portable meds list ?
- On Wed, 2007-09-05 at 16:06 -0700, DAVY HOBSON wrote:
>Y'know, it seems like such a good idea. And I've seen several
> I read your article online from 1999. The last few years I have been
> trying to come up with an idea to develope some type of disc or
> software that stores and displays the medications and allergies
> individuals have so that when they come to the hospital we do not have
> to write down or input all those meds over and over. Do you know any
> programmers who are medical saavy that might be interested in working
> with me to come up with something we could sell or a service we could
> rent to the public?
> Davy Hobson
> 1011 Rhodes Drive
> Tyler, Texas 7501
> Cell 903 279 3395
technologies come and go over the years -- there's nothing that's caught
on with the masses.
In the current tech environment, I think the most feasible thing would
be a https://MyMeds.org web site on which patients could create a meds
list, and give the link to the doc or other provider.
This would be captivating to the young folks who use MySpace, etc., and
who are for the most part on no meds; and would be intimidating and
infeasible for most of the geezers and geezerettes who make up the main
medication-taking population. Just to be optimistic...
In my experience, patients have a terrible time spelling their meds
correctly even while looking straight at the bottles because the words
are in a foreign lingo.
And medication allergies and adverse side effects are very difficult to
keep straight even when the paper record is comprehensive. An adverse
response gets transmogrified to an "allergy" or the details of the
reaction, sometimes important in the future, fail to get carried forward
in a note.
For example, a 60 year old woman received propafol, fentanyl, and
clindamycin when an abscessed tooth was treated a few days ago; in
consequence she developed a severe generalized urticarial eruption with
secondary hypotension during the course of 4 days. A week later, in
hospital, she began to remember that 20+ years ago she twice had itchy
skin after receiving anesthesia and had been told by a consultant that
"they should use something else" and "they" did without any itching.
With considerable effort, I mined her records from another institution
and found that in 1985 she'd had an episode of status epilepticus,
treatment was associated with generalized dermatitis, which resolved
only after phenobarbital was discontinued and replaced with
This barbiturate allergy did not get noted in her primary MD's record,
was forgotten by the patient, and and so she had a recurrence,
fortunately uncomfortable and expensive rather than injurious.
This sort of thing - loss of continuity - is all too common, and it may
not be made less likely by having yet one more clinical-data repository
to check, even it it's in the patient's wallet.
You might throw up your ideas on the openhealth list and see what the
response is --
Dan Johnson md
>From LinuxMedicalNews: http://www.linuxmednews.com/1191175453/index_htmlDossia a consortium of companies for "Lifelong Personally-Controlled
Health Record" has announced that they will be using the LGPL (a FOSS
license) licensed Indivo personally controlled health record software
for Boston's Childrens Hospital Information Program (CHIP) "Since the
inception of the Indivo system in 1998, we have firmly held that the
best way to get vital and private medical information to the point of
care is under the strictest control of the individual," said Kenneth
Mandl, MD, MPH, CHIP researcher at HST and physician in Emergency
Medicine at Children's Hospital Boston. "Dossia and Children's share a
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health records and are excited to be working together to make this
vision a reality." Digg this article