THEIR YEARS (Dennis Robbins, M.P.H, Ph.D, Conference Chair)

HEALTHCARE 2.0: MACRO TRENDS SHAPING HEALTHCARE DELIVERY (Nikhil Krishnan, Tech Industry Analyst, CB Insights)

KEYNOTE: FUTURE OF TECHNOLOGY – INVENTING THE FUTURE OF FOOD (Pablos Holman, Self-described “Futurist, inventor, and notorious hacker”)

GAME CHANGING ANALYTICAL INSIGHT USING AI AND MACHINE LEARNING (Michael Nova, M.D., Chief Information Officer, Pathway Genomics)

DISRUPTIVE DIGITAL HEALTH TECHNOLOGY (David Rhew, M.D., Chief Medical Officer and Head of Healthcare and Fitness, Samsung Electronics America)

VISION 2025: THE FUTURE OF HEALTHCARE — BUILDING A SYSTEM AROUND THE PERSON AND NOT THE DISEASE (Reenita Das, Partner, Frost & Sullivan)

IMPACTING CLINICAL OUTCOMES WITH INNOVATION AND TECHNOLOGY (Dennis Robbins, M.P.H, Ph.D, Conference Chair)

HOW MUCH SHOULD WE PAY FOR HEALTHCARE? TECHNOLOGY’S ANSWER TO MEASURING VALUE (Amanda Goltz, Vice President of Digital Innovation, BTG)

NEW REALITIES IN MEDICINE – EXPLORING THE VIRTUAL AND AUGMENTED HORIZON (Justin Barad, M.D., Founder & CEO, Osso VR, Editor medgadget.com)

THE PATIENT AS CEO – HOW TECHNOLOGY EMPOWERS THE HEALTHCARE CONSUMER (Robin Farmanfarmaian, Angel Investor & Vice President, Invita Medical & Vice President, Actavalon) 

CLOSING REMARKS (Heather Johnson, Event Director, MedTech Impact Expo & Conference)

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The Children’s Hospital of Philadelphia proves Parents can get Paediatric Dermatology Diagnoses without the need for Office Visits in Most Cases if we let them just share Cameraphone photos

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“Using smartphone cameras, parents can reliably take high-quality photographs of their child’s skin condition to send to a dermatologist for diagnosis. This finding suggests that direct-to-patient dermatology can accurately provide pediatric dermatology care.

“Advances in smartphone photography, both in quality and image transmission, may improve access to care via direct parent-to-provider telemedicine,” said Patrick McMahon, MD, pediatric dermatologist at CHOP and senior author of the study. “Our study shows that, for the majority of cases, parents can take photographs of sufficient quality to allow for accurate teledermatology diagnoses in pediatric skin conditions. This is important because pediatric dermatologists are in short supply, with fewer than 300 board-certified physicians serving the nation’s 75 million children.”

Forty patient families participated in the study between March and September 2016. The study team provided photography instruction sheets to 20 families, while the other 20 received no instructions. The sample represented a wide range of ages, ethnicities, and socioeconomic backgrounds, as well as both genders equally. The majority of parents used an Apple iPhone, with the rest using an Android phone.

The researchers compared diagnoses made during in-person examinations with photograph-based diagnoses made by a separate clinician. Overall, of the 87 images submitted, the researchers found that 83 percent of the time, the photograph-based diagnosis agreed with the in-person diagnosis. Only three images did not permit a conclusive remote diagnosis, owing to poor photographic quality. Among the photographs considered high-quality enough to make a diagnosis (37 families), there was an 89 percent agreement in diagnoses.

McMahon noted that skin complaints represent 10 to 30 percent of all 200 million pediatric office visits each year, adding, “While many children’s skin conditions can be handled without input from a pediatric dermatologist, the national shortage of specialists is a known barrier to accessing care. Our findings suggest that telemedicine could improve access for patient families who have geographic, scheduling or financial limitations, as well as reducing wait times.” Media Contact: Joey McCool Ryan, McCool@email.chop.edu 267-426-6070
@chop_research http://www.chop.edu

mHealth Insights

It’s great to be able to share this news as there have been so many really low quality research efforts in this area over the years..

At the GP Continuing Professional Development (CPD) courses that I attend there’s typically a Dermatology Consultant giving a presentation where they will be giving brief clinical histories and showing images on a powerpoint slide show while polling the audience with a multiple choice set of answers to which the delegates must raise their hands. In most cases the GPs were completely wrong (eg. with only a small minority picking the correct answer) and the Consultant Dermatologists end up joking with them about how bad they are. It has me convinced that we should never leave the responsibility for diagnosis with a busy GP who doesn’t have a special interest in Dermatology when those pictures and a medical history (shared via a clinically validated medical history taking online questionnaire) could be now so easily supplied by Parents/Carers without the need for an office visit or the expensive/time consuming administrative mechanisms (of making an appointment with a GP, going to the GP, getting referred to the Practice Nurse to have a few pictures taken, getting the GP to enter a bit of history into a referral letter, waiting for the Consultant dermatologist’s secretary to receive/read the letter and schedule an appointment, the Patient then to make the appointment and get an accurate diagnosis and treatment plan – all the while worrying about the condition and possibly even experiencing symptoms getting worse).

In 2018 NHS GPs will see more than 13 million Patients reporting with skin problems and more than 750,000 will be referred on to see a dermatologist. Why can’t the NHS just enable Patients/Carers to just reach into their pockets and communicate with the tools of our time?

Related post: Perhaps it’s time we stopped saying ‘go and get help’?

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mHealth guide to the 2017 World Diabetes Congress #IDF2017

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The next biannual congress of the International Diabetes Federation will be held in Abu Dhabi, UAE, on 4-8 December 2017 and will feature more than 200 speakers and representations from 230 national diabetes associations. Register now.

At the last congress (in Vancouver in 2015) I was hired by the IDF to develop and provide a diabetes module of the mHealth for Healthcare Professionals course and I find it amazing that this freely shared video recording is the only content from the entire 200+ hours of conference proceedings that there is any record of because despite the IDF’s claimed ambitions (eg. to embed mHealth and make it a compulsory part of quality care for people with diabetes) has a bizarre outdated approach to sharing.

The organisers were so out of touch in 2015 that they were starting conference sessions by showing a slide that reminded delegates not to take or share images/videos.

They were even publicly telling off delegates who they discovered sharing content with the event’s #WDC2015 hashtag on Twitter. Worse still some of these delegates weren’t tough media hacks or experienced clinicians but Patients who they generously given up their week and been sponsored to fly around the world to attend the congress!

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I find it quite amazing that in 2017 a congress of such high profile is still not live streamed and that the media guidelines are still so incredibly outdated:

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The only sense I can make of it is that the federation feels it might lose control of the conversations but it’s really bizarre because the #IDF2017 hashtag is really prominently posted on the homepage etc:

George B Shaw Apples and Ideas

The conference website is also really poorly designed and the “IDF Congress Profile” tool that’s supposed to help you plan your congress experience is next to useless.

To make it a bit easier I’ve compiled the following mHealth Guide that you may find useful if you’re going (or looking to conduct research and follow along via the limited ‘unauthorised’ social media sharing). If you’ve seen anything I’ve missed please let us know in the comments thread and I’ll update the listing.

Tuesday 5th December 2017

13:15 – 14:45, ICC 4
Community approaches to diabetes care. Mobile diabetes clinic: experience in Palestine
Ahmad Abu Al-Halaweh, Director of the Diabetes Care Centre, Augusta Victoria Hospital (Palestine)

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13:15 – 14:45, Hall 11
Digital health and modern technologies: Integrating digital health with peer and family support in disadvantaged groups
John D. Piette PhD, Professor of Health Behavior & Health Education & Centre for Managing Chronic Disease, School of Public Health at the University of Michigan

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New technologies in diabetes management
Ibrahim Saleh Al-Busaidi, Oman Diabetes Society, Sultanate of Oman.

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Opportunities for diabetes prevention and care through modern technologies: B he@lthy B mobile in India and Senegal
Dr Line Kleinebreil, Consultant, WHO (Switzerland)
Dr Subhash S. Pujari MD, M .D (Medicine), Associate Professor of Medicine, DM Waynad Institute of Medical Sciences (India)
H. Eskandari, ITU/BHealthyBMobile (Switzerland)
Lamine Gueye, Faculté de Médecine de Dakar, Université Cheikh Anta Diop, Dakar (Senegal)
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Opportunities for diabetes prevention and care through modern technologies: B he@lthy B mobile in India and Senegal
Prof A Ramachandran, India Diabetes Research Foundation & Dr. A.Ramachandran’s Diabetes Hospitals (India)
Pankaj Joshi, Director at Diabetes Care Centre & WHO Country Office for India (South Africa)
Dr Fikru Tesfaye Tullu, Acting Coordinator Health Programs, WHO India
R. Kumar, Ministry of Health and Family Welfare (MoHFW), Govt of India.

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15:15 – 16:45, ICC 4
Peer support: applications and approaches. Peer support in China
Zilin Sun, Professor of Endocrinology, Southeast University Medical School, Nanjing (China)

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16:00 – 16:45, Conference Hall B
Diabetes tools and apps – What’s new, what works, and what do patients really want?
Adam Brown, head of diabetes technology & digital health, Close Concerns

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Wednesday 6th December 2017

13:45 – 14:15, ICC 1
eHealth solutions for diabetes: Hype or hope?
Cornelis Tack, Prof of Internal Medicine, Radboud University Medical Centre (The Netherlands)

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Is there a Doctor in my pocket?

is there a Doctor in my pocket

11 years after we launched 3G Doctor Natasha Loder, the Economist’s Healthcare Correspondent, writes that “we are on the verge of a transformation in health care that will render visiting the doctor a thing of the past. I think it’s clear that ‘go and get help’ doesn’t make sense to the Born Mobile generation but it’s misleading to think anyone wants to make the visiting the Doctor a thing of the past (evolving beyond the 2,000 year old office-visit-only model and only visiting the Doctor when it’s required and the Doctor already knows about us is something very different).

mHealth Insights

“Large investments have been driving this change. Last year, equity funding to private digital-health startups grew for the seventh consecutive year and reached $6.1bn. A good proportion of that sum has been directed towards products that target consumers via their mobile phones. The early offerings were apps that would help people find doctors and schedule appointments; but, more recently, apps such as Teladoc in America, Babylon Health in Britain and Min Doktor in Sweden have started to offer access directly to qualified doctors or therapists on a mobile phone”

It’s interesting to compare the Economist’s Healthcare Correspondent views with their Digital Editor’s views on the impact that mobile tech is bring to bear on the healthcare industry. I imagine you’d develop this view of the world as the Healthcare correspondent as most of the public relations people and press releases reaching you would originate from businesses that committed dedicated resources because they’re really keen to bring in their next round of venture debt and will use ‘breaking news’ claims to grab attention but I don’t think it’s accurate to suggest that it’s large investments that are moving the market. It should be obvious that the BornMobile generation getting frustrated with the outdated 2,000 year old office-visit-only model of care (and have social media connections that empower them to vote with their feet for services that are marketed to their needs) rather than the ‘large investments’ that are being made into startups that’s moving the needle as even ‘$6.1Billion invested in digital health startups last year‘ is still less than 0.2% of the $3.5T US Healthcare budget (we’re not even talking tip of the iceberg investment levels here).

Claiming it’s all a new development is obviously a helpful way to keep reader interest but it’s not factual and claims that early offerings were apps is also dismissing the reality that mHealth applications were already widespread even before Apple launched their App Store in July 2008.

“The most sought-after services are for sexual health and women’s health. Women, unsurprisingly, want repeat prescriptions for contraceptives without having to take the morning off to visit the doctor. But the number of people using remote medicine for other reasons is growing at a fair clip. Kaiser Permanente, a large health-care organisation in America, says that, for the first time in 2016, more than half of the interactions between patients and their doctors were virtual (by video-conference or text messages)”

I think this is a misinterpretation of what’s happening. Yes there is a huge demand for prescriptions but it’s not like that’s a new phenomenon eg. Google was practically seed funded by ‘rogue’ Pharmacy adverts, Walgreens reported in 2014 that they were generating over $375M a month from their smartphone app with Rx ordering services, etc.

Claiming that ‘more than half of the interactions between patients and their doctors were virtual (by video-conference or text messages)’ at Kaiser Permanente looks like a very unreliable statistic because it’s mixing video consults and SMS. I’m a big cheerleader of KPs groundbreaking work – they were the first major healthcare organisation to go Mobile First – but just last week at Exponential Medicine in San Diego John Mattison (the Chief Medical Information Officer and Assistant Medical Director for Kaiser Permanente) said that they provide just 2,000 visits per month (although he expects it to grow ten fold by 2018) (so at most no more than some 0.2% of their 10.2 million health plan members will video consult with their Doctors in 2017). The definition of an interaction is where the grey area probably exists but we should be careful (in his presentation John Mattison made it clear that KP found video consults very challenging) eg. if a hospital sends 2 SMS appointment reminders to Patients (which is clearly what they should be doing – since 2011!), the first when the appointment is made and another 24/48 hours before the time) would that mean they can now legitimately claim that 66% of the interactions between their Doctors and Patients are now ‘virtual’? (Note: there’s nothing virtual about remotely consulting with a Patient).

“Britain’s Babylon Health, based in Kensington in London, is particularly ambitious. At its offices, fake greenery and flowering plants proliferate in a largely unsuccessful attempt to evoke the Hanging Gardens of Babylon. Its app answers medical queries, provides access to doctors and offers users a dashboard of their health stats drawn from the phone or supplemental devices. These data can be supplemented with results from at-home blood-testing kits that one can order via the app. These take readings of liver and kidney function, vitamin levels, bone density and cholesterol. I tried the thyroid test and drew blood with a special device that punches a tiny hole with surprisingly little pain. Then I posted the sample to Babylon. The results (all OK) popped up in the app a day later. If Babylon recommends an appointment with a doctor, it can provide one via video-conferencing almost immediately for £25 ($32). As with many other doctor-on-demand services, it is possible to share notes, or even a video from a consultation, with your regular doctor”

Not sure what this is about but for years there has been self/home testing devices called ThyroScreen sold in the UK (produced by Personal Diagnostics) that you don’t need to send to anyone to get the result in seconds.

“One of the most exciting aspects of digital health is the capacity of mobile phones to gather information as well as deliver it. They can collect data from their own sensors and screens, as well as associated devices such as watches, headbands and the growing constellation of add-ons. Increasingly, such devices are clinically validated and medically useful. Last year the US Food and Drug Administration (FDA) approved 36 connected health apps and devices. Sensimed has produced a smart contact lens that helps physicians track the progression of glaucoma in patients. Quell, which can be controlled with your smartphone, is a wearable leg band that uses nerve stimulation to treat chronic pain. Wing, a connected spirometer (a device you breathe into that measures lung function), helps asthmatics to manage their condition. Remarkably there are now portable devices that measure electrical activity in the heart and brain, and even take pictures of your insides with an ultrasound”

I am in 100% agreement with Natasha Loder here. The last decade has been marked by the convergence of nearly everything electronic to our smartphones and now we’re seeing things that would’ve been unthinkable only a short time ago following the same pattern eg. mHealth tech that is so easy to use that it’s indistinguishable from magiceven your bed is now converging with your smartphone, the big medical device brands are now fearful that Apple is getting to decide if they win or lose, etc.

For more of these and to connect with 900+ entrepreneurs who developed many of them check out the Linkedin mHealth networking group introductions thread.

“In this way, the moderately useful app of today could eventually become a life-saver. For example, clip-on infant monitoring devices – which allow parents to track a baby’s heart rate and oxygen on their phone – might conceivably pick up evidence that would enable doctors to prevent cot deaths”Already happening and non-invasively! eg. I was sleeping with my own mobile embedded device from Biancamed (acquired by ResMed) that was being used to non-invasively monitor at risk babies in cots 5+ years ago (in 2017 it’s probably now used by more horses than infants but that’s another story altogether!).Samsung GTab MyHomeHealthHub“The commercial promise is so large that Google, Amazon and Apple have all been testing the waters of digital health. Amazon’s virtual assistant Alexa looks promising as a channel for diagnosis and advice for patients. Apple seems to be interested in enabling its wristwatch to monitor glucose levels. Google, through its life-sciences arm Verily, is developing both a glucose-monitoring contact lens and a watch designed to gather health-related data”I think it’s fair to say we’re past the testing the waters stage when senior management at Apple (the world’s most valuable company) has made it explicitly clear that they’re going all in on healthcare.

While I agree with Natasha Loder that we are on the verge of a transformation in health care (that is arising from healthcare increasingly becoming a mobile experience) I hope it will not “render visiting the doctor a thing of the past” but will enable our relationships with Healthcare Professionals to evolve beyond today’s outdated office-visit-only models.

What were your thoughts on reading the article?

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The doctor will see you now: NHS starts outsourcing mobile video consultations

THe doctor will see you now The Times 6 November 2017

The Times has an interesting story today about how NHS clinics in London are outsourcing mobile video consulting service to an xcludarly stage startup called Babylon Health than has already received $85,000,000 in Venture Capital funding:

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The startup is putting the raised money into some big budget outdoor marketing campaign on the London Underground:

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…and on huge road-side electronic billboards:

Babylon indigestion advertbabylon-hangover-did you mean liver disease

The news seems to have really hit a nerve with the RCGP leadership and there’s already a press release on the RCGP website:

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GPs have been quick to point out that the NHS GP practices working with the ‘startup’ are going to be able to cherry pick the younger/healthy Patients of neighbouring practices and it’s going to make them increasingly unviable if they continue to only offer an office visit only service (which they don’t have to as there are plenty of proven ways they can safely innovate beyond this 2,000 year old model without having to outsource to a startup with huge VC debts):

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I think the RCGP is fighting the wrong fight here because there are plenty of things that are more fundamentally nonsensical that NHS funds are wasted on (eg. NHS England pays for free WiFi to be installed in Chip Shops in the hope that customers will use it to learn about how to live healthier lives!) and it’s clear this isn’t a sustainable business in the UK (even the ~$T Google couldn’t afford to sustain their free* doctor video call service and BabylonHealth pretty much acknowledge this in their T&Cs which practically exclude anyone who isn’t healthy (eg. those with health conditions and all sexually active women!) probably because the NHS GPs are only paying them <£50 a year of the £151 per year that the NHS GP Practice will be paid for every new Patient they get to register with them:

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The RCGP has obviously struggled to keep up with the breadth of opportunities that mHealth offers to their members (eg. their Video Consultation Skills Course wasn’t live streamed or even video recorded and was run by a medic who doesn’t offer his Patients video consults and their 2020 Vision for General Practice was outdated by the time it even went to print) but really in 2017 it’s futile to argue online with anyone that is trying to make accessing Doctor care more convenient (like it or not we live in a time when convenience is now a quality measure that is used by Patients) when most RCGP members tolerate a situation in which their services are already outsourced to daft non-evidence based political schemes like NHS Re-Direct/111 etc and for years Patients (some aged 93!) haven’t been able to understand why they can’t use the tools of our time with their NHS GP.

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I think the RCGP are in a losing position here because they’re arguing against this for the wrong reasons as there’s plenty of things that already make GP care access fragmented (eg. Patients who can/are able to line up outside a GP clinic to get an appointment in the morning get better access than those who can’t, Patients who are prepared to exaggerate symptoms will get to navigate the receptionist gatekeeper whereas those more honest will have their greater needs more easily dismissed, etc).

My advice to the RCGP would be to:

> Get your own house in order.

Develop and provide a mHealth for GPs course to all members, we can produce that for you with the Healthcare Informatics Society or watch some of the modules we’ve video recorded for organisations like the International Diabetes Federation and get inspired to make your own.

Make it mandatory for GPs to bring smartphones into their membership exam (currently the presence of a mobile would lead to an automatic fail) and test them on their use of it with Patients who have record access and understanding and have been able to use clinically validated tools that enable them to share their medical history prior to the consultation starting and get a written consult report at the end.

> The reality is Patients know, understand and trust their GP and while a sustainable financial model is fundamental to providing an invaluable ongoing GP service the RCGP must stop focusing on things that might harm the revenues of GPs and start making a big deal about the things that could potentially harm their Patients.

Instead of talking about the harm caused to the practices that will be made unsustainable if this service enables a neighbouring “BabylonHealth Partner” clinic to poach their healthiest/easiest to manage Patients, instead make recommendations to members about how they should be conducting themselves and to the NHS to reform the payment mechanisms (NHS GPs are mostly funded based on the number of Patients on their list rather than the quality of the work they do) and talk to Patients about the harm that the NHS is putting them in the way of by outsourcing consultations to symptom checkers that aren’t yet clinically validated and could clearly be very dangerous…

…and recorded video consultations that are run by private startups with complex T&Cs and Privacy Policies and huge venture capital debt that they need to recover (note: most VC backed companies fail and when they do the private personal data they have collected doing their business will be transferred to another company who may try and reuse it to recover their debts).

Related posts:

Can a quick phone call substitute for a Doctor visit? (December 2016)

Technology will never replace Doctors but they must embrace it(January, 2016)

Google is now giving away free Video Chats with Doctors to citizens searching for health info (October 2014)

Update 7 November 2017: 

Plenty of common-sense coming from GPs over at Pulse – I wonder if the RCGP will actually do anything?:

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Update 12 November 2017: 

Harry Longman of GPAccess has an interesting take on what’s happening in his regular newsletter/blog:

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As does Dr Phillip Hammond in his Private Eye article (from 24 October):

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Peter Blackburn in the BMA puts forward the argument that the ‘doctor leaders have said’ that this “smartphone GP service would divert patients away from doctors who know them – and could risk quality and continuity of care” which I don’t think is valid when you appreciate the access to a GP that knows them that young healthy Patients (the only ones eligible for the GPatHeand service) in a city like London have:

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Update 15 November 2017: 

Interesting to see the views of NHS GPs as they get a chance to read the small print, I wonder if they’ll share their concerns about how their colleagues are sharing video recordings of their consultations with the GMC? I wonder how big/successful a class action would be against the GPatHand Partners if the Patients who used the service became aware that their NHS GP had outsourced their private GP consults and the video recordings of these were now the property of a Liquidator? Perhaps that’s the business model (free consult for now and you only pay us if you want to stop someone else owning the video recording)?

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Update 16 November 2017: 

Dr Margaret McCartney has got a response to her “General practice can’t just exclude sick people” article in the BMJ from Dr Mobasher Butt, Partner at GP at Hand, and I think it pretty much proves that you’re trying to split hairs if the big issue you see here is that a few NHS GPs are doing something that excludes large groups of Patients as it’s reasonable to say ‘yes in an ideal world we would offer this to all Patients but NHS GPs aren’t implementing the available proven technology that some of their colleagues are already using and Patients expect convenience so we have to start somewhere’. Yes it’s clearly unfair to offer citizens with iPhones better access than those who don’t have one but the reality is there are probably bigger disparities in the NHS and this is pretty much insignificant when you weigh up the reality that this service is not actually going to make or lose a few NHS GPs in London a lot of money and the additional costs are in all likelihood just going to be paid for out of the £85Million that venture investors have already sunk into this startup (this is a common ‘land grab’ technique with VC debt funded mobile apps eg. look at the impact Uber has had on the Taxi business in cities like London and appreciate that although revenues have grown to $20B in 2016 it lost $2.6B but new investors are still clamouring to get in on the next $10B round!).

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I think Dr Margaret McCartney would’ve made a much more powerful argument against the unacceptable design of this new service if her discussion had focused on what happens if/when the GPatHand/Babylon Health company runs out of money or decides it can’t make money from the NHS and ceases to offer the service. Do the Patients all have to move back to their old GP? Do the old GP clinics have to accept them back? What happens to the video recordings of private Doctor consultations that the private company now claims to ‘own’ because a NHS Patient who wanted convenient access to a NHS GP has accepted T&Cs presented by a private company that was using the NHS logo/branding? What might be the long term negative repercussions of a company that owes £85Million to Venture Capital investors and claims to ‘own’ information relating to NHS Patients? What rights do NHS Patients have to access and own their own copy of this information if the NHS partnership ceases to exist? Does the existence of this new NHS service mean that the gates are open for NHS GPs to now start making £billions by misusing the Electronic Patient Records they have to market/sell private services to Patients or even sell Patients information onto third party organisations without having to do anything more than having Patients agree to some detailed T&Cs before they’re allowed to access NHS services?

Surely these are the bigger issues for Patients and GPs?

Perhaps it’s the use of eye catching adverts and terms like ‘digital health’ and “AI” (artificial intelligence) that has the NHS GPs bamboozled by the major challenges that this new approach presents after all the RCGP vision for the 2022 struggles to see beyond booking clinic appointments online. Perhaps it’s the naming of the service “GPatHand” and “Babylon”?

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…and the way the one company seems to be offering a NHS branded service that is planning to market and sell it’s private sector services to the NHS Patients that move clinic and download the app:

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Take away all the complexity and the proposition being offered to NHS Patients here seems a bit ridiculous eg. can you imagine if a NHS GP received a request from a Patient to move to the ‘GPatHand’ practice and the GP simply messaged the Patient explaining that they’d recently borrowed tens of millions from a venture capital investor and that they now have their NHS GP’s personal mobile number, Facetime ID and email address and from now on they can message them at anytime requesting a Facetime call back with the little caveat that before the Patient is able to have this new service they have to agree to T&Cs similar to the ones that GPatHand are using which enable the existing NHS GP to sell their medical record information and video recordings of any consults they have to third parties?

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