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	<title>Comments on: Defining the Doctor-Follower Relationship</title>
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	<link>http://33charts.com/2009/04/defining-the-doctor-follower-relationship.html</link>
	<description>medicine. health. (social) media.</description>
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		<title>By: Dr. Nicole</title>
		<link>http://33charts.com/2009/04/defining-the-doctor-follower-relationship.html#comment-635</link>
		<dc:creator>Dr. Nicole</dc:creator>
		<pubDate>Mon, 20 Apr 2009 20:52:09 +0000</pubDate>
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		<description>&lt;p&gt;Great discussion topic.  I think as a profession we need to define the doctor&#039;s role in social media.  I like to use my FB and twitter (@docnicole)to coach and nag my &quot;friends&quot;....the interesting thing I have found is that our words define us much more than anything else...so I understand your social media empathy.  It is easy to grow attached to new friends. I try my best not to give out advice beyond the basics and just pointing people in the right resources.  Sometimes people just need reassurance or a second opinion.&lt;/p&gt;

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		<content:encoded><![CDATA[<p>Great discussion topic.  I think as a profession we need to define the doctor&#39;s role in social media.  I like to use my FB and twitter (@docnicole)to coach and nag my &quot;friends&quot;&#8230;.the interesting thing I have found is that our words define us much more than anything else&#8230;so I understand your social media empathy.  It is easy to grow attached to new friends. I try my best not to give out advice beyond the basics and just pointing people in the right resources.  Sometimes people just need reassurance or a second opinion.</p>
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		<title>By: DrV</title>
		<link>http://33charts.com/2009/04/defining-the-doctor-follower-relationship.html#comment-634</link>
		<dc:creator>DrV</dc:creator>
		<pubDate>Mon, 20 Apr 2009 14:35:01 +0000</pubDate>
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		<description>&lt;p&gt;Reimbursement for SM engagement is an interesting question.  In a sense it&#039;s no different than the issue of telephone care - should be reimbursed but with great potential for overuse.  Concierge and cash practices account for telephone encounters in many cases.  Jay Parkinson at Hello Health runs a practice in Brooklyn where patients freely interact with him via SM.  In its current primitive state its hard to see physicians using SM for billable patient care.&lt;/p&gt;

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		<content:encoded><![CDATA[<p>Reimbursement for SM engagement is an interesting question.  In a sense it&#39;s no different than the issue of telephone care &#8211; should be reimbursed but with great potential for overuse.  Concierge and cash practices account for telephone encounters in many cases.  Jay Parkinson at Hello Health runs a practice in Brooklyn where patients freely interact with him via SM.  In its current primitive state its hard to see physicians using SM for billable patient care.</p>
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		<title>By: Greg Matthews</title>
		<link>http://33charts.com/2009/04/defining-the-doctor-follower-relationship.html#comment-633</link>
		<dc:creator>Greg Matthews</dc:creator>
		<pubDate>Mon, 20 Apr 2009 12:42:39 +0000</pubDate>
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		<description>&lt;p&gt;I love the post, Doctor V - Incredibly thought-provoking.  I guess I want to know the same thing that a lot of others do . . . how can you make a living practicing medicine through social media?  Or maybe a better question would be, &quot;what kind of system would allow you to make money IRL if you are spending time and giving *free* advice online?&quot;  Is there a way that your IRL time could be filled with *more* and *more valuable* patient time and less time with credentialing, billing and paperwork?&lt;br /&gt;
Thanks for the great thinking . . .&lt;/p&gt;

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		<content:encoded><![CDATA[<p>I love the post, Doctor V &#8211; Incredibly thought-provoking.  I guess I want to know the same thing that a lot of others do . . . how can you make a living practicing medicine through social media?  Or maybe a better question would be, &quot;what kind of system would allow you to make money IRL if you are spending time and giving *free* advice online?&quot;  Is there a way that your IRL time could be filled with *more* and *more valuable* patient time and less time with credentialing, billing and paperwork?<br />
Thanks for the great thinking . . .</p>
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		<title>By: Dr Bella</title>
		<link>http://33charts.com/2009/04/defining-the-doctor-follower-relationship.html#comment-632</link>
		<dc:creator>Dr Bella</dc:creator>
		<pubDate>Sun, 19 Apr 2009 22:43:27 +0000</pubDate>
		<guid isPermaLink="false">http://02d880f.netsolhost.com/2009/04/defining-the-doctor-follower-relationship.html#comment-632</guid>
		<description>&lt;p&gt;Very interesting post and one that resonates in the small rural community I live in. The old-fashioned Berlin Wall between patient and doctor has been blasted away by health informatics and the world-wide web over the last 10 years and social media is allowing that stones to crumble over into our personal lives. In consultations I often use small parts of &#039;personal&#039; information that help me illustrate points or express empathy - a technique not shared by many in London, but much more so here. And as the Twitterverse expands, we are likely to gain more insight into what patients generally want and we may just get asked a few more favours too....&lt;/p&gt;

&lt;p&gt;I look forward to developments and the ramifications of open communication.&lt;/p&gt;

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		<content:encoded><![CDATA[<p>Very interesting post and one that resonates in the small rural community I live in. The old-fashioned Berlin Wall between patient and doctor has been blasted away by health informatics and the world-wide web over the last 10 years and social media is allowing that stones to crumble over into our personal lives. In consultations I often use small parts of &#39;personal&#39; information that help me illustrate points or express empathy &#8211; a technique not shared by many in London, but much more so here. And as the Twitterverse expands, we are likely to gain more insight into what patients generally want and we may just get asked a few more favours too&#8230;.</p>
<p>I look forward to developments and the ramifications of open communication.</p>
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		<title>By: Gregg Masters</title>
		<link>http://33charts.com/2009/04/defining-the-doctor-follower-relationship.html#comment-631</link>
		<dc:creator>Gregg Masters</dc:creator>
		<pubDate>Sun, 19 Apr 2009 21:49:46 +0000</pubDate>
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		<description>&lt;p&gt;Dr V. Thanks for sharing your perspective. I appreciate the front-line clinical report and potentially problematic decision tree you face relative to the allocation of your time.&lt;/p&gt;

&lt;p&gt;As an early adopter your experience and insights will no doubt be of high value in this unfolding space.&lt;/p&gt;

&lt;p&gt;Not sure if this applies, but I have been told more than once, that &quot;how you show up in one area of your life, is how you show up everywhere&quot;.&lt;/p&gt;

&lt;p&gt;In other words, there can be no justifiable separation; authenticity, and integrity are constants not situational variables.&lt;/p&gt;

&lt;p&gt;Docs have a unique challenge in the social media space due to the supply/demand imbalance, not to mention the cost, access and navigational challenges of the delivery system.&lt;/p&gt;

&lt;p&gt;Open is open though, and the trend appears to be more of it, in real time, and authentically proffered. We&#039;ll see...&lt;/p&gt;

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		<content:encoded><![CDATA[<p>Dr V. Thanks for sharing your perspective. I appreciate the front-line clinical report and potentially problematic decision tree you face relative to the allocation of your time.</p>
<p>As an early adopter your experience and insights will no doubt be of high value in this unfolding space.</p>
<p>Not sure if this applies, but I have been told more than once, that &quot;how you show up in one area of your life, is how you show up everywhere&quot;.</p>
<p>In other words, there can be no justifiable separation; authenticity, and integrity are constants not situational variables.</p>
<p>Docs have a unique challenge in the social media space due to the supply/demand imbalance, not to mention the cost, access and navigational challenges of the delivery system.</p>
<p>Open is open though, and the trend appears to be more of it, in real time, and authentically proffered. We&#39;ll see&#8230;</p>
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		<title>By: DrV</title>
		<link>http://33charts.com/2009/04/defining-the-doctor-follower-relationship.html#comment-630</link>
		<dc:creator>DrV</dc:creator>
		<pubDate>Sun, 19 Apr 2009 20:35:05 +0000</pubDate>
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		<description>&lt;p&gt;Thanks for your comment, Tom.  I think this issue of defining doctors in the SM space is going to evolve and generate more debate.  I think the legal issues may even make for some interesting press.&lt;/p&gt;

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		<content:encoded><![CDATA[<p>Thanks for your comment, Tom.  I think this issue of defining doctors in the SM space is going to evolve and generate more debate.  I think the legal issues may even make for some interesting press.</p>
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		<title>By: Tom Stitt</title>
		<link>http://33charts.com/2009/04/defining-the-doctor-follower-relationship.html#comment-629</link>
		<dc:creator>Tom Stitt</dc:creator>
		<pubDate>Sun, 19 Apr 2009 19:47:34 +0000</pubDate>
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		<description>&lt;p&gt;Physicians I know are increasingly perplexed by people who assume a personal Facebook, Twitter or other casual social network relationship entitles the person to medical advice or consults. (Guess this is the internet evolution of the often parodied cocktail party request for free medical advice.)&lt;/p&gt;

&lt;p&gt;Will be interesting to see where the boundaries of &quot;social media empathy&quot; are defined by physicians and patients.&lt;/p&gt;

&lt;p&gt;Another great post. Thanks.&lt;/p&gt;

</description>
		<content:encoded><![CDATA[<p>Physicians I know are increasingly perplexed by people who assume a personal Facebook, Twitter or other casual social network relationship entitles the person to medical advice or consults. (Guess this is the internet evolution of the often parodied cocktail party request for free medical advice.)</p>
<p>Will be interesting to see where the boundaries of &quot;social media empathy&quot; are defined by physicians and patients.</p>
<p>Another great post. Thanks.</p>
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