SMARTPHONES IN

MEDICINE Dr.T.V.Rao MD

Recent Practice of

Medicine We are practicing medicine in a technological age. During recent years, many physicians have been simultaneously using a pager, cellular telephone, and personal digital assistant (PDA) to keep in communication with the hospital and to access medical information or calendar functions.

Radical Change of Medicine

with Smartphones

Smartphones have radically changed many aspects of our everyday lives, from banking to shopping to entertainment. Medicine is next. With innovative digital technologies, cloud computing and machine learning, the medicalized smartphone is going to upend every aspect of health care.

Medicine become OPEN and

patients Data is collected

Finally, we simply

cannot imagine what

we’ll learn from the

brave new world of

open medicine: massive

online information

resources that pull

together data from

millions and eventually

billions of individuals.

Smartphone do not

Replace Doctors Digital Technology

won’t replace

physicians: You

will still be seeing

doctors, but the

relationship will

ultimately be

radically altered.

Smartphones

A Revolution

Mobile technology has the

potential to revolutionize

how physicians practice

medicine. From having

access to the latest medical

research at the point of care

to being able to

communicate at a moment's

notice with physicians and

colleagues around the world

A deceased Patient can be

connected to other patients

A person who develops a

new illness could use an

open-medicine resource

to find their nearest

“neighbour”—the

individual who most

closely resembles their

condition—to help

determine the best

treatment.

SMART PHONES COLLECT THE

HEALTH DATA FASTER Smartphones already can be used to take

blood-pressure readings or even do an

electrocardiogram. ECG apps have been

approved by the U.S. Food and Drug

Administration for consumers and validated in

many clinical studies. The apps’ data are

immediately analysed, graphed, displayed on-

screen updated with new measurements,

stored and (at an individual’s discretion)

shared.

Life is connected with

Smartphone Many physicians

have begun

replacing multiple

devices with a

“smartphone,”

which functions as a

cellular telephone,

pager, and PDA.

Wearable devices tracks

our health and disease

Using wearable wireless sensors, you can use

your smartphone to generate your own medical

data, including measuring your blood-oxygen

and glucose levels, blood pressure and heart

rhythm. And if you’re worried that your child

may have an ear infection, a smartphone

attachment will let you perform an easy

eardrum exam that can rapidly diagnose the

problem without a trip to the paediatrician.

Infectious Diseases and

Medical SoftwareOne advantage to using a smartphone over a regular cellular telephone is the availability of stand-alone medical applications. Next page is a brief discussion of a few commonly used infectious diseases programs that may help practicing physicians or fellows in training become more efficient in patient care.

We Can Visit Many

Portals on WWW

Hopkins Antibiotic

Guide

The Hopkins Antibiotic Guide has been available for many

years, mostly for the Palm OS. Originally designed for the

Palm OS and Pocket PC 2003 platforms, it has recently

been made available through Skyscape

(http://www.skyscape.com), expanding the available

platforms. The guide has 3 main sections: syndromes,

pathogens, and antibiotics. It provides clinically oriented,

highlighted information regarding the diagnosis and

management of infectious disease syndromes and other

useful information

EpocratesThe most commonly

accessed medical software on a smartphone is a drug database. Many such databases are available, but Epocrates is perhaps the most commonly accessed. The free version provides access to the drug database,. Currently available for most platforms, Epocrates is a drug database that provides a wealth of clinical information.

Sanford Guide

The traditional paperback pocket infectious disease guide is also available in an electronic format. The information provided electronically is identical to the paperback manuals but does allow for more frequent updates and will allow physicians to have access to the infectious disease

Infectious Disease

PodcastsPodcasts are becoming an increasingly useful means of reviewing educational video and audio content on the Web. Some infectious disease–oriented educational sites (e.g., http://www.IDPodcasts.ne) permit broadcasts of medical presentations to smartphones with streaming audio and video playback capability.

Infectious Disease

Podcasts

With the iPhone,

content downloaded

to a computer may

also be transferred to

the device and played

back using the iPod

feature.

Top apps for the

iPhone and iPad

Epocrates (Free)

The king of all medical apps, Epocrates enables physicians to review drug prescribing and safety information, select health insurance formularies for drug coverage information, perform calculations like BMI and GFR and access medical news and research.

Medscape (Free)

A unit of WebMD,

Medscape offers

prescribing and safety

information for drugs,

procedure videos, a

medical calculator and

access to continuing

medical education (CME)

materials.

Skyscape (Free)

This decision-support

tool features drug

information, a medical

calculator, evidence-

based clinical

information and

summaries of journal

articles.

Doximity (Free)A professional

network for

physicians,

Doximity offers the

opportunity to

connect with other

doctors and comes

with HIPAA-

compliant faxing,

emailing and text

messaging.

Up To Date (Free)

Along with Doximity, Up To Date is the only app that doesn't appear on both the most-used apps for smartphones and tablets lists. Up To Date is a reference tool that comes with evidence-based recommendations, mobile-optimized calculators and a CME tracker.

Future Use of Smartphones

In the next decade, you—under

select circumstances, involving

high risk or major medical

need—will be able to monitor

almost every organ system, no

matter how difficult to access,

as firms start to produce Nano

sensors to be embedded in

your bloodstream. These

microscopic sensors within

your body can float in blood or

be fixed to a micros tent in a

tiny blood vessel.

What can be future of

Medicine

As more medical data is generated by patients

and processed by computers, much of

medicine’s diagnostic and monitoring aspects

will shift away from physicians l. The

“doctorless” patient will remain in charge,

turning to doctors chiefly for treatment,

guidance, wisdom, experience, empathy and

the human touch. These doctors won’t write

orders; they’ll offer advice.

Mobile Medical Application will

take over many areas in Patient

care Apps being used as medical devices or tied directly to medical devices are not accessible to consumers without a doctor’s order. While that likely makes them safe, it does imply a number of regulatory hurdles that can make this area less appealing to innovators. As we’ve now seen, these regulatory hurdles have been overcome as the FDA has approved or cleared nearly 100 medical apps. In 2015, HRI sees the FDA reviewing a record number of mobile health apps in order to meet the growing industry demand for this technology. According to HRI, over the next 5 years, 86% of clinicians believe that mobile apps will play a major role in a physician’s practice.

Smart watch Censors can cut the

costs of care of even the serious

patients Such wristwatch sensors could do enormous good. By having the equivalent of intensive care unit monitoring on your wrist, hospital rooms—a-night risk zones for serious infections and other complications—can be replaced by our bedrooms. As a result, except for ICUs, operating rooms and emergency rooms, hospitals of the future are likely to be room less data surveillance centres for remote patient monitoring.

Patients

Can they manage the Health ?

Mobile apps have the potential to transform health care by allowing doctors to diagnose patients with potentially life-threatening conditions outside of traditional health care settings, help consumers manage their own health and wellness, and also gain access to useful information whenever and wherever they need it,"

Our Decision from

mHealth to be cautious Smartphones are

emerging as a low-cost

and feasible technology

for the rapid deployment

of telecare applications.

However, the actual

potentials of

smartphones in mHealth

(mobile health)

scenarios must be

carefully analysed

FDA APPROVES

FDA says they have already approved 75 of these "mobile medical applications," including 25 in the last year. Agency officials estimate that 500 million smartphone users worldwide will use some type of health app by 2015.

SMARTPHONES ARE BECOMING MORE

SMARTER EVERYDAY

ARE WE READY?

It is a dynamic time for smartphones, with new

devices being released every month. As developers

continue to push the envelope and produce better

and faster devices, the power of the smartphone

will provide the potential ability to improve

physician efficiency. For this to happen, physicians

must be willing to accept the new technology,

embrace it, and customize it to meet their needs.

References and Adopted

from

Practicing Medicine in a Technological Age: Using

Smartphones in Clinical Practice Steven D.

Burdette1

The Future of Medicine Is in Your Smartphone By

ERIC J. TOPOL

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