Selling healthy nutrition: what the experts just don’t get

Earth to Cleveland Clinic: under no circumstances is a bowl of oatmeal (even one as photogenic as this one featured on your Twitter feed) a “swap” for bacon.

The only possible swap for bacon is another piece of bacon. Turkey bacon is NOT bacon. Those dreadful soy protein veggie bacon-bits are NOT bacon. And a bowl of oatmeal is most certainly NOT bacon.  The only bacon product worth eating is real bacon. Period.   Continue reading

How we got sucked into live-tweeting at conferences

What live-tweeting looks like from the stage

What live-tweeting looks like from the stage

Me: “My name is Carolyn, and I live-tweet at conferences . . .”

You (all together now):  “Hello, Carolyn!”

Yes, dear readers, I’m talking about the obsessive practice of live-tweeting to your Twitter followers those awkward little bits and pieces of a speaker’s presentation at conferences, meetings or major events.

I’m also talking from the perspective of a person who has both been onstage as a conference speaker in front of an audience of people who are live-tweeting what I’m saying, AND who has also furiously live-tweeted other conference speakers.  And here’s why I’ve finally become a recovering live-tweeter.   Continue reading

Can I change my mind about docs on social media?

As regular readers already know, I’ve told some embarrassingly cringe-worthy tales about how some health care professionals are using social media (here, here and here, for example).  In Doctors Behaving Badly Online, I cited studies by Washington, DC researcher Dr. Katherine Chretien and her findings of physicians’ unprofessional” posts on Twitter featuring “very naughty words, potential violations of patients’ privacy, and discriminatory statements.”

Two years ago, when the British Medical Association warned U.K. docs and med students NOT to make “informal, personal or derogatory comments” online about their patients, I became even more alarmed. Why, I wondered at the time, is it even necessary to issue this warning to intelligent, educated brainiacs with the letters MD (or rather, in the U.K., the letters MBBS) after their names?

There are still regrettable cases coming to light about Doctors Behaving Badly Online, but lately, I’ve been rethinking my former suspicion that many health care providers simply have no business wading into social media. And the reason for the rethink is this: physicians are, in essence, abdicating their role as our medical educators. Continue reading

Why patients hate the C-word

Way back in 1847, the American Medical Association panel on ethics decreed that “the patient should obey the physician.” There may very well be physicians today – in the era of empowered patients and patient-centred care and those darned Medical Googlers who glance nostalgically backwards at those good old days.

Let’s consider, for example, the simple clinical interaction of prescribing medication.  If you reliably take the daily meds that your doctor has prescribed for your high blood pressure, you’ll feel fine.  But if you stop taking your medication, you’ll still feel fine.  At least, until you suffer a stroke or heart attack or any number of consequences that have been linked to untreated hypertension.

Those who do obediently take their meds are what doctors call “compliant”. And, oh. Have I mentioned how much many patients like me hate that word? Continue reading

A philosopher’s take on Big Pharma marketing

You may not expect to find an ivory tower academic whose erudite specialty is philosophy hanging out at drug marketing conferences, but that’s where you would have found Dr. Sergio Sismondo a few years ago. The professor of philosophy at my old stomping ground, Queen’s University in Kingston, Ontario, turned up at the annual meeting of the International Society of Medical Planning Professionals, one of two large organizations representing medical communications firms.

A medical communications firm is a business that sells services to pharmaceutical and other companies for “managing” the publication and placement of scientific research papers for maximal marketing impact, often  running a full publicity campaign to help sell the drug being “studied”. This is an alarmingly widespread practice in which drug companies essentially decide what your physician will end up reading in medical journals.  Continue reading

“We never imagined people would think of osteopenia as a disease”

Here’s a drug marketing plan that is dazzling in its brilliant effectiveness. I’m thinking of including it in any future PR workshops I do on marketing communications. It’s a plan to sell pills to treat something called osteopenia, a condition that only recently started to be thought of as a problem that even needs treatment.

It’s a plan to convince consumers and their physicians that these pills should be in the medicine cabinets of millions of women worldwide.

But more broadly, it’s a plan to change the definition of what a disease is, and the role that drug companies can play in that change.  Continue reading