The Union Recorder

Community News Network

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
Community News Network
  • The top 12 government programs ever

    Which federal programs and policies succeed in being cost-effective and targeting those who need them most? These two tests are obvious: After all, why would we spend taxpayers' money on a program that isn't worth what it costs or helps those who do not need help?

    April 22, 2014

  • In cuffs... 'Warlock' in West Virginia accused of sexual assault

    Police in West Virginia say a man claiming to be a “warlock” used promises of magical spells to lure children into committing sexual acts with him.

    April 22, 2014 1 Photo

  • Cats outsmart the researchers

    I knew a lot had been written about dogs, and I assumed there must be at least a handful of studies on cats. But after weeks of scouring the scientific world for someone - anyone - who studied how cats think, all I was left with was this statement, laughed over the phone to me by one of the world's top animal cognition experts, a Hungarian scientist named Ádám Miklósi.

    April 22, 2014

  • McCain 1 House Republicans are more active on Twitter than Democrats

    Your representative in the House is almost certainly on Twitter. Your senator definitely is. But how are they using the social network? Are Democrats more active than Republicans, or vice versa? Who has the most followers on the Hill?

    April 22, 2014 1 Photo

  • Do White Castle prices tell us anything about the minimum wage?

    The paper looked at how many delicious steamed sliders the minimum wage has been able to purchase over time. The point is that as it notes, in 1981, the $3.35 minimum could buy a whole dozen. Today, at $7.25, it could purchase just 10.

    April 21, 2014

  • VIDEO: Moose charges snowmobile, flees after warning shot

    While snowmobiling in New England, Bob and Janis Powell of Maine were charged by a moose and caught the entire attack on camera.

    April 21, 2014

  • Can Hillary Clinton rock the cradle and the world?

    What's most interesting to contemplate is the effect becoming a grandmother will have on Hillary's ambition. It's one of life's unfairnesses that a woman's peak career years often coincide with her peak childbearing years.

    April 21, 2014

  • Smartphone kill switches are coming

    Smartphones need kill switches. It's a relatively easy solution to the pricey (and irritating) problem of smartphone theft. But who would have thought that the big carriers would team up with Apple, Google, Microsoft, Nokia, Samsung and lots of other manufacturers to voluntarily begin adding the technology by July 2015? The cooperative spirit! It makes so much sense!

    April 18, 2014

  • 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 18, 2014

  • Biggest student loan profits come from grad students

    This week, the Congressional Budget Office projected that the federal government would earn roughly $127 billion from student lending during the next 10 years.

    April 18, 2014

Poll
AP Video
Bon Jovi Helps Open Low-income Housing in Philly Pipeline Opponents Protest on National Mall Hagel Gets Preview of New High-tech Projects S.C. Man Apologizes for Naked Walk in Wal-Mart New Country Music Hall of Fame Inductees Named 'Piles' of Bodies in South Sudan Slaughter New Yorkers Celebrate Cherry Blossom Blooms SCOTUS Hears Tv-over-Internet Case Justice Dept. Broadening Criteria for Clemency Chief Mate: Crew Told to Escape After Passengers 'Miss Meadows' Takes Holmes Back to Her Roots Biden: Russia Must Stop Talking, Start Acting David Moyes Out As Manchester United Manager Raw: Leopard Bites Man in India Iowa College Finds Beauty in Bulldogs High Court to Hear Dispute of TV Over Internet Stowaway Teen Forces Review of Airport Security
Facebook
Twitter Updates
Follow us on twitter
Parade
Magazine

Click HERE to read all your Parade favorites including Hollywood Wire, Celebrity interviews and photo galleries, Food recipes and cooking tips, Games and lots more.
Stocks
NDN Video
Viral: It's Not Pitbull - It's Amy Poehler! Raw: Leopard Bites Man in India Jenna Dewan-Tatum Strips Down Rise of the Milkbots TRENDING: Brian Williams Raps 'Gin and Juice' on ‘Tonight Show’ Middle School heroes rescue students from burning bus WHOPPER OF FISHING STORY: Florida man catches massive Mako shark Maks Chmerkovskiy's "DWTS" Meltdown The many faces of Mike Woodson Ape Builds A Fire And Toasts Marshmallows In Amazing BBC Video Manchester Utd sack manager David Moyes "RHOA's" Dramatic Brawl High school, College Drug Ring Busted In Montgomery County High Court to Hear Dispute of TV Over Internet Raw: Keflezighi, Jeptoo Win Boston Marathon Teen hitchhikes in wheel well of flight from California to Hawaii Lindsay Lohan's Jaw-Dropping Secret President Sends Message To Boston And Marathon Runners LA Pastor Attracts Churchgoers with Pot Lauren Stoner Shows Off Her Incredible Bikini Body