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The Creative Destructi...
 
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Eric J. Topol
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The Creative Destruction of Medicine

3.9 of 5 stars 3.90  ·  rating details  ·  436 ratings  ·  50 reviews
How the advent of wireless internet, individual data, and personal genomics are revolutionizing medicine, from the laboratory to the clinic to the home
ebook, 320 pages
Published December 1st 2011 by Basic Books (AZ)
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(showing 1-30 of 1,536)
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E-patient Dave
I come from high tech, where there are zillions of innovations, few get any traction, and a small number change the world. This book is by far the best marriage I've seen of potent innovator thinking with medicine, social media, and information science.

A lot of people are going to say this book is wacky, because it hits the nail on the head in a way that busts the paradigm into pieces. And that's the point: "creative destruction" is a somewhat disturbing term - the point (IMO) isn't destruction
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Alistair
An MD discovers the iPhone, gets completely carried away and declares it will disrupt most of the field of medicine (and gives a well-received TED talk along the way). Maybe I exaggerate slightly, but not much. The actual medical content was interesting to a software guy; the technical projections were much more naive.
loafingcactus
The book gives you all the pieces that will lead to a medical revolution. The revolution won't occur in hospitals or in legacy research tracks. You don't reposition yourself into a revolution. It also describes some aspects of how traditional medicine will be shifted in parallel with the revolution and what you can do to avoid being harmed by traditional medicine as it currently exists.

For avoiding harm, I would suggest The Last Well Person: How to Stay Well Despite the Health-Care System for mo
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Ben Z.
This book was though-provoking.

The author believes that healthcare is reaching a critical convergence with technology that will revolutionize how patients are treated, how doctors provide care, how drugs are developed, and how people maintain their health. Low-cost genomics, hand-held medical imaging devices, wireless sensors, cloud computing, social networking, and telemedicine are all examples of the rapidly evolving technologies transforming healthcare. These technologies will lead to the "d
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Scott
Eric Topol has created a compelling vision of technology enabled individualized medicine. I had the opportunity to talk with the president of the Massachusetts Medical Society, an oncologist, a few years back, who envisioned both doctor and patient receiving genetic profiles to highlight risks and targeted therapies. He, like Topol, sees the future of medicine as democratized information at the sub-genetic level guiding effective therapies. Technology is central to amassing huge amounts of data ...more
Chris
This book has a lot of promise but I found myself getting bogged down and skipping around after 80 pages or so. The chapters on biology and anatomy felt like I was reading a textbook. At times this book is written more for a doubting medical professional than a patient. A lot of good info in here but it needs the Malcolm Gladwell touch. The doctor has passion and I'd want him taking care of me but I couldn't "eat" the whole thing.
Regan
Overall a critical view of medicine today with an optimistic projection of the future. I'm sure in some areas his predictions will be spot on but in others I suspect he's dreaming. As I have Atul Gwande's new book Being Mortal on my bookshelf waiting to be read I felt like this book was surprisingly silent on end of life issues and even beyond that seemed to almost ignore the fact that for so much of what causes suffering in this world, the technology he was exploring will never have an answer. ...more
Uwe Hook
A great read. He navigates the space clearly and brings a huge wealth of personal experiences and anecdotes to the topics. All aspects of healthcare technology are addressed and he takes a broad perspective covering viewpoints of providers, payers, drug companies, docs and patients. His arguments are balanced and well articulated. Essential reading for anyone in the healthcare technology field. There is no doubt that the majority of the content will come to be, in time, given the massive pressur ...more
Andres
An interesting book about how recent and still evolving technology can make a revolutionary change in the way medicine is taught, developed, practiced, and delivered.

The author does a great job of quickly surveying the current technological norms, how relatively quickly they came about, and how their tapped and untapped powers have and will continue to become an important tool in the future of medicine, both for doctors and patients. The technologies discussed are half medicine and half access t
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Liam
As a person who was energized by the technological promises of the healthcare debate a few years ago, and as a software engineer who plans on developing healthcare-related software (this book was required reading for my department), I was really curious to see what this book had in store. The book seems to have two messages: changes are coming to healthcare, and we all need to do what we can to quicken these changes. I think the author did a fair job of convincing me of the former, and while I w ...more
Marks54
This book presents a tour of "Medicine" today with a focus on how the provision of health care and related services from health sciences (pharma and devices) are being influenced by the advent of digital technology - taken to include both digital developments in information technology as well as the reconfiguration of medical knowledge and practice around genomics, genetics, and related fields. The author is an accomplished cardiologist who is also an active researcher and very knowledgeable abo ...more
AGC
Although this book is about how the current technology revolution is changing and will change healthcare, Topol still seems a bit behind. He writes about many cool gadgets, smartphone apps, the current research, and health databases, but not all of it. There's so much more out there that he does not mention as possible creative destructions.

Topol focuses the most on individualized medicine, which almost requires that everyone undergo genomic sequencing, which he goes into some detail explaining
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Cavin Balaster
The book is a delightful and educational read written by an articulate, smart, and entertaining narrator. Topol presents the limitations within our current medical climate and proposes solutions. Stories of his, his family’s, and his patients experiences make for experiential and personal examples of the current deficits. The quandaries of each example are presented with proposed solutions, which really works to bring his ideas home leaving room for the reader to ponder the possibilities. Throug ...more
Bryan Kibbe
A great overview of some of the cutting edge changes in health care technology that have the potential to considerably alter the way in which we deliver and practice medical care in the United States. Instead of being merely a techno-tour of medical technologies (as Topol himself words it) this book benefits from Topol's distinctive thesis that the technologies he surveys could lead to a paradigm shift in how medicine is currently practiced. While technical in some parts, Topol remains an access ...more
Lisa Murray
I was amazed at what I learned from reading this (population medicine vs. individualized medicine; how evidence-based research is conducted/skewed). This was clearly written from a very strong perspective. And I really appreciated the thorough sourcing of all the facts. I went to several primary sources as a result.
Harry Lane
I had high hopes for this book because the practice of medicine has not, in my judgement, kept up with advances in science and technology. Topol's premise seems congruent, and he goes into considerable detail that is both convincing and in a strange way, amorphous. In the science area, for example, he gives a good overview of the state of genomic research, then proceeds to explain this hasn't translated to better medical practices because of the great complexity of the field and the difficulty o ...more
Anil Verma
Thought provoking. Only after de-struction comes the birth of new concepts practices. Confluence of new technologies and digitization will change healthcare and Eric Topol sheds light on this trend.
Bethany
A good overview of the state of genomics. I don't know about the device promises, though - it was interesting to read this after The Circle, because the privacy implications of fully converged healthcare are so enormous and barely touched on here.
Ray
Great update on the current state of digital healthcare and many more ideas to look forward to. Quantifying everything is the future and healthcare is moving toward that as well. Dr. Topol provides his insight on the future of technology, individual medicine and better efficiency as well as concerns for these medical innovations. The book was a quick read. I have little background in genetics, so I got totally lost in that part of the book, but it was worth the read. I would recommend this to an ...more
Davis Graham
A glimpse of the possibilities of medicine, if we encourage innovation.
Lucas Wiman
Very interesting ideas, though the book is a bit of a slog.
Erik Butcher
Personal manifesto posed as a novel on medicine.
Kathy
Eric Topol is a well-regarded medical social media guru whose timely insight into the changes of healthcare today is erudite and interesting, if a little intense. I look forward to the future in medicine and hope that his view of the future is on the money. Only time will tell, but I agree that it is fast becoming a hell of a ride. A bit technical and very genome-centric, The Creative Destruction of Medicine should be required reading for all upper level healthcare students, definitely all medic ...more
Dorree Lynn
I will follow Topol's forages wherever he goes. He's a break-through serious dedicated explorer able to explain a possible medical-tech-future that is easy to read and makes common sense. I value his willingness to go out of the box and still integrate what is known with what can be found. Pragmatic desires filled with hope. Topol is a pioneer and as with all who cut new swaths, only time will give us answers. I found this book laden with facts a bit complex to digest, but worth the chew.
Carol
Topol gives a good critique of the sluggishness of medicine in their inability to treat their patients as individuals rather than a population. He addresses our use of electronic equipment for phones, computers, buying power and 100% connectivity while medicine still uses a range of normalcy. The genome study has proven we are very uniquely individuals with different chemical values, and we will all be healthier when they Western Medicine treats us accordingly.
Patrice
It was fascinating to see the potential future of medicine in today's existing technology, although given the medical establishments entrenched technophobia, it may be sometime before we can reap the health and cost-saving benefits of our current tech advances. That said, it could be dry in places (particularly life sciences and genomics) and he did tend to recycle some of his examples.
Christopher Benassi
Interesting overview on the convergence of wireless sensors, genomics, imaging, and medical records. Understanding how the fields of biology, physiology, and anatomy will technologically overlap presents an exciting opportunity for creative disruption. Overall, cool ideas-- but it felt a bit fragmented and idea-flow was difficult to follow at points
David Hooper
A bit too much clinical wonkiness for lay-people at times, but it's easy to skim through these sections. Loads of provocative insights that provide hope for a wildly different and much better health care future. Definitely recommended reading, even for the physicians and others who have a stake in preserving the highly dysfunctional status quo.
Vincent Dupont
Inspiring book, I must admit that reading the different chapters for a non-MD might sound strange but Eric Popol describes perfectly how digitalization and technology goes hand-in-hand.

It's now, prevention in health is a global issue and we need to embrace technology and push our stakeholders in making that change.
Lisa
I like his vision and clear explanation of the forces that are coming together to necessitate major change in the healthcare industry. however some sections are way too detailed for the non-scientist and the book could have been about two thirds as long.
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