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.

7 comments on “Technology Enables What is Truly Innovative: Trust

  • This is beautifully done, Dr. Luks. I was able to be at the Friedrich’s Ataxia Symposium at CHoP yesterday, and it was great to see the engaged patients and their engaged providers in action to help share research, collaborate, and work for a cure. The patient IS a very important part of the team.

    Thanks for getting these thoughts out.

  • Dr. Luks,

    I am a long time RSS follower. This is a brilliant summary of the problem and what we should do from a conceptual standpoint. The problem is, our systems aren’t designed to do anything like this. And, if they did, the culture hasn’t changed yet.

    I run a direct primary care practice, where I’ve eliminated incentives outside of the doctor-patient relationship. The first Direct Primary Care Summit was last weekend, and it is an incredible “movement” towards restoring that relationship and engaging patients. My patients have unlimited access and clinic time. But, I can tell you that it’s still a major challenge to do what you are describing here. Having a trusting relationship is a great first step, and it should be a relatively easy one compared to the rest of the process.

    There are promising studies on this. For example, Kaiser found an 88% reduction in mortality after a heart attack if you enroll patients in a patient engagement program. Logically, we should all want to do this, and Direct Primary Care practices tout this as a benefit. But, if you actually read what they do in these studies, you’ll see that we don’t use integrated systems that come close to a true patient engagement program. This has to change.

    I just went on a long-winded rant about this on my blog.


    Will Schupp, MD

    • Thanks Sr Schupp !
      I appreciate your words of wisdom. I applaud you and your efforts and appreciate your thoughts on this hugely important topic.

  • Dear Dr. Luks,

    First off, congratulations on the fantastic blog! It’s a real resource for any sports medicine doctor. This article in particular is very useful, specially for a surgeon from Brazil, where technology is still more limited than in the USA.

    All the best!

    Dr. Paulo

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