Research - Digitized Medicine

I have been researching the ways in which technology is affecting the field of medicine, particularly in the fields of surgery and radiology.  Currently, hospitals and medical offices are digitizing all of their patients’ medical records, and attempting to function in a paperless space. The manila file stuffed with incoherent scribbles of past visit, medication, and test results is being replaced by multimedia documents that may include advanced digital imagery of the patient. In addition, medical technologies are changing the role of the physician to one of a computer technician – magnetic resonance imaging, laparoscopic exploration, automated cellular imaging systems, and 3D optical scanning are a few examples of technologies in which doctors rely on digital technologies to provide patients with a diagnosis. 

How might this affect the patient’s expectations of his physician? Does digitization of medical records inevitably lead to centralization? If we assume that digitization is inevitable, can patients capitalize on their own documents? Who or what can patients and physicians expect to have access to their records? How will our digital self live on after our physical body doesn’t? What are doctors looking for when they switch to digital record-keeping and will they find it? Why do doctors wear stethoscopes …

My dissertation, Green Chairs, Fictional Phalluses, Infiltration, and Love on the Rocks: Medical Imaging Artifacts Blown Up, outlines and applies a methodology for deciphering problems and producing new information by analyzing the artifacts produced by medical imaging technologies – text and images – using practices gleaned from Surrealists, semiologists, and visual artists, emphasizing its own form as being the product of the apparatuses that produce it and therefore untrustworthy. Its basic assumption is that every text contains the information necessary to solve problems of all sorts, though because of the limitations of this text in both form and authorial intellect, we may only reach a starting point for a solution herein. In this regard, we are deciphering rather than solving. Further, this text illustrates primarily through narratives how digital imaging technologies mediate our relationship with our doctors, illnesses, and our bodies. It explores how the artifacts produced by medical imaging technologies create a data stream that replaces the corporal patient, shifting the physician’s focus from the whole body to pieces and parts.

It is a study of texts and technologies. The method evolved from a rhetorical approach to examining the medical imaging artifacts and the processes by which those artifacts come into existence, with the method and form becoming part of the story, producing a wide array of new information that transcends disciplinary constraints.

Visual and Textual Productions

Here are a few visual and textual expressions of my research:

Date created

Description

File type

7/28/08 Proposal entitled "The Machinery of Design: Playing with Brecht, the Surrealists, and Provocative Images" accepted for paper presentation at the Third International Conference on Design Principles and Practices in Berlin, Germany, February 15-17, 2009 Here is a PDF of the proposal. Here is a link to the proposal on the conference site.
7/19/08 Proposal entitled "Medical Experiences, Visual Rhetoric, and Stories of Love: The Incredible Lightness of Being X-Rayed" accepted for paper presentation at the Popular & American Culture Associations in the South annual conference in Louisville, Kentucky, October 9-11, 2008 Here is a PDF of the proposal, the paper, and the handout. (You must imagine the handout folded in half, as a booklet with Page 2 as the inside pages.)
6/1/08 Proposal accepted for panel presentation at the FCA conference, Communication Across the Disciplines, in Gainesville, Florida, October 16-18, 2008 Proposal will be posted soon ...
5/8/08 Dissertation approved May 7, 2008: Green Chairs, Fictional Phalluses, Infiltration, and Love on the Rocks: Medical Imaging Artifacts Blown Up PDF of the introduction and Chapter 1. Email me if you're interested in reading more.
3/21/08 "Visions of Love, Radiology & Green Chairs" ... Paper presented at the PCA annual conference in San Francisco PDF of the handout ... View PDF file.  Requires Adobe Acrobat. Email me if you're interested in the paper or visual presentation.
11/08/07 "Jugular Trouble" ... Paper presented at the FCEA annual conference in Fort Pierce PDF of the handout ... View PDF file.  Requires Adobe Acrobat. Email me if you're interested in the paper.
06/26/06 An essay in response to the prospectus defense meeting: "How the Prospectus Defense Meeting Shaped My Dissertation Project or What I Learned Sitting at the Table of Truth" PDF ... View PDF file.  Requires Adobe Acrobat.
06/23/06 Dissertation prospectus defended and approved on 06/23/06 PDF ... View PDF file.  Requires Adobe Acrobat.
05/11/06 My qualifying exam: an abstract that describes my dissertation prospectus ... sort of a proposal for a proposal? PDF ... View PDF file.  Requires Adobe Acrobat.
04/19/06 "A Resurrection of Love: Fictional Phalluses in a Mechanical Age" - An essay about medicine, of sorts PDF ... View PDF file.  Requires Adobe Acrobat.
04/12/06 A response to Stanley's "Women Hold Up Two-Thirds of the Sky” HTML ... Will open in Web browser.
03/01/06 A brief, visual response to Haraway's "“Otherwordly conversations; Terran Topics; Local Terms” HTML ... Will open in Web browser. Note: Contains audio that will not play automatically in Mozilla.  It does seem to work in IE.
02/22/06 A brief, visual response to Harding's "Rethinking Standpoint Epistemology" HTML ... Will open in Web browser. Note: Maximize your browser window or text will overlap image.
02/08/06 A brief, visual response to Stone's The War of Desire and Technology at the Close of the Mechanical Age HTML ... Will open in Web browser. Note: Contains audio that will not play automatically in Mozilla.  It does seem to work in IE.
02/01/06 A brief, visual response to Laquer's "Destiny is Anatomy" HTML ... Will open in Web browser.  

01/11/06

"Stones Removed" - An essay about observations of a laparoscopic cholecystectomy

PDF ... View PDF file.  Requires Adobe Acrobat.

04/21/05

The Brain: Mindless Matter discusses how pervasive use of brain scans for comparative studies of errant behaviors may increase the number of behaviors we consider errant and increase our desire to achieve a physical state of normalcy through drugs

PDF ... View PDF file.  Requires Adobe Acrobat.

04/14/05

A Short Histopictographicalgrammatical Story of the Internet, which is not a mockery of anything whatsoever.

HTML ... Will open in Web browser.  Might take time to fully download background music.

03/31/05

A brief response to The Language of New Media by Lev Manovich

DOC ... Download Word file.

03/23/05

A brief response to The Electronic Word by Richard Lanham

DOC ... Download Word file.

03/18/05

An expressive interpretation of my daughter's chest x-ray

HTML ... Will open in Web browser.  Right-click on image to save JPEG.

03/09/05

A video that addresses brain scans, insanity, and normalcy

WMV ... (2.5MB) Windows Media Player will play automatically. 

02/23/05

A summary of 480 years' worth of technological development, based on Leonardo and the Internet by Thomas Misa

PPS ... (1.4MB)  Download PowerPoint presentation, minus its original Gregorian chants.  Click here to read only the text - in rhyme.

02/16/05

A brief response to The Languages of Edison's Light by Charles Bazerman

DOC ... Download Word file.

02/09/05

A brief response to When Old Technologies Were New by Carolyn Marvin

DOC ... Download Word file.

02/02/05

A brief response to When Information Came of Age by Daniel Headrick

DOC ... Download Word file.

01/26/05

A brief response to Plato's Phaedrus.

DOC ... Download Word file.

01/19/05

A brief response to Orality and Literacy by Walter Ong

DOC ... Download Word file.

12/04/04

Imagining the Human Body discusses how advances in radiology are affecting the way that patients view their illness and bodies, along with the doctor/patient relationship

HTML ... Created in Word and converted to HTML.  Click here to download actual Word file.

10/29/04

"Medical Imaging Technology" begins to show how these technologies are changing medicine and culture

ZIP ... (8.6MB) Unzip PowerPoint presentation with viewer.  You should hear music and see moving text.  If you don't, it's not working properly.

Contact Me

If you have medical expertise or insight on this topic and would like to discuss this research, please email me by clicking here: Lynn Koller.

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