Financial Times: How smartphones are transforming healthcare

This piece from last weekend’s FT magazine naturally caught my eye. It is rather techno-trumphalist narrative, with a few paragraphs of caveats on data privacy and lack of regulation in this area.However, the first and last quotations are from the CEO of Babylon an “artificially intelligent medical adviser” – the last words being:

But although we will continue to seek out physicians, it will not necessarily be because of their superior clinical skills. “If what you need is to solve a specific clinical problem, a diagnosis, then we can diagnose you better, faster, cheaper than a human doctor can,” Parsa says, with a wry smile. “Five years from now, technologically I do not believe you will have any need to see a human doctor for diagnosis… there is no scientific reason”

He would say that, wouldn’t he?

I’ve written before on the (much superior) Nature piece on “The Wild West of Health” care and have dashed off a few lines to the FT magazine on the lack of mention of the importance of clinical engagement. The piece is worth reading however, my allergy to mention of “transforming” and “revolutionising” healthcare

 

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Tom Burgis on PTSD

Recently I read Tom Burgis“The Looting Machine: Warlords, Tycoons, Smugglers and the Systematic Theft of Africa’s Wealth” It is a sobering, saddening, maddening read that takes one into the heart of how Africa’s enormous resources have been an absolute curse, retarding rather than enhancing development. Hopefully at some point I will have time to write a post which deals more fully with the theme of the book. However, in the Foreword I was struck by a metaphor Burgis borrows from a friend to describe the PTSD he develops following the death and destruction he has witnessed, particularly a massacre and its aftermath in Jos:

The psychiatrist and a therapist who had worked with the army – both of them wise and kind – set about treating what was diagnosed as post traumatic stress disorder (PTSD). A friend of mine, who has seen his share of horrors, devised a metaphor through which to better understand PTSD. He compares the brain to one of those portable golf holes with which golfers practice their putting. Normally the balls drop smoothly into the hole, one experience after another processed and consigned to memory. But then something traumatic happens – a car crash, an assault, an atrocity – and that ball does not drop into the hole. It rattles around the brain, causing damage. Anxiety builds until it is all-consuming. Vivid and visceral, the memory blazes into view, sometimes unbidden, sometimes triggered by an association.