The patient will see you now The future of medicine is in your hands

Eric J. Topol, 1954-

Book - 2015

"In The Patient Will See You Now, Eric Topol, one of the nation's top physicians, examines what he calls medicine's "Gutenberg moment." Much as the printing press liberated knowledge from the control of an elite class, new technology--from the smartphone to machine learning--is poised to democratize medicine. In this new era, patients will control their data and be emancipated from a paternalistic medical regime in which "the doctor knows best." Mobile phones, apps, and attachments will literally put the lab and the ICU in our pockets. Computers will replace physicians for many diagnostic tasks, and enormous data sets will give us new means to attack conditions that have long been incurable. In spite of th...ese benefits, the path forward will be complicated: some in the medical establishment will resist these changes, and digitized medicine will raise serious issues surrounding privacy. Nevertheless, the result--better, cheaper, and more humane health care for all--will be worth it. The Patient Will See You Now is essential reading for anyone who thinks they deserve better health care. That is, for all of us."--

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Subjects
Published
New York : Basic Books [2015]
Language
English
Main Author
Eric J. Topol, 1954- (-)
Physical Description
364 pages : illustrations ; 23 cm
Bibliography
Includes bibliographical references (pages 293-350) and index.
ISBN
9780465054749
  • Readiness for a revolution. Medicine turned upside down ; Eminence-based medicine ; A precedent for momentous change ; Angelina Jolie : my choice
  • The new data and information. My GIS ; My lab tests and scans ; My records and meds ; My costs ; My (Smartphone) doctor
  • The impact. The edifice complex ; Open sesame ; Secure vs. cure ; Predicting and preempting disease ; Flattening the earth ; The emancipated consumer.
Review by New York Times Review

THE PATIENT WILL SEE YOU NOW: The Future of Medicine Is in Your Hands, by Eric Topol. (Basic Books, $17.99.) Smartphones have created the potential to shift the power dynamic between people and their doctors, allowing patients to assert more agency and control over their health care. Soon, Topol predicts, phones could routinely aid in diagnoses; grant patients greater access to their medical records; and even perform some tests - ushering in a revolution in the field. SUBMISSION, by Michel Houellebecq. Translated by Lorin Stein. (Picador, $16.) It's 2022 in France, and an Islamic party has risen to power. François, a bored literature professor, is offered an irresistible deal: a position at a prestigious university and the chance to partake of the joys of polygamy. Houellebecq's morally complex novel follows an ambivalent society losing sight of its values. MARY McGRORY: The Trailblazing Columnist Who Stood Washington on Its Head, by John Norris. (Penguin, $18.) McGrory, a longtime Nixon foe, was the first woman to win a Pulitzer Prize for commentary, for her work on the Watergate scandal; in addition, her columns eulogizing John F. Kennedy and excoriating the Vietnam War are enduring monuments. As McGrory herself put it: "I have always felt a little sorry for people who didn't work for newspapers." THE VEGETARIAN, by Han Kang. Translated by Deborah Smith. (Hogarth, $15.) Grisly nightmares drive Yeong-hye, an unhappy housewife in Seoul, to give up eating meat, inadvertently bringing yet more violence into her life. The ramifications of her decision, including violations of her body and mind, are explored in this novel from the perspectives of her husband, her older sister and her brother-in-law. BEYOND MEASURE: Rescuing an Overscheduled, Overtested, Underestimated Generation, by Vicki Abeles with Grace Rubenstein. (Simon & Schuster, $16.) Abeles takes aim at the standard of success in schools across the country, which too often results in students who are "enslaved to achievement." She outlines suggestions to improve educational culture and create conditions where children can thrive. FORTUNE SMILES: Stories, by Adam Johnson. (Random House, $16.) A cast of trapped narrators are the antiheroes of this collection; a man with pedophilic predilections and a former Stasi prison warden are among the characters of the book, which won the National Book Award for fiction in 2015. Johnson "is always perceptive and brave; his lines always sing and strut and sizzle and hush and wash and blaze over the reader," our reviewer, Lauren Groff, wrote. THE WASHINGTONS. George and Martha: Partners in Friendship and Love, by Flora Fraser. (Anchor, $17.95.) Fraser's biography of the couple - Martha, a wealthy widow, and George, a promising young soldier - follows them from marriage in 1759 to the White House, showing how each helped to shape the roles of presidential families to come.

Copyright (c) The New York Times Company [November 13, 2016]
Review by Booklist Review

Cardiologist Topol plays Nostradamus and Archimedes as he forecasts and engineers a new chapter in medicine. The instrument of his medical revolution is the smartphone. Continuing his discussion of digitized and unplugged health care begun in The Creative Destruction of Medicine (2012), he bashes current medical paternalism and pleads for patient emancipation and democratization. Topol foresees a future medical world profoundly bolstered by wireless Internet, where each individual will have all their own medical data and the computing power to process it. The availability of health records, genomic information, telemedicine, and an expanded role of social networks should boost economical and efficient health care in the future. He envisions smartphones armed with biosensors, apps, and even a lab-on-a-chip instrument that are capable of performing a physical exam, obtaining an electrocardiogram, measuring vital signs, checking glucose levels, and determining oxygen saturation. Small ultrasound devices can already image the heart (making the venerable stethoscope obsolete, according to Topol). All this unprecedented do-it-yourself technology is likened to having an MD in your pocket minus a real doctor's healing touch and concern.--Miksanek, Tony Copyright 2015 Booklist

From Booklist, Copyright (c) American Library Association. Used with permission.
Review by Publisher's Weekly Review

Cardiologist Topol argues for taking down the boundaries separating the medical and digital worlds, boldly exploring how patients can shape the medicine of the future. He uses actress Angelina Jolie's prophylactic double mastectomy as an illustration of the power of the individual to change public perception about genetic testing and claiming that every patient now has the opportunity to have their "medical essence" available to them through their "little wireless devices." We are not there yet, but he maps out an ambitious path to hurry us along, calling for patients to be able to access their complete medical record as well as using current "digital strategies" for promoting adherence to all the medications one might be prescribed. The outpatient visit of the future will be equally revolutionized, Topol suggests, with "virtual visits" that he claims will not marginalize doctors and nurses, but rather make them more efficient. The digital age is already saving cancer victims' lives, he says, citing one project in which patients' clinical data and treatment is being shared by doctors to see what works best. Skeptics will have their guard up, though Topol enthusiastically declares that ours is a brave new digital world doctors and patients must fully embrace. Agent: Katinka Matson, Brockman Inc. (Jan.) © Copyright PWxyz, LLC. All rights reserved.


Review by Library Journal Review

Cardiologist/professor of genomics Topol expands on his 2012 The Creative Destruction of Medicine, extending his vision of the role that new technology and genomics can play in the future of medicine. Exploring a personal GIS (a "Google map" of an individual's demographic, physiologic, anatomic, biologic, and environmental data), lab tests and scans by smartphones, electronic health records fully accessible to the patient, costs, and 24/7 medical consultations via mobile devices, the author foresees a "power shift" in which all people have the same access to care "provided they have a mobile signal." Therefore, a "renaissance of medicine" will enable patients to call the shots and make their own choices. The book notes actress Angelina Jolie's decision to have a double mastectomy after learning that she carried a gene often associated with breast cancer as an example of a person making her own medical decisions despite some disagreement. VERDICT With its many charts, graphs, and citations, this forward-thinking work will appeal to all educated health-care consumers.-Marcia G. Welsh, Dartmouth Coll. Lib., Hanover, NH (c) Copyright 2015. Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.

(c) Copyright Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.
Review by Kirkus Book Review

A visionary physician predicts a technology-driven, patient-centered revolution in health care.In this work about the changes afoot in the world of medical care, Topol, in this natural follow-up to his previous book (The Creative Destruction of Medicine: How the Digital Revolution Will Create Better Health Care, 2012, etc.), demonstrates the combination of intelligence and ambition that is apparent in his successful medical career: He's a top cardiologist, professor of genomics, director of Scripps Translational Science Institute and founder of the world's first cardiovascular gene bank at the Cleveland Clinic. Not content to simply critique the current system (though he does so thoroughly and convincingly), the author strides optimistically into the future of health care. In the very near future, he predicts, medicine will be patient-centered to a degree unimaginable to the countless readers who have lost countless hours in the waiting room. All of this will come courtesy of new technology that Topol likens to the introduction of the printing press, which revolutionized the dissemination of information. Medicine's "Gutenberg moment," writes the author, will similarly democratize medicine, enabling things like quick and accurate "smartphone physicals" and comprehensive individual genomic profiles with minimal input from the top-heavy, cost-intensive hospital system we now rely on. It's all good news for patients, although some of Topol's more complex statistical analyses and heavy use of medical terminology, particularly in genomics, might put off some lay readers. Others will relish the robust research the author presents throughout. Most will come away impressed with the body of knowledge Topol has collected here and, if they're not convinced that our health care fortunes are poised to change, they're at least hopeful that we are moving in the right direction. An expertly detailed, precisely documented exploration of the "power of information and individualization" in health care. Copyright Kirkus Reviews, used with permission.

Copyright (c) Kirkus Reviews, used with permission.