About the author:

Howard J. Luks, MD

Howard J. Luks, MD

A Board Certified Orthopedic Surgeon in Hawthorne, NY. Dr. Howard Luks specializes in the treatment of the shoulder, knee, elbow, and ankle. He has a very "social" patient centric approach and believes that the more you understand about your issue, the more informed your decisions will be. Ultimately your treatments and his recommendations will be based on proper communications, proper understanding, and shared decision-making principles – all geared to improve your quality of life.

5 comments on “Better… (and Time to Move Forward)

  • Welcome to the summit of Mount Frustration. :)We puff and wheeze to get to the top, only to find that everyone is either still following along behind us, or has already begun their descent into the Land of Possibility that lies beyond.We all tread the same path. We all experience the disappointment of finding that not everyone is ready to act at the same time as we are, in the same ways that we want to. We all feel that change isn’t happening fast enough. And we’re all right.Overworked though the maxim may be: the social web merely foregrounds the necessity of our having to be the change we want to see in the world. It does not resolve the eternal question of temporal variance with regard to the evolution of personal perspectives.We are all going to have our own epiphanies for our own reasons in our own time.However, what the social web *does* provide us with is a matrix of strong and weak ties to a community of amazingly talented, capable people who are acting on their own behalves to create the changes that we are individually and collectively shaping into a vision of what we would like the future to look like.There is no moment of sudden rupture, when things suddenly transition from How They Were into How They Want Them To Be. Rather, change is happening around us, constantly.If we can find a moment of quiet contemplation in our working lives to look around the virtual environments we labour within, we can almost believe we can steal a glimpse of change happening in real time at a nearly-imperceptible speed.Where?In the flow of data in our stream.In the new voices joining the health conversation every day asking the questions that have just occurred to them that we may have discussed last year, but that remain axial to their lived experience in their own ontological present.Now, they want to converse and listen. Soon, they will act. And we will act with them.

  • Great comment @andrewspong . Can you tell that I am a surgeon :-) Sometimes that surgical personality comes through and leads to frustration at my perceived rate of change. True, incremental change is better than no change at all… but those of us who have been bouncing this around for quite a while now should have more to offer the newcomers other than seasoned advice. No?

  • I followed Merlin Mann 4 years ago before he left the infosphere in despair. He hated the nonsense and in many ways was way ahead of all of us. I know your frustration but would encourage you to find a way to make this dialog fit in somehow for you. This is one big experiment in its early stages. The doctors are just starting to show up and they need some direction. We’ll keep the light on for you.

  • Howard –Yes, we can tell you’re a surgeon.This sense of frustration is not unique to social media or health care social media. In many contexts, I know the right answer (even though I’m *not* a surgeon), but I can’t just shout it out and expect everyone to fall in line. “Getting to yes” is a process that involves the development of consensus among all affected stakeholders.The key to not getting frustrated is defining each stage of the problem you want to solve (Q: How do you eat an elephant? A: One bite at a time.), and defining the community of stakeholders you need in order to address and solve the problem. This approach will extricate you from having the introductory conversation over and over again, and move you into more fertile territory, where you can have a series of incremental “wins.” The wins allow you to move the ball forward on a broader front.You have acted on this advice (before I even had the chance to offer it!) by ramping up your own professional social media efforts, and you’ve let us know that those efforts have yielded you wins — new patients through the door. They also give you a bully pulpit from which you have the opportunity to educate and inform your patients and the general public, and influence other clinicians (all good things).Don’t fold your tents yet.

  • Thanks everyone who took the time to leave a thoughtful comment!! Your points are valid and well taken…even from a surgeon :-) !! No wonder there are so few surgeons engaging in social media

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