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Illness in the Age of \'e\'

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Illness in the Age of ‘e’: A Case Study in Collaborative e-Medicine Daniel Z. Sands, MD, MPH Cisco Systems and Harvard Medical School Boston, MA Dave deBronkart, SB Blogger ‘e-Patient Dave’ Nashua, NH Harvard Medical School
Re-Connecting and Agenda-Setting
http://www.patientsite.org
Dave (Pre-diagnosis) ,[object Object]
Hi - there are several things I want to go over when we meet. I suspect several will require referrals, and given the time it takes to get a slot, I'm thinking of making those appointments now. (It's easy to cancel and create an opening for someone else.) I'm 56 and I generally don't have any complaints. Here are the symptoms I'm concerned about: […] What do you think?
The Visit
The Incidental Finding Incidental finding: Shadow indicates mass in upper lobe of right lung X-ray taken Jan. 2, 2007 by orthopedist to diagnose rotator cuff disease
The Incidental Finding INDICATION: Right shoulder pain. COMPARISONS: Comparison is made to a chest radiograph from December 23, 2003. TECHNIQUE: Right shoulder, three views. IMPRESSION: 1. Degenerative changes of the acromioclavicular joint. Normal radiographic appearance of the glenohumeral joint. 2. 3.3 cm right upper lobe lung mass needs further evaluation with a chest CT to exclude malignancy. Radiology report as displayed on PatientSite
The Work-up, Diagnosis, and Support
Lesion 1 – Left Upper Lobe 39x43mm Note: This is the left lung – opposite side from the lung in the x-ray
Sample finding upon googling my condition Sample finding upon googling my condition
“ Textbook” Stage IV, Grade 4 Renal Cell Carcinoma Illustration of Stage 4 RCC from Proleukin.com ,[object Object],[object Object],[object Object],[object Object]
“ Textbook” Stage IV, Grade 4 Renal Cell Carcinoma Illustration of Stage 4 RCC from Proleukin.com ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
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Target Lesion 1 – Left Upper Lobe After treatment with High Dosage Interleukin-2 Baseline: 39x43 mm 50 weeks: 20x12 mm
Insights Gained ,[object Object],[object Object],[object Object],[object Object]
Insights Gained ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Insights Gained ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Insights Gained ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Questions? [email_address] [email_address] Please submit your evaluations!

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Illness in the Age of \'e\'

  • 1. Illness in the Age of ‘e’: A Case Study in Collaborative e-Medicine Daniel Z. Sands, MD, MPH Cisco Systems and Harvard Medical School Boston, MA Dave deBronkart, SB Blogger ‘e-Patient Dave’ Nashua, NH Harvard Medical School
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  • 5. Hi - there are several things I want to go over when we meet. I suspect several will require referrals, and given the time it takes to get a slot, I'm thinking of making those appointments now. (It's easy to cancel and create an opening for someone else.) I'm 56 and I generally don't have any complaints. Here are the symptoms I'm concerned about: […] What do you think?
  • 7. The Incidental Finding Incidental finding: Shadow indicates mass in upper lobe of right lung X-ray taken Jan. 2, 2007 by orthopedist to diagnose rotator cuff disease
  • 8. The Incidental Finding INDICATION: Right shoulder pain. COMPARISONS: Comparison is made to a chest radiograph from December 23, 2003. TECHNIQUE: Right shoulder, three views. IMPRESSION: 1. Degenerative changes of the acromioclavicular joint. Normal radiographic appearance of the glenohumeral joint. 2. 3.3 cm right upper lobe lung mass needs further evaluation with a chest CT to exclude malignancy. Radiology report as displayed on PatientSite
  • 10. Lesion 1 – Left Upper Lobe 39x43mm Note: This is the left lung – opposite side from the lung in the x-ray
  • 11. Sample finding upon googling my condition Sample finding upon googling my condition
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  • 16. ACOR is great. I posted two messages tonight and got responses in 4 and 11 minutes. One responder also sent a private note mentioning Robin and Cathy. The other responder was Cathy. :) Through that list I've also found several other useful sites.
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  • 19. Remote Diagnosis of Wound Infection Photo of infected incision, taken by spouse and emailed to surgeon, avoiding the need for trip to Boston
  • 20. Target Lesion 1 – Left Upper Lobe After treatment with High Dosage Interleukin-2 Baseline: 39x43 mm 50 weeks: 20x12 mm
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  • 25. Questions? [email_address] [email_address] Please submit your evaluations!