The Edmond Sun

Features

July 24, 2013

Could a smartphone physical be in your future?

As my attending physician walked in with the next patient, I quickly stuffed my iPhone into my pocket. There was a strict "no cellphone" policy in the pediatric clinic where I was working as a third-year medical student. If my attending had caught me, I would have received a stern lecture about how cellphones were not to be used while patients were in the room.

We proceeded to examine the patient, a young boy named Tim, who had an earache. As part of the routine physical exam, I used my otoscope - a device first described in 1363 - to examine Tim's eardrum. Unfortunately, it was difficult to see the characteristic cone-shaped membrane. The more I maneuvered the otoscope, the more Tim yelped in pain. I finally gave up and admitted that I couldn't find the eardrum. Tim had been subjected to enough agony, and we sent him home with a course of antibiotics for a presumed ear infection. My attending later confessed that after 10 years of practicing, she still sometimes had trouble seeing the eardrum.

I remembered Tim's eardrum when reading the 2013 program of TEDMED, an annual conference in Washington showcasing the most promising medical advances in the country. A medical technology blog that I write for had organized an exhibit called "The Smartphone Physical" to showcase smartphone apps - many of them already commercially available - that doctors could use in a physical. As part of the exhibit, the team used CellScope, a mobile phone attachment to show attendees a picture-perfect magnification of their inner ear canal - much clearer than I'd seen with my otoscope.

I recently mentioned the device to a pediatrician. "That'll be the day," she replied.

 Many doctors share her skepticism of smartphones in medicine. Less than half of attending physicians in a recent survey reported using smartphones for patient care. Many doctors worry that these technologies will hurt their relationships with patients. In a 2012 essay in the Journal of the American Medical Association, Georgetown University physician Caroline Wellbery warned that "these devices deprive us of the very essence of presence. . . . We may be surrendering our capacity to be in the moment."

But what if these technologies not only make physicians' physical exams easier but also improve our interactions with patients? Smartphones can offer doctors a more reliable exam while increasing patient involvement in their care. Within the next decade, the smartphone physical might replace the traditional physical exam. Even now, the long-standing "routine physical" may no longer be so routine.

The traditional physical exam may be overrated when it comes to picking up diseases. A chest exam done as part of a physical, for instance, has been found to pick up only half of all pneumonias. A study found that stethoscopes wielded by young doctors correctly identified only one-fifth of previously diagnosed heart conditions.

So while the traditional physical exam may be hands-on, it's probably time to find ways to improve it; to me, smartphones offer that possibility.

Text Only
Features
  • Why do wolves howl?

    Of all the myths that dog the wolf, none is more widely accepted than the idea that wolves howl at the moon. Images of wolves with their heads upturned, singing at the night sky, are as unquestioned as a goldfish's three-second memory or a dog's color-blindness (both also myths).

    April 20, 2014

  • Screen shot 2014-04-18 at 4.44.15 PM.png Paint, doodle and sketch: 3 apps for art lovers

    In the absence of a palette of watercolors and a sketchpad, these three apps can fill in as your art supplies of choice.

    April 20, 2014 1 Photo

  • Raw oysters spike U.S. rise in bacterial infections, CDC reports

    Raw oysters, so good with hot sauce, increasingly can carry something even more unsettling to the stomach: A bacteria linked to vomiting, diarrhea and pain.

    April 19, 2014

  • Crazy spring weather brings frantic pleas

    It was a bright and sunny Saturday morning. Tulips were blooming, squirrels were all a’skitter, my allergy-prone nose was running ninety-to-nothing, and workmen were in my yard leaning on rakes at $18 an hour. You might know I’d be anxious to remedy that! They were waiting to get started on spreading 60 bags of mulch, which I was belatedly on my way to reserve and pre-pay so they could pick it up and get started. Rush ... rush ... rush, and oh my aching back.

    April 19, 2014

  • Oklahoma History Center new home for Oklahoma Military Hall of Fame

    The Oklahoma Military Hall of Fame has a new home at the Oklahoma History Center. Created in 1999, the hall of fame, operated by the Oklahoma Military Heritage Foundation, has been housed the past several years at Oklahoma Christian University but there was no available space to display photographs and information on the inductees.

    April 18, 2014

  • pink.jpg Local children win Edmond Sun Easter coloring contest

    Two local children were named winners of The Edmond Sun’s Easter coloring contest. At left, Madsion Porter, 4, daughter of Tracy Porter, won a princess Easter basket, which included a tiara, tea set, stuffed bunny rabbit and chocolate rabbit. At right, BriAnna Harbaugh, 9, daughter of Leslie Haubaugh, won a Hello Kitty Easter basket, containing art supplies, a Hello Kitty stuffed animal and a chocolate bunny.  The families also received a three-month subscription to The Edmond Sun. For your own subscription to The Edmond Sun, visit edmondsun.com, call 341-2121, or visit 123 S. Broadway.

    April 18, 2014 2 Photos

  • Annual Turkish art and food festival set for April 26-27

    Raindrop Foundation is a nonprofit cultural organization that seeks to promote friendship and understanding through shared understanding and community experiences. This free event is set for 10 a.m. to 8 p.m. April 26 and from 10 a.m. to 5 p.m. April 27 at 4444 N. Classen Blvd., Oklahoma City.
    This year Raindrop Foundation will bring cultural entertainment and education to Oklahoma City area by presenting the Annual Turkish Art and Food Festival. The festival will feature Turkish folk dances, traditional music, water marbling art, whirling dervishes, calligraphy, traditional art of felting, China pieces as well as original arts and crafts for sale to the public.

    April 18, 2014

  • Health seminar focuses on Oklakhoma’s high suicide rate

    OU Outreach and Norman Regional Health System are offering a new health seminar titled “Circle of Care Methodology: Risk Assessment and Prevention of Suicide.” The seminar will be from 8 a.m. to 4 p.m. April 24 at the Norman Regional Hospital Education Center. Suicide touches many people’s lives. This seminar focuses on the Circle of Care Methodology, which engages a holistic and mitigating approach to the issues and care that is required to address suicidal ideations, attempts, completions and the aftermath.
    The cost is $45 per person, and seating is limited. There will be free parking onsite for all seminar attendees. For more information, visit https://pace.ou.edu/en/programs/health-seminars/.

    April 18, 2014

  • Film documentary explores hunger in America

    The Regional Food Bank of Oklahoma will host a screening of the 2012 documentary, “A Place at the Table,” at 7 p.m. Thursday in the Food Bank Volunteer Center, 3355 S. Purdue, Oklahoma City. Doors will open at 6:30 p.m. The story documents the struggle of food insecure people in the United States.
    Author Joel Berg will be present as a featured guest. Guests also will have the opportunity to participate in a panel discussion about the issue of hunger in our communities. The screening is free, but seating is limited to 275 people. For more information, go online to www.okchurches.org.

    April 18, 2014

  • Nominations being accepted for Oklahoma Military Hall of Fame

    The Oklahoma Military Heritage Foundation is accepting nominations through June 1 for inductees into the Oklahoma Military Hall of Fame. Oklahoma veterans including Medal of Honor recipients have been being honored by the hall of fame since 1999. A banquet and ceremony honoring those selected this year for the hall of fame will be Nov. 8 at the Tower Hotel, formerly Marriott Hotel, at 3233 Northwest Expressway in Oklahoma City.
    Nominees can be living or deceased. Nomination forms can be obtained by writing to the Oklahoma Military Heritage Foundation, P.O. Box 30658, Edmond, OK, 73003; or on the foundation’s website at www.okmhf.org.
     

    April 18, 2014