The Creative Destruction of Medicine: How the Digital Revolution Will Create Better Health Care

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Until very recently, if you were to ask most doctors, they would tell you there have been only two varieties of remedies: the quack kind, and the evidence-based kind. The former is baseless, and the last mentioned based on the best information individual effort could buy, with carefully handled double-blind trials, a huge selection of patients, and clear indicators of success. Well, Eric Topol isn't most doctors, and he suggests you entertain the idea of a 3rd kind of remedies, one that can make the evidence-based state-of-the-art products look scarcely better than an alchemist aiming to animate a homunculus in a jar. It turns out that a great deal of new medicines - although analyzed with what seem to be like large trials - actually wrap up revealing almost all of their problems only once they get out in the real world, with millions of individuals with a myriad of conditions combining them with everything in the pharmacopeia. The sudden interactions of drugs, patients, and diseases can be damaging. Plus the clear indicators of success often grow to be minimal, often as small as one fewer person dying out of 100 (or even a thousand), and often at exorbitant cost. How can we avoid these dangerous interactions and side-effects? How can we anticipate which person out of 100 will be helped by a fresh drug, and which fatally harmed? And how do we avoid needing to need costly drugs to begin with? It absolutely sure isn't by doing another 400-person trial. As Topol argues in The Creative Devastation of Treatments, it's by delivering the age of big data to the medical clinic, laboratory, and medical center, with wearable detectors, smartphone apps, and whole-genome scans providing the recycleables for a revolution. Combining all the info those tools can offer gives us a full and continuously up to date picture of every patient, changing from the treatment of disease, to the prolonging of health, to the development of new treatments. As innovative as the past twenty years in personal technology and remedies have been - keep in mind mobile phones the sizes of bricks that only made telephone calls, or when the innovative "genotyping" we're able to do included discerning blood vessels types and Rh-factors? - Topol helps it be clear that we haven't seen a thing yet. With an optimism matched only by a realism gained through 25 years in a hardcore job, Topol shows the ideal guide to the remedies of the future - remedies he himself is deeply involved with creating.


Category: Biomedical Engineering

Details

Publisher

Tantor Audio

Language

English

ISBN

DATE

2012-03

Author

Eric Topol

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