Eric Topol and Fake Medicine Practic. January 14, 2018

Dr Eric Topol was described in the New York Times as "one of medicine's most innovative thinkers about the digital future." He's also Medscape's editor-in-chief, and here he provides his annual list of the top tech advances that made headlines this past year.

Well, let us take a look at the  most innovative thinker of Medical care. What really they thibk about, in their own publications.

 Eric Topol's Top 10 Tech Advances Shaping Medicine by Eric Topol
 http://ift.tt/2DviRfN

 I really do not know about all those tech opportunities. I am simple, I am diabetic type 2 by diagnose, disable person without medicaid and any public assistance, no SSI. I live on full support of my 67 years old man. Now the question is, why do not I have any opportunity to use any Thech developments like this? I am disable person, live in NYC. Why there is nothing for me?

At age 64 a Type 1 diabetic can have full utilization but at age 65 a MC recipient cannot and their device is limited.  e.g. at age 64 my Dexcom communicates with my iPhone and others can monitor my BS in real time, including with alarms.  This is a tremendous advantage and potentially life saving to someone with hypoglycemic unawareness.  Once dispensed under Medicare at age 65, the share and iPhone capability is eliminated and the devices capabilities are suppressed eliminating the critical function of real time BS sharing and alarms. 
I cannot accept this as progress.  I interpret it as harmful discrimination, in the guise of governmental beaurocracy.  Where is industry in fighting this?

This is comments. I just copied it. As it is easy to see, there are Big Gap between people who need this medical advances, but still it is not in our power to have it.

 In November 2017, AliveCor announced that it had received FDA approval of an algorithm for its watch band with a built-in ECG sensor. KardiaBand, when used with an Apple Watch, tracks a person's heart rate–to–physical activity ratio, learned with several days of data capture. When an outlier reading is captured, showing a heart rate considerably outside what would be expected for the person's activity, he or she gets an alert to record their ECG. A PDF of the reading can then be sent via the individual's smartphone. This represents the first FDA-approved artificial intelligence algorithm to aid consumers in obtaining data for a medical diagnosis.

Very great to have it and know my records, so...... now what?  That's right, I do know my heart work with danger rate beating, and what? doctor hold in his hands my EKG with comment "Danger"  in medical clinic and ... send me home to lose weight, to be more active and start starvation diet. Probably his built-in EKG would be helpful till heart start to fail. In this case no one MD available.     
Till I was able to stand on stress test for hours they check up my heart every month. Why not? There is no problem with heart and good money for MD. Once I was in office with high heart rate, so high that technician run from room to call doctor. He was out. He never come to room where I was. I was given some medicine have no one idea which one, heart rate started to go down. I was sent home. No second EKG. No doctor visits. It was not in any one record. It is only in my memory, and of cause it is illusion. Probably yes. But woman in Flarida who tried to get help in ER in hospital was dragged out by police officer. She died less then an hour after.
Long time I try to find out what to do with my heart failure, irregular heart beating, and there is nothing but Nitrostat. I take it every day.

Both Abbott and Dexcom introduced new FDA-approved glucose sensors that are user-friendly. Abbott's FreeStyle Libre Flash is easily applied on the arm and does not require fingerstick calibration. The Dexcom sensor, typically applied on the abdomen or arm, sends blood glucose values to a smartwatch and smartphone, while Libre has a small dedicated receiver. With the recent FDA approvals, these sensor readouts can now be used directly to dose insulin, in contrast to the historic reliance on fingersticks.

Mr. Topol still no comment that data from this devise must be confirmed by old fashioned fingerstics. They cannot be reliable. 
Who does have this opportunity? Diabetics type 1. They are using insulin pump. It it presented as artificial pancreas. Diabetics type 1 only 5% of all diabetics population. Diabetics type 2 are the rest 95%. For us there are only three strips a day to control our readings. Many do have only one strip a day under health plan. Diabetics type 2 are those who need more then 200 units of insulin in injections. Diabetics type 2 take less then 100 units, usually under 25 units. Monitoring of blood sugar is very important for them. We do not have this privileges. We even do not have strips to take readings.
     It is important to know reading for every diabetic, regardless type of diabetes, right? What for? What diabetic type 2 must do if reading high? What is the level of reading when diabetic type 2 must check up level of ketons in urine? The answer is simple, diabetics type 2 have no ketons in unit. Why?
Because of no one MD check up this ketons. So, diabetics type 2 do not have this data. According to this statement because of diabetic type 2 do not have ketons, they never must be checked. Simple. Brilliant.
If blood sugar diabetic type 1 do up then diabetic must inject insulin. What about 95% diabetic type 2? When our numbers go up what we suppose to do? Take more Metformin? Or take more Invokana to discharge sugar into urine?
With fake diagnose such as type 2 diabetes fake medical practice just logical. Be active. Lose more weight. Eat right. Quit smoking. You do not smoke? Then start it so you can quit smoking.

Omron, the most popular home blood pressure device manufacturer in the United States, had FDA approval for the first smartwatch that takes a blood pressure reading via a brief occlusion of the radial artery. The latest version of the device, pictured above, was just unveiled at CES 2018, the annual electronics trade show held in Las Vegas, Nevada.

 It is great to know your BP at any moment. The problem is only one, what to do with this info? Regardless I do know the number or not, I do have very specific pain. So, what I have to do when BP is 160? 180? 220?  I take Excedrin, long time trusted medicine I take last 20 years.To take Excedrin I do not need to know number. I just take it and get pain free. I was in ER with 220 and what? MD started to use me as lab rat. Good way to practice. Patient cannot protect him/herself. No police for our protection, no any law. Just pain and fear.
    So, this all article about what? Well, it is easy to say that this is just informative, to let us know what opportunities we do have to improve our health. Personally, I do see no any opportunity for me. No any practical use.

via Ravenvoron