Dr. Victor Montori: Minimally Disruptive Medicine

On Saturday March 10th, our guest was Dr. Victor Montori discussing a new movement in medicine.  It involves patients advocating for themselves and a medical staff that works together to help the patient.  It’s called Minimally Disruptive Medicine.

Medical Edge Weekend 3-10-12

16 Comments

  1. JAMES CHURCH
    Posted March 4, 2012 at 9:09 pm | Permalink

    Not much change as we’ve been fending for ourselves for years. There is a total diregard for communication between most VA Physicians and the Veteran. They won’t or can’t take time to listen.

    • Tracy
      Posted March 13, 2012 at 2:41 pm | Permalink

      Dr. Montori says “I have tremendous respect for the VA and what it has done to reach out to patients, including the use of telemedicine. It is key to know that MDM is fundamentally patient-centered care, and this cannot be done without patient participation.”

  2. Salem
    Posted March 6, 2012 at 10:29 am | Permalink

    Why the physician especially in Arab country donot trust the pharmacist decision , I mean hospital pharmacist, and frankly not all of them , I would like to know the mayoclinic opinion in this issue.

    • Tracy
      Posted March 13, 2012 at 2:40 pm | Permalink

      Dr. Montori says “MDM requires multidisciplinary teams – if some disciplines fail to trust or respect the contributions of the other one then you have one of the factors that contributed to disruption int he first place!”

  3. Posted March 7, 2012 at 9:59 am | Permalink

    I’m sorry to say, but “Minimally Disruptive Medicine” sounds negative. You are implying that Medicine is disruptive, but clearly, it is not. Also, what you are trying to explain is already placed into practice. The medical offices that allow patients to stand up for themselves and medical staff that work together is known as a “Cooperative Medical Practice.” And furthermore, medicine will only be non-disruptive if holistic practices are implemented that are non-invasive.

    • Tracy
      Posted March 13, 2012 at 2:38 pm | Permalink

      Dr. Montori says “Quite likely this is the case but the dissemination of models of care that work and make healthcare fit for patients is quite limited. Medical practice is often severly disruptive, particularly for patients with multiple chronic conditions. Particularly for these patients who also have social deprivation.”

  4. Posted March 7, 2012 at 10:08 am | Permalink

    Sounds like what nurses have done for years!

    • Tracy
      Posted March 13, 2012 at 2:38 pm | Permalink

      Dr. Montori says “Probably some nurses, in some settings, but MDM requires team work.”

  5. Scott Lara
    Posted March 9, 2012 at 10:04 pm | Permalink

    It seems that Mayo does not utilize home healthcare to the fullest which would help patients. I work for Welcome Homecare in Jax Fl and we never get Medicare referrals from Mayo. We can help in so many ways at no cost to the patient.

    • Tracy
      Posted March 13, 2012 at 2:39 pm | Permalink

      Dr. Montori says “MDM requires participation and coordination with multiple actors, some in the healthcare system, some in the community. ‘Referrals’ often fall appart in the handoffs. It is better to work in a tightly coordinated system.”

  6. Posted March 10, 2012 at 6:05 am | Permalink

    Interesting, very interesting. I think it´s a very novel approach.

  7. Posted March 10, 2012 at 9:33 am | Permalink

    Sounds like a great updated implementing of the Hippocratic Oath’s “never do harm” clause. Person-centered care gives greatest respect to the whole person and the whole practice.

  8. Bob Kirby
    Posted March 10, 2012 at 9:38 am | Permalink

    Good show this morning. I recently finished caring for a Depression/WWII-era parent. People my folks’ generation are used to the doctor being in total control. I stressed over and over to my father that HE had to represent himself, be his own advocate, force the doc to slow down and explain things, because modern healthcare has so darn many cracks an individual might slip through, owing to miscommunications and handoffs from general practitioner to the specialist, etc.

    Important, I think, for The System to stress to patients that they, or trusted family member, etc., need to STAY ON TOP and manage their own care…

  9. Sharon O'Dell
    Posted March 10, 2012 at 10:28 am | Permalink

    Thank you for this program!

    I can tell you that healthcare IS complicated and becomes a full time job the minute a family member has complex health issues.

    I have lived the life of a full time caregiver to my husband for the last 8 years. In 2004 I had to quit working because my husband’s healthcare had become my full time job.

    Over the last 2 years, we actually carved out a role similar to that you discussed in this show today. It has taken a lot of running around to know when/who to tap for a specific health matter, but we always go back to the Primary Care Provider FIRST and ask him to manage the care. Only when he is truly concerned enough to want a second opinon does he “farm out” my husband to Specialists. This helps us both keep the quality of life as our focal point – instead of making health care our full time job, as it used to be!

    I am graduating in June with my M.Sc. in Internet Marketing and look forward to returning to the workforce in a part or full time position BECAUSE we have been able to work out a “Minimally Disruptive Medicine” care routine!

    Minimally Disruptive Medicine IS a good idea. It CAN work. Thank you for this radio program and for advancing the idea. Information IS power!

    • Sharon O'Dell
      Posted March 10, 2012 at 10:32 am | Permalink

      For the record: My husband is 55. Not even close to “elderly”. His issues struck him in the prime of his working life.

  10. Carlos Rizo
    Posted March 10, 2012 at 11:40 am | Permalink

    Primum Non Nocere – first do not harm – is one of the first precepts taught at medical schools around the world. I think MInimally Invasive Medicine is a concept that recaptures this precept to bring new awareness and is including the patient as part of the formula to deliver it.


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