Pema Lama

What would you do??

1. You have been diagnosed with a rare bone marrow disorder that affects only 2 people out of 1 million. The disease is potentially life threatening, but your symptoms are currently only mild and do not yet present a major concern. Your physician recommends that you go to the Mayo Clinic in Rochester, Minnesota, for further diagnosis and possible treatment. As you do some research on the Internet, you find a support group for those afflicted by this rare disease. You are alarmed to hear that the disease can cause a very rapid decrease in the quality of one’s life, with many victims confined to a wheelchair or bed and in great discomfort for the last months of their life. When you meet with specialists at the Mayo Clinic, they provide a much more optimistic outlook and claim that medical breakthroughs in treating the disease have been made. You do not know what to believe. You wonder about reaching out to the support group to get further information or to convey what doctors have told you. What would you do?

I would post my actual problem and what doctor told me in open forum or any discussion board online to get more suggestion from the people who had such experience. I would post on my social networking sites if needed to gain more information about the disease and the best way to tackle it.


2. You are in your local computer store and see a “low-cost” laptop selling for just $299. There is a note on the price tag stating that $50 of the purchase price will be used to subsidize the cost of this computer to students in developing countries. How do you feel about paying an extra $50 for this purpose? Would you attempt to negotiate a lower price? Would you be willing to pay the additional $50?

If my salary is good enough to feed myself I would not have any problem giving 50 extra for social service. For me helping other who are in need of anything is my passion and I would love to do that without any hesitation.



1. Kaiser Permanente Implements Electronic Health Record (EHR) System

Discussion Questions

1. What do you think are the greatest benefits of the Health Connect system for Kaiser Permanente subscribers? Can you identify any potential risks or ethical issues associated with the use of this system for Kaiser healthcare plan subscribers? How would you answer these questions from the perspective of a physician or nurse?

HealthConnect System help Kaiser permanent subscriber to connect easily to their healthcare providers and also easily access to their personal healthcare information. It ensures the patients and healthcare providers for easy access to current, accurate, and complete patient data. It also provides capabilities to support bar coding for the safe administration of medicine to the patience. As such, it will not only make sure that correct medicine and personal data are provide but also save patients and doctor time.

The potential risk can be if personal information is sold to other company for advertisement. If the system fails by any chance, then the patient can get wrong information about their personal healthcare and also there is huge risk for healthcare providers to give wrong medication or diagnosis to the patient that can lead to loss of people lives.


2. This system took over seven years to implement and is estimated to have cost at least $4.2 billion. Would you say that this was a wise investment of resources for Kaiser Permanente? Why or why not?

I think it is good invest of resources for Kaiser Permanente even it took seven years to implement and cost around 4.2 billion. It is because Kaiser is experiencing the use of EHR improves health plan subscriber satisfaction with the healthcare delivery system. It also empowers healthcare plan subscribers to take more responsibility for managing their own health care. It enables physicians to benchmark their performance against colleagues on a number of fronts such as efficiency, quality, safety and service. It is one-time investment and can use it for years and years until other better system is develop. Before making investment on this system, I am pretty sure that number of Kaiser researcher had research about the cost and its effectiveness before starting this project.

3. Researchers associated with Kaiser Permanente have used the patient record database to make numerous worthwhile discoveries in the areas of preventing whooping cough, determining the correlation between HPV vaccination and sexual activity in young girls, improving methods of cancer detection, avoiding blood clots in women using birth control pills, and lowering cholesterol. Do you think that access to this valuable data should be granted to researchers not associated with Kaiser Permanente? What potential legal and ethical issues could arise if this were done? Should researchers be charged a fee to access this data to help offset the ongoing cost of upgrading the system?

Yes, I think the data sharing to other researchers to study and improve more about our healthcare system is right decision. However, they should not share to those company who can use this data for advertising purpose.

Potential legal and ethical issue is that if they share to other company and by any chance that company use that for advertisement or sold to other company for advertisement, then it would be negative drawback for both Kaiser and its customer.

No, I don’t think the research should be charge a fee to access this data to help offset the cost of upgrading the system. This is because charging fee for sharing personal data will be similar to selling personal data to company for advertising. We are using personal information to earn money to incur our expenses which is not ethical.


2. Decision Support for Healthcare Diagnosis

Discussion Questions

1. What concerns might a physician have about using a decision support system such as Isabel or Watson to make a medical diagnosis? How might those concerns be alleviated?

Error in decision support system can have serious and result in death or permanent injury of the patient. Error in such system can lead to failure in fully diagnose that put patients at risk of suffering a recurrence of the problem. Misdiagnosis of a patient’s condition can lead to costly, painful, potentially harmful and inappropriate treatments, which further lead to point that is no longer treatable. Such error not only cost patient life but also loss hundreds of thousand dollars for hospital when victims claim.

Some ways to alleviated these concerns are:

Company that develop such system need to carefully conduct test and make sure that system works perfectly under any circumstance.

If the system fails in one patient, all the physician should stop using it and find out the actual cause of the fail.

Should trained enough to physician and other users to use this system.


2. Is it possible that in a decade this type of technology could be easily accessible by laypeople who could then perform self-diagnosis, thus helping to reduce the cost of medical care?

I think this type of technology cannot be easily accessible to any people other than big hospital and other health care. It is because to acquire this system it cost a lot. Even someone have enough money to buy it for personal use, but I don’t think government will make allow it use for individual purpose unless they make some program that can enough training to people who wanted implement it.  

3. Does the use of decision support systems to support healthcare decisions seem like an effective way to reduce healthcare costs? Why or why not?

The use of decision support system to support healthcare decision will be effective way to reduce healthcare cost because using this system the healthcare provider need to hire less number of skill physician for diagnosis since this system will replace physician. Also it is faster and more effective than human being, it will not only save time but also can diagnosis lot more people in a day than normal physician can do. It will only increase the healthcare cost if the system fails.