The Digital Doctor
Hope, Hype, and Harm at the Dawn of Medicine's Computer Age
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Narrated by:
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Benjamin Wachter
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By:
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Robert Wachter
About this listen
While modern medicine produces miracles, it also delivers care that is too often unsafe, unreliable, unsatisfying, and impossibly expensive. For the past few decades, technology has been touted as the cure for all of healthcare's ills. But medicine stubbornly resisted computerization - until now. Over the past five years, thanks largely to billions of dollars in federal incentives, health care has finally gone digital.
Yet once clinicians started using computers to actually deliver care, it dawned on them that something was deeply wrong. Why were doctors no longer making eye contact with their patients? How could one of America's leading hospitals give a teenager a 39-fold overdose of a common antibiotic, despite a state-of-the-art computerized prescribing system? How could a recruiting ad for physicians tout the absence of an electronic medical record as a major selling point?
Logically enough, we've pinned the problems on clunky software, flawed implementations, absurd regulations, and bad karma. It was all of those things, but it was also something far more complicated...and far more interesting.
The Digital Doctor examines health care at the dawn of its computer age. It tackles the hard questions, from how technology is changing care at the bedside to whether government intervention has been useful or destructive, and it does so with clarity, insight, humor, and compassion.
"We need to recognize that computers in health care don't simply replace my doctor's scrawl with Helvetica 12", writes the author Dr. Robert Wachter. "Instead, they transform the work, the people who do it, and their relationships with each other and with patients.... Sure, we should have thought of this sooner. But it's not too late to get it right."
This riveting audiobook offers the prescription for getting it right.
©2015 Robert Wachter (P)2015 Robert WachterListeners also enjoyed...
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In the spring of 2020, COVID-19 arrived in New York City. Before long, America’s largest metropolis was at war against a virus that mercilessly swept through its five boroughs. In The Desperate Hours, award-winning journalist Marie Brenner, having been granted unprecedented 18-month access to the entire New York-Presbyterian hospital system, tells the story of the doctors, nurses, residents, researchers, and suppliers who tried to save lives across Manhattan, Queens, and Brooklyn and the northern periphery of the city.
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Way too much politics
- By Josh on 07-18-22
By: Marie Brenner
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The Antidote
- Inside the World of New Pharma
- By: Barry Werth
- Narrated by: Sean Pratt
- Length: 16 hrs and 27 mins
- Unabridged
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In 1989, the charismatic Joshua Boger left Merck, then America's most admired business, to found a drug company that would challenge industry giants and transform health care. Barry Werth described the company's tumultuous early days during the AIDS crisis in The Billion-Dollar Molecule, a celebrated classic of science and business journalism. Now he returns to tell a riveting story of Vertex's bold endurance and eventual success.
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For me this was not interesting
- By Yan on 06-26-17
By: Barry Werth
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How Doctors Think
- By: Jerome Groopman M.D.
- Narrated by: Michael Prichard
- Length: 10 hrs and 27 mins
- Unabridged
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On average, a physician will interrupt a patient describing her symptoms within 12 seconds. In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but at crucial moments they can also be wrong: with catastrophic consequences. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make.
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Disappointing
- By Audiophile on 05-13-07
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Tomorrowland
- Our Journey From Science Fiction to Science Fact
- By: Steven Kotler
- Narrated by: Tom Parks
- Length: 8 hrs and 58 mins
- Unabridged
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New York Times, Wired, Atlantic Monthly, Discover bestselling author Steven Kotler has written extensively about those pivotal moments when science fiction became science fact...and fundamentally reshaped the world. Now he gathers the best of his best, updated and expanded upon, to guide listeners on a mind-bending tour of the far frontier, and how these advances are radically transforming our lives.
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Covers a lot of different topics in many industries
- By ErnieA on 06-27-15
By: Steven Kotler
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Silent Invasion
- The Untold Story of the Trump Administration, Covid-19, and Preventing the Next Pandemic Before It's Too Late
- By: Deborah Birx
- Narrated by: Kathe Mazur
- Length: 22 hrs and 3 mins
- Unabridged
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In late February 2020, Dr. Deborah Birx—a lifelong federal health official who had worked at the CDC, the State Department, and the US Army across multiple presidential administrations—was asked to join the Trump White House Coronavirus Task Force and assist the already faltering federal response to the Covid-19 pandemic. For weeks, she’d been raising the alarm behind the scenes about what she saw happening in public—from the apparent lack of urgency at the White House to the routine downplaying of the risks to Americans.
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Great insight into Public Health
- By Ann-Karen Weller on 05-09-22
By: Deborah Birx
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Less Medicine, More Health
- 7 Assumptions That Drive Too Much Medical Care
- By: H. Gilbert Welch
- Narrated by: L. J. Ganser
- Length: 8 hrs and 18 mins
- Unabridged
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The author of the highly acclaimed Overdiagnosed describes seven widespread assumptions that encourage excessive, often ineffective, and sometimes harmful medical care. You might think the biggest problem in medical care is that it costs too much. Or that health insurance is too expensive, too uneven, too complicated - and gives you too many forms to fill out. But the central problem is that too much medical care has too little value.
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The truth will set you free
- By Rene B Milner on 04-01-16
By: H. Gilbert Welch
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Thinking Machines
- The Quest for Artificial Intelligence - and Where It's Taking Us Next
- By: Luke Dormehl
- Narrated by: Gus Brown
- Length: 8 hrs and 12 mins
- Unabridged
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When most of us think about artificial intelligence, our minds go straight to cyborgs, robots, and sci-fi thrillers where machines take over the world. But the truth is that artificial intelligence is already among us. It exists in our smartphones, fitness trackers, and refrigerators that tell us when the milk will expire. In some ways the future people dreamed of at the World's Fair in the 1960s is already here. We're teaching our machines how to think like humans, and they're learning at an incredible rate.
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Mostly platitudes with no depth
- By Gary on 03-24-17
By: Luke Dormehl
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If I Betray These Words
- Moral Injury in Medicine and Why It's So Hard for Clinicians to Put Patients First
- By: Wendy Dean, Simon Talbot
- Narrated by: Wendy Dean
- Length: 10 hrs and 26 mins
- Unabridged
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Offering examples of how to make medicine better for the healers and those they serve, If I Betray These Words profiles clinicians across the country who are tough, resourceful, and resilient, but feel trapped between the patient-first values of their Hippocratic oath and the business imperatives of a broken healthcare system. If I Betray These Words confronts the threat and broken promises of moral injury—what it is; where it comes from; how it manifests; and who’s fighting back against it. We need better healthcare—for patients and for the workforce. It’s time to act.
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Dust bowl
- By Doc on 04-12-23
By: Wendy Dean, and others
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Technically Wrong
- Sexist Apps, Biased Algorithms, and Other Threats of Toxic Tech
- By: Sara Wachter-Boettcher
- Narrated by: Andrea Emmes
- Length: 5 hrs and 42 mins
- Unabridged
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Buying groceries, tracking our health, finding a date: whatever we want to do, odds are that we can now do it online. But few of us ask how all these digital products are designed, or why. It's time we change that. Many of the services we rely on are full of oversights, biases, and downright ethical nightmares. Chatbots that harass women. Signup forms that fail anyone who's not straight. Social media sites that send peppy messages about dead relatives. Algorithms that put more black people behind bars.
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Pretty good but not complete
- By Casey on 10-29-17
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Rigor Mortis
- How Sloppy Science Creates Worthless Cures, Crushes Hope, and Wastes Billions
- By: Richard Harris
- Narrated by: Joe Delafield
- Length: 5 hrs and 56 mins
- Unabridged
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American taxpayers spend $30 billion annually funding biomedical research, but over half of these studies can't be replicated due to poor experimental design, improper methods, and sloppy statistics. Bad science doesn't just hold back medical progress, it can sign the equivalent of a death sentence for terminal patients. In Rigor Mortis, Richard Harris explores these urgent issues with vivid anecdotes, personal stories, and interviews with the top biomedical researchers. We need to fix our dysfunctional biomedical system - before it's too late.
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Eye opening introduction to biomedical R&D
- By Amazon Customer on 09-18-18
By: Richard Harris
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Teeth
- The Story of Beauty, Inequality, and the Struggle for Oral Health in America
- By: Mary Otto
- Narrated by: Suehyla El'Attar
- Length: 9 hrs and 37 mins
- Unabridged
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Teeth takes listeners on a disturbing journey into America's silent epidemic of oral disease, exposing the hidden connections between tooth decay and stunted job prospects, low educational achievement, social mobility, and the troubling state of our public health.
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Content everyone should know; dismal narration
- By Elaine on 08-04-17
By: Mary Otto
What listeners say about The Digital Doctor
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
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- Beth Glisson
- 12-01-15
Nailed it
I currently work as a Chief Medical Informatics Officer at a community health system, and I can tell you that Robert Wachter absolutely nailed it with this book. Very engaging, well written, and he gives a full voice to all aspects of the challenges healthcare is now facing. I usually have difficulty explaining what I do for a living to people not in healthcare, but now I can point them to The Digital Doctor and explain to them ... It's way worse than you think!
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3 people found this helpful
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- RLippert
- 01-30-24
Still relevant!
Years after the adoption of electronic medical records it still amazes me as to relevantcy of a book on technology, like this one is, can be. If flying cars are still not an everyday day occurrence as predicted a half a century ago, I can only imagine much of the content contained in these pages will be with us continuing to ponder for a very long time. Worth the time invested to listen to this book, especially as some of our perspective is now based on driving ahead while looking at the rear view mirror.
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- Raman
- 03-23-16
This book probably going to change my career
Dr. Wachter is a visionary. Future of healthIT is amazing. Every chapter is well written and very well narrated. It's a must read book for modern era physicians.
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3 people found this helpful
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- Don L
- 07-21-16
Spot on
An honest Doctor POV about the current climate & trajectory of healthcare. A must read for anyone working on healthcare transformation.
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2 people found this helpful
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- debbie lemenager
- 09-16-19
confirmed my thoughts on the digitalhealthcare wor
I love the different people interviewed in the story whom offered their Insight on the digital world of healthcare.
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- S. Lane
- 02-23-16
An excellent and understandable review of the current state of the digital revolution in medicine
Bob Wachter's deep understanding of the subject and insightful prose make this book a must read for those trying to understand or impact the current changes produced by the digital revolution in the healthcare system. Having spent over 25 years as a practicing physician and Informaticist, I can say that this book is accurate and quite complete. It is also suffused with humanism and caring, making it an engaging and entertaining read.
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1 person found this helpful
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- MVR
- 06-17-17
Genial
Muy buen libro para quien le interese las nuevas tecnologías en Salud. Me encantó la parte de histirías clinicas
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1 person found this helpful
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- Mitchell
- 07-22-15
Great, and balanced view
Great, balanced look at the past, present and future of healthcare's relationship with technology. Recommended
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- D.C. Lozar
- 04-09-18
A Fantastic Journey. Thought-Provoking!
If you could sum up The Digital Doctor in three words, what would they be?
A must buy.
Who was your favorite character and why?
As a Family Practice Physician deeply concerned about the interposition of technology between my profession and the patients I care for, I found Robert Wachter's, "The Digital Doctor," highly informative and thought-provoking. We stand on the cusp of a new age in medicine, one that is both exciting and dangerous. Mr. Wachter did a fantastic job of showing both sides of this growing debate in a way that allowed the reader to develop their own bias and provided supporting evidence for each argument he discussed. This book is superbly written, engaging, and, if you buy the audio version, narrated. If you've noticed that your doctor spends more time data entry than they do listening to you, the book begins to explain why. As a fellow author, D.C. Lozar, I know how hard it is to keep an audience informed, engaged, and actively thinking and would happily recommend this book to anyone willing to learn something new while being entertained. Well done.
Which character – as performed by Benjamin Wachter – was your favorite?
See above
Was there a moment in the book that particularly moved you?
see above
Any additional comments?
Great Job
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- N. Martin
- 04-15-15
Important
For all of us in medicine, this is an important book to frame our current challenges. Not too upbeat or pessimistic. Well done!
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5 people found this helpful