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The Creative Destruction of Medicine: How the Digital Revolution Will Create Better Health Care Kindle Edition

4.3 out of 5 stars 191 customer reviews

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Length: 322 pages
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Editorial Reviews

Review

"Topol weaves useful knowledge about how to evaluate the choices open to patients into this exciting account of the revolutionary changes we can expect." ---Kirkus

About the Author

Eric Topol, MD, is a professor of innovative medicine, director of the Scripps Translational Science Institute, and founder of the world's first cardiovascular gene bank at the Cleveland Clinic. He lives with his family in La Jolla, California.

Reader of over 400 audiobooks, Dick Hill has won three coveted Audie awards and been nominated numerous times. He is also the recipient of several AudioFile Earphones Awards. AudioFile includes Dick on their prestigious list of "Golden Voices."

Product Details

  • File Size: 1639 KB
  • Print Length: 322 pages
  • Publisher: Basic Books; First Trade Paper Edition, Revised and Expanded edition (December 2, 2011)
  • Publication Date: December 2, 2011
  • Sold by: Amazon Digital Services LLC
  • Language: English
  • ASIN: B006NV93U8
  • Text-to-Speech: Enabled
  • X-Ray:
  • Word Wise: Not Enabled
  • Lending: Not Enabled
  • Enhanced Typesetting: Not Enabled
  • Amazon Best Sellers Rank: #202,398 Paid in Kindle Store (See Top 100 Paid in Kindle Store)
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More About the Author

Dr. Topol, an Elsevier Author, received his Bachelor of Arts with highest distinction from the University of Virginia in 1975, his doctor of medicine with honor from the University of Rochester School of Medicine in 1979, and completed internal medicine residency at University of California, San Francisco, and cardiology fellowship at Johns Hopkins University.

For more information, visit http://elsevierauthors.com/erictopol/

Customer Reviews

Top Customer Reviews

Format: Hardcover
For a book that has pages of endorsements from key authors and influential physicians, this book fails to meet the expectations - particularly in defining remarkably new disruptive ideas. Despite an excellent set-up and problem definition, this book ends up reading like a well-organized collection of articles from magazines such as Wired.

The premise of Topol is a compelling one - the developments and the relative maturity of mobile devices, PCs, Internet, genome sequencing and social media, provides a potential inflection point in the field of medicine. In the initial chapters that borrows heavily from themes established by Clay Shirky (for example, Cognitive Surplus: How Technology Makes Consumers into Collaborators, and those similar to ones defined in Hamlet's BlackBerry: Building a Good Life in the Digital Age and The Third Screen: Marketing to Your Customers in a World Gone Mobile, Topol abstracts 4 key trends (4 C's) that are setting up the stage for the "Ds" - destructive trends. While the ideas themselves are not new, Topol condenses the ideas from various authors to clearly characterize the innovation potential in medicine. Topol also makes some astute observations on the use of guidelines and the limitations of population-based clinical trials. While this first part alone is worth the book, the rest of the book fails to live up to the excellent framing.
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Format: Kindle Edition Verified Purchase
Dr. Eric Topol's book is an excellent review of what the promise of technology holds for the US Healthcare system. His background as a geneticist and a cardiologist as well as a highly regarded research scientist informs this book with the promise of the future, and it is the near future at that. Not something decades away. The advent of the empowered patient (by technology as close as their cell phone) extends the opportunity and methodology for significant reductions in the cost of health care for us all---without a reduction in quality. For instance, cell phones with a "lab on a chip" enabling individuals to substantially reduce the cost and compliance of monitoring one's blood work for glucose, cholesterol, etc. while empowering the patient to be more aware and in control.

His review of genetics was a little dense, but as readers we must all bear in mind how difficult it is to condense such a complex subject into a chapter of one book providing enough information for the lay person to become excited about the possibilities in front of us without speaking totally over our heads. The promise of pharmacogenomics is here today. Enabling an oncologist to test a cancer tumor for genetic markers that indicate which of several chemotherapy drugs would be most efficacious for a particular patient. The "wrinkle" in the system is that insurance company awareness and subsequent payments are running behind the speeding train of "Star Trek" medicine. I do believe we will as a society work this out.

As a health care professional, I highly recommend this book for nurses, physicians, administrators as well as interested lay people. There are so many cost pressures coming with health care reform, it is easy to get caught up in thinking that quality of care is doomed to decline.
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Comment 42 of 44 people found this helpful. Was this review helpful to you? Yes No Sending feedback...
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Format: Hardcover Verified Purchase
Every revolution shows the incumbents in poor light - they look foolish, stubborn and indecisive. Eric Topol shows how breakthrough growth in mobile phones, wireless technologies and genomics, and their convergence is revolutionizing Medicine and Healthcare but the current 'high priests' whether it is doctors or the bureaucracy dont seem to be getting it. Nevertheless the flow seems to be irreversible as informed consumers empower themselves and push for new solutions that will provide better care, cheaper and more effective medicines, and democratize the healthcare system.

Topols' stories about the shortcomings on the current system are scary and he is very tough on the members of his profession. Other players in the ecosystem like the Pharma companies also do not escape his sharp criticism. He will not be making many friends with this book - however it will be tremendously useful to the readers in multiple ways - as an individual on how to plan for your healthcare, as a student on planning your career, as an investor or entrepreneur for understanding opportunities that would create revolutionary wealth!. For people in the healthcare profession this should be a wake up call.

I would urge all to read this book.
2 Comments 82 of 91 people found this helpful. Was this review helpful to you? Yes No Sending feedback...
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Format: Hardcover Verified Purchase
Dr. Eric Topol is one of the most famous and accomplished Cardiologists in the world. He does an amazing job at simplifying the complex field of genetics to give us insight on the future of medicine. He stresses the point that only a small percentage of patients may derive significant measurable benefit from a medicine over a 5 to 10 year period. It is likely one's genetic makeup that determines whether a medicine may led to benefit or harm. This book should be required reading for all of us in the field of medicine. It is clearly written with great stories. What a fabulous book by a legendary scientist.
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Kudos to Dr. Topol -- This is the future of medicine!
I have to believe that for Creative Destruction to happen, we need patients to print out an executive summary (2 pages) with testimonials from "The Doc on main street" and give it to their physicians and nurses. This groundswell is the only way to effect real change outside of policy... Read More
Dec 23, 2011 by ravibala |  See all 3 posts
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