Reclaiming Conversation by Sherry Turkle
Sherry Turkle’s book Reclaiming Conversation delves into an insightful analysis regarding how society’s distance from conversation is impacting our relationships, education, jobs, and much more. In the chapter called “Work,” Turkle specifically discusses the implications that technology is having on the professional workplace. She illustrates experiences from individuals working in large firms and how they deal with having younger colleagues as well as older colleagues become more reliant on technology. Sherry Turkle accurately depicts the realities of the shifts in the professional world as a result of technology.
This study was used to survey Native American or Alaskan Native individuals. The study was conducted in order to test the use of specialized cameras to detect eye disease for individuals in remote locations. The first essential service of public health is to monitor health status. This essential service aims to look at certain populations and research prevalence of disease. If there seems to be a trend, further research is done to see why there is a trend within a certain population or geographic location. Typically, public health separates itself from medicine, but in this case, telemedicine is being used to connect clinical medicine to the realm of public health.
The article “Smartphones are revolutionizing medicine” is about how far mobile phones have already gone in improving the health of many. Recently, Apple’s new iOS software came out with the health app that acts as a pedometer, counts calories, and measures heartbeats. Additionally, in the realm of telemedicine, the microphone can assist in diagnosing asthma and COPD. It is also possible to use the camera and the powerful flashlight that most smartphones now have to diagnose blood disorders including iron and hemoglobin deficiencies. A specific example given in the article focuses on how diabetes patients can benefit from health behaviors being monitored on smartphones. Many doctors advocate that diabetes patients need to become their own detectives. This means, it is beneficial for them to know their calorie intake, number of steps taken, and heart rate. This example shows that although this would increase the time an individual spent on their phone, it would cause positive health outcomes.
This article is describing the new concept of “scribes” in the medical field. Scribes are people who follow doctors, surgeons, or general practitioners around with tablets and keep a digital tab of what the patient is describing to the doctor or vice versa. This is more convenient for doctors since they do not have to spend so much time looking at their notepad and paper instead of looking at the patient. Five years ago, only 10% of hospitals in the United States had scribes, and now over 70% of hospitals have adopted this technique. However, there were also patients that were uncomfortable with having scribes following the doctor around and listening to and recording their personal medical information. An individual may feel pressure with more people than just the doctor in the room, especially because medical conditions can be very personal.
This article discusses a new study done by the American Association of Critical-Care Nurses. Many parents of newborns are unfortunately separated from them immediately after birth if the infant is in need of critical care. However, parents, especially women who are still recovering after natural labor or a c-section are not permitted in the Neonatal Intensive Care Unit. Pediatricians are strong advocates that the parents should be involved in all medical information and treatment plans for their children. But, because parents cannot always be in the NICU, a study was done to have video-conferencing through FaceTime and Skype while doctors performed rounds in the NICU. Through this, parents could hear an update on their child’s condition as well as the decisions on how to further proceed with treatment. This study showed improvements in patient-provider relationships. Surveys also showed that parents felt more comfortable with their child being away from them for extended periods of time.
This video from PBS NewsHour talks about how video conferencing can now connect physicians and patients instantly. However, the video goes in depth regarding how this can affect patient and physician relationships. Through surveys, many people state that they have been with their primary care physicians for many years. The patients say that their physicians know them as well as their families very well. Many people do not have the access to a doctor’s office when there is a medical emergency or even something small that an individual may not want to have seen by a doctor. For example, if a patient notices a rash on a part of their body, they may believe it is not serious enough to go get it checked out in person. Therefore, a visual representation to the doctor over video chat can lead to an easy diagnosis. Many people are working for Doctor on Demand and satisfaction rates are high.
This article highlights the importance of visiting a doctor despite how healthy one may seem. Firstly, general health maintenance such as vaccinations and screenings are crucial to ensuring long term health. Additionally, it is important to “know your numbers” as in blood pressure, blood sugar, cholesterol, and other vital information. An important idea brought up in this article is that individuals should visit the doctor to develop a doctor-patient relationship that has trust.
This TedTalk was given by Eric Topol, a leading cardiologist who has focused on genomics and medical technology in his career. This speech highlights the importance of technological innovation in medicine. Eric Topol stated that there can soon be ways to manage chronic disease such as diabetes through the means of technology. For example, vital sign monitoring to prevent sudden death from heart attacks could save numerous lives. He pointed out that there are over 650 wireless technology companies that are actively working towards wireless health. Another example of health innovation that can one day become reality is the idea of an “iShoe.” This technology would be shoes that use proprioception to prevent elderly people from falling. These advances in medicine would decrease death rates from the lack of chronic disease management as well as potentially prevent individuals from developing chronic diseases.
Editor’s Commentary on Arrangement:
The source list is arranged in a way that is intended for the audience to see the implications of technology and medicine on societal, individual, and professional levels. Starting off with a source that generally discusses how the workplace has evolved in recent years is included to give the reader a background of how general professions have dealt with the introduction of technology. I used this general basis of professions to illustrate the stark contrast that is present between many professions and medical careers. In order to construct a framework for this inquiry on a societal level, I chose the next source which is about reducing health disparities within the nation through technology and telemedicine. After introducing this large concept, I aimed to narrow down the main two components of the healthcare system: patients and doctors. Following the source on health disparities, I included two sources. The first one described newfound self-sufficiency in health tracking on an individual level and the second one discussed the changing roles of doctors. These sources served to portray the sense of dependence that is being brought about in medicine by technology. The following two sources discuss “virtual doctors” and serve to illustrate the positives and negatives of relying on them. Following these sources is a source which discusses the reasons to visit the doctor no matter how healthy one may seem. This source aims to question the previous two sources and encourage the reader to think about their personal opinion on whether virtual doctoring is trustworthy or not. Finally, to conclude the source list is a TedTalk regarding the future of medicine. This is included to make the reader ask themselves how they see the future healthcare system being shifted as a result of groundbreaking innovations that could come.
Bonnet, J. (2014, November 3). Think You’re Healthy? 5 Reasons You Should See Your Doctor Anyway. Retrieved from http://greatist.com/health/five-reasons-to-see-a-doctor-even-if-you-are-healthy
Epstein, E. G., Sherman, J., Blackman, A., & Sinkin, R. A. (2015). Testing the feasibility of Skype and FaceTime updates with parents in the neonatal intensive care unit. American Journal of Critical Care, 24(4), 290-296.
Hafner, K. (2014, January 12). A Busy Doctor’s Right Hand, Ever Ready to Type. The New York Times. Retrieved from https://www.nytimes.com/2014/01/14/health/a-busy-doctors-right-hand-ever-ready-to-type.html?_r=0
Park, D. W., & Mansberger, S. L. (2017). Eye disease in patients with diabetes screened with Telemedicine. Telemedicine and e-Health, 23(2), 113-118.
PBS NewsHour. (2015, July 13). Telemedicine puts a doctor virtually at your bedside [Video File]. Retrieved from https://www.youtube.com/watch?v=u1-MFo7_n-Y
Santini, J. (2017, February 18). Smartphones are revolutionizing medicine. Retrieved from https://phys.org/news/2017-02-smartphones-revolutionizing-medicine.html
Topol, E. (2009, October). The wireless future of medicine [Video File]. Retrieved from https://www.ted.com/talks/eric_topol_the_wireless_future_of_medicine.
Turkle, S. (2015). Reclaiming conversation: The power of talk in a digital age. New York: Penguin Press.