A video tour of the Myca platform.

Here is a guided tour of the interface we developed at Myca to explore our patients’ medical information and how we document our interactions.  It’s unlike anything else you’ve seen – especially in healthcare.  All those other EMRs you see out there…they look and function like they were designed by freshman engineers on Windows 98. 

So here is the future people.  It’ll be ready when we launch hellohealth.     

A video tour of the Myca platform.

AP: Doctors Wary After Cholesterol Drug Flop

We live in an outlandish world.  The majority of the pharmaceutical industry is so pathetic (along with the FDA), the powers that be will approve a drug based on “it’s better than placebo” and allow billions of dollars to exchange hands only to realize that its the equivalent of a sugar pill.  

It’s time to realize we are in a new era of medicine.  We have the old tried and true generics along with a few new brands that do the trick.  And then we have a whole boatload of drugs that are hovering around the possibility of maybe possibly being 5% more effective than placebo.  

My hope for the future is not in pharmaceuticals.  It’s about having a relationship with your patients, giving them tools that will help them change their behavior (make it almost idiot proof), and give them incentives to do so (maybe even an economic incentive considering the top 3 killers in America have behavioral causes).

Big Pharma is about 5% better than snake oil.  When the whole industry can only give us 6 new drugs per year, we have to stop pissing our money away throwing them incentives to sell us more snake oil flops.  I mean, there’s some executive at each company that literally says in front of an entire group of people:

“I know it’s been suggested in our trials to be 5% better than placebo, let’s market the hell out of it so that they think it’s 50%!”

Meanwhile they take no responsibility for the largest section of our economy that is in reality bankrupting our country.

Where is the social responsibility?

I know, I’m an irrational idealist. 

AP: Doctors Wary After Cholesterol Drug Flop

My solution to the beginning of changing healthcare.

For god’s sake…DISBAND THE RUC.


Healthcare will not change unless current national reimbursement policies are not changed, but destroyed.

From it’s ashes, create a new RUC composed of another 29 physicians.  Those 29 physicians will be mainly composed of primary care doctors with specialists in the minority according to actual healthcare usage in the United States.  If the total number of healthcare visits in the US are 75% primary care visits, 75% of the docs on the RUC should be primary care docs. 

The three generations of doctors…

“Jay…you are of the generation of doctors I call "tech unconscious.”

– Jeff Goldsmith, former board member of Cerner

 Yes…that’s true Jeff.  I grew up with computers.  My first computer was a Commodore 64.  I went to Washington University for undergrad which was one of the main first hubs of the internet.  Computers, the internet…they’re wired into our brains.  We don’t even have to think about trying to figure out the internet.  We don’t think.  We don’t figure things out.  We just do.

And every time my generation of doctors are asked to use the healthcare IT, we get frustrated because we have to think.  We have to figure things out.

That’s tragic.

But that wrong is being made right.  It’s good times up here in Quebec.