book reviews

•relaxes the gripping feeling in the chest find support, and their healing journey will be en- area, and hanced by the physical and mental renewal they gain •energizes the body, mind, and spirit. through using the video. Cost for the video is $19.95. The video “Yoga and the Gentle Art of Healing, A For more information about the video, visit Journey of Recovery After Breast Cancer” is profes- www.YogaJoyofDelMar.com or call 858-573-0090. ❖ sionally done and has a running time of 43 minutes. Easy to follow, the video offers women a chance at a Reproduced by permission physical, mental, and spiritual healing after surgery and treatment. Ms Rosen provides excellent instruction and Reference support and speaks directly from her own survival ex- 1. Feuer EJ, Wun LM, Boring CC, Flanders WD, Timmel MJ, Tong T. The lifetime risk of developing breast cancer. J Natl perience. Health care practitioners would be well ad- Cancer Inst 1993 Jun 2;85(11):892-7. vised to share this video with patients, friends, or fam- ily members who are facing breast cancer. They will

Journal of Telemedicine and Telecare

Review by Vincent J Felitti, MD

he Journal of Telemedicine and Telecare (JTT) is usually only a minor part of the equation for success- T now in its seventh year of bimonthly publication ful medical collaboration at a distance. Repeatedly, JTT by the Royal Society of Medicine (London). The jour- reports project failure traced to inadequately addressed nal is designed to bring together reports of successes issues of interpersonal cooperation, hidden competi- ISSN 1357-633X and failures in a new, exciting, and rapidly expanding tiveness, and a naïve hope that investment in technol- USD $173 for 6 issues, field where an impressive number of innovative ideas ogy can somehow solve problems that have not been supplements, and full-text are being tested around the world. thoroughly analyzed. When we also recognize that access to current Clearly, electronic storage and transfer of informa- successful telemedicine approaches are volume-depen- and previous issues. Publisher: Royal Society tion is currently important in medical practice and is dent (because of costs that must be capitalized), we of Medicine, London essential to its future. Use of computers, personal digi- realize that any smoothly running, high-volume opera- www.rsm.ac.uk/pub/jtt.htm tal assistants, and the Internet by physicians and pa- tion depends first on a leader who organizes human tients has become common. But expectations are ris- efforts for cumulative effect. ing faster than are experience and practical use. For The Journal of Telemedicine and Telecare would be instance, resolution of operational problems is now a good investment for Kaiser Permanente’s in hospital commonly postponed with the statement, “That will medical libraries as a way to develop interest, stimu- be solved when we get the electronic .” late imaginative thinking, and yet maintain realistic Browsing through JTT, the reader finds a number of expectations among Permanente physicians contem- remarkably imaginative projects that have already been plating the rapidly expanding field of telemedicine. Vincent J Felitti, MD, instituted, often in remote parts of the world. Some physicians may wish to subscribe, but others has been with the Telepathology, , videoconferencing, might want to use the free alerting service with Table Southern California Permanente Medical , home monitoring, and are of Contents posted on the Internet at www.rsm.ac.uk/ Group since its opening all used, although not necessarily successfully. The pub/jtt.htm. A free sample issue may also be viewed at in San Diego in the reader of JTT also finds that the technology itself is that Internet address. ❖ late 1960s.

80 The Permanente Journal/ Winter 2003/ Volume 7 No. 1