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Medicine in Denial Paperback – March 31, 2011


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Product Details

  • Paperback: 280 pages
  • Publisher: CreateSpace Independent Publishing Platform (March 31, 2011)
  • Language: English
  • ISBN-10: 1456417061
  • ISBN-13: 978-1456417062
  • Product Dimensions: 7 x 0.6 x 10 inches
  • Shipping Weight: 1.4 pounds (View shipping rates and policies)
  • Average Customer Review: 4.3 out of 5 stars  See all reviews (7 customer reviews)
  • Amazon Best Sellers Rank: #621,566 in Books (See Top 100 in Books)

Editorial Reviews

About the Author

Lawrence L. Weed is a physician who, more than 50 years ago, originated influential standards for organizing medical records. He applied these standards (known as the problem-oriented medical record) in designing electronic record systems. He subsequently developed software tools for applying medical knowledge to patient data. His son Lincoln practiced employee benefits law in Washington, D.C. for 26 years and now specializes in health privacy at a consulting firm.

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Customer Reviews

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Most Helpful Customer Reviews

11 of 11 people found the following review helpful By Clancy Hughes on December 16, 2012
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A difficult but essential read, not for the answers but for the questions it raises about the future of the profession.

Larry Weed famously invented the problem oriented medical record (POMR) back in the sixties. He should be heard in this new read, Medicine in Denial. The Affordable Care Act encourages change in the structure of medical care, much of it coming from the highly subsidized shift towards electronic medical records. This book champions one of those trends; it is a plea for accurate, consistent and standardized medical record.

Weed was born in 1924, graduated from Columbia Medical 1947. He has been prominent in medical education in many teaching positions. I first heard of him at Dartmouth Medical School teaching Family Medicine. He has publications as long as my arm and several books, awards and recognitions. Recently, Weed applied his talents to medical informatics and administrative medicine. Weed founded Problem-Knowledge Coupler Corporation (PKC) of Burlington, VT, a company dedicated to developing the information coupling software and medical information database that the Weeds advocate in their book. Sharecare® of Atlanta, GA, the health and wellness social network acquired PKC June 12, 2012. Dr. Oz, the television host co-founded Sharecare®. Dr Oz plans to make his social technology platform, together with PKC's clinical knowledge management system available to patients and providers to enable clinically informed communications. Weeds version of connecting the vast database of medical knowledge with clinical decision support (CDS) and much of his research may live on in that wellness format.
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11 of 12 people found the following review helpful By Raymond Simkus on October 10, 2011
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It was gratifying to read this book which is a pointed indictment of the current state of paper based and computer based medical records. Despite a full generation of physicians that have been exposed to the POMR and many EMR programs that espouse the use of the SOAP format and Problem Lists it was good to see such a detailed critique of current practices. Having worked in this field for over 30 years it is clear to me that in a computer based medical records system having a highly functional Problem List is of central importance. Hopefully this book will provide readers with a better understanding of these issues.
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I adopted dr Weed's approach to the Medical record in the mid 70's. I had been a city planner for 7 years, and then entered a program to train as a Family Nurse Practitioner at Yale. My job in NYC was the development of computerization of the draft capital budget along with the imput of the areas citizens. I combined this with Dr Weed's medical record approach (which is now used universally), his insistence of the necesssity of computerization, and the announcement of the "Apple 2". Bingo! My thesis was entitled "computer assisted aid in well child care." , where I developed an EMR and "proved" that Dr Weed's approach was correct. We are still struggling to go down this street. Dr. Topol is saying the same thing in slightly different language. Hopefully, we will wake up to this reality in time.
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I think this book "hits the nail on the head" As a healthcare provider I thoroughly agree that it is impossible for one doctor to know or remember everything about the human body. I witness on a daily basis misdiagnosis and improper treatment even within university settings and I agree the insurance companies exploit the situation, Kudos for Dr.Weed
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