SMART PHONES 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
well 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
wont 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
neighbourthe
individual who most
closely resembles their
conditionto 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 onscreen updated with new measurements,
stored and (at an individuals 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 youre 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 Software
One 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

Epocrates
The 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
Podcasts
Podcasts are becoming an
increasingly useful means
of reviewing educational
video and audio content on
the Web. Some infectious
diseaseoriented
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, evidencebased 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 HIPAAcompliant 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 evidencebased recommendations,
mobile-optimized
calculators and a CME
tracker.

Future Use of Smartphones

In the next decade, youunder
select circumstances, involving
high risk or major medical
needwill 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
medicines 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 wont write
orders; theyll 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 doctors 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 weve 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
physicians 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
roomsa-night risk zones for
serious infections and other
complicationscan 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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Program Created by Dr.T.V.Rao MD for

Medical Professionals
Email
doctortvrao@gmail.com