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	<title>Raise Awareness of the Reality of Rare DisordersComments on: --</title>
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	<link>http://e-patients.net/archives/2009/02/raise-awareness-of-the-reality-of-rare-disorders.html</link>
	<description>because health professionals can&#039;t do it alone</description>
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		<title>By: Rare Disease Day 2011: &#8220;Raise Your Hand To Help Millions of Americans&#8221; &#124; e-Patients.net</title>
		<link>http://e-patients.net/archives/2009/02/raise-awareness-of-the-reality-of-rare-disorders.html/comment-page-1#comment-74412</link>
		<dc:creator>Rare Disease Day 2011: &#8220;Raise Your Hand To Help Millions of Americans&#8221; &#124; e-Patients.net</dc:creator>
		<pubDate>Sun, 27 Feb 2011 15:01:53 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=1291#comment-74412</guid>
		<description>[...] this year, as in 2009 and 2010, we&#8217;re pleased to highlight Rare Disease Day (February 28), with a post from Wendy [...]</description>
		<content:encoded><![CDATA[<p>[...] this year, as in 2009 and 2010, we&#8217;re pleased to highlight Rare Disease Day (February 28), with a post from Wendy [...]</p>
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		<title>By: &#8220;Alone we are rare. Together we are strong.&#8221; Rare Disease Day 2/28/10 &#124; e-Patients.net</title>
		<link>http://e-patients.net/archives/2009/02/raise-awareness-of-the-reality-of-rare-disorders.html/comment-page-1#comment-51073</link>
		<dc:creator>&#8220;Alone we are rare. Together we are strong.&#8221; Rare Disease Day 2/28/10 &#124; e-Patients.net</dc:creator>
		<pubDate>Mon, 22 Feb 2010 03:49:04 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=1291#comment-51073</guid>
		<description>[...] White of Siren Interactive supports Rare Disease Day. We ran her post about it last year; she&#8217;s back. Be inspired by this great cause &#8211; and be [...]</description>
		<content:encoded><![CDATA[<p>[...] White of Siren Interactive supports Rare Disease Day. We ran her post about it last year; she&#8217;s back. Be inspired by this great cause &#8211; and be [...]</p>
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		<title>By: Dagan</title>
		<link>http://e-patients.net/archives/2009/02/raise-awareness-of-the-reality-of-rare-disorders.html/comment-page-1#comment-11304</link>
		<dc:creator>Dagan</dc:creator>
		<pubDate>Mon, 16 Mar 2009 21:40:57 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=1291#comment-11304</guid>
		<description>Hey, is there a section just for latest news</description>
		<content:encoded><![CDATA[<p>Hey, is there a section just for latest news</p>
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		<title>By: Rare Disease Day 2009 &#124; e-Patients.net</title>
		<link>http://e-patients.net/archives/2009/02/raise-awareness-of-the-reality-of-rare-disorders.html/comment-page-1#comment-9284</link>
		<dc:creator>Rare Disease Day 2009 &#124; e-Patients.net</dc:creator>
		<pubDate>Sat, 28 Feb 2009 19:51:29 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=1291#comment-9284</guid>
		<description>[...] is Rare Disease Day 2009.  Join us in recognizing the reality of rare disorders and celebrating the beauty in the eyes of children living with rare disease and those who have lost [...]</description>
		<content:encoded><![CDATA[<p>[...] is Rare Disease Day 2009.  Join us in recognizing the reality of rare disorders and celebrating the beauty in the eyes of children living with rare disease and those who have lost [...]</p>
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		<title>By: healthythinker</title>
		<link>http://e-patients.net/archives/2009/02/raise-awareness-of-the-reality-of-rare-disorders.html/comment-page-1#comment-50061</link>
		<dc:creator>healthythinker</dc:creator>
		<pubDate>Fri, 27 Feb 2009 18:34:24 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=1291#comment-50061</guid>
		<description>&lt;span class=&quot;topsy_trackback_comment&quot;&gt;&lt;span class=&quot;topsy_twitter_username&quot;&gt;&lt;span class=&quot;topsy_trackback_content&quot;&gt;Tomorrow is Rare Disease Day - please raise awareness! - http://tinyurl.com/asr59d&lt;/span&gt;&lt;/span&gt;</description>
		<content:encoded><![CDATA[<p><span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">Tomorrow is Rare Disease Day &#8211; please raise awareness! &#8211; <a href="http://tinyurl.com/asr59d" rel="nofollow">http://tinyurl.com/asr59d</a></span></span></span></p>
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		<title>By: Susannah Fox</title>
		<link>http://e-patients.net/archives/2009/02/raise-awareness-of-the-reality-of-rare-disorders.html/comment-page-1#comment-8923</link>
		<dc:creator>Susannah Fox</dc:creator>
		<pubDate>Thu, 26 Feb 2009 16:55:25 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=1291#comment-8923</guid>
		<description>Here is a collection of photos of patients living with a Rare Disease who participated in the EURORDIS 2008 photo competition, just in case you haven&#039;t wept yet today:

http://www.youtube.com/watch?v=bqEKxygDZg0

No, really, check it out.</description>
		<content:encoded><![CDATA[<p>Here is a collection of photos of patients living with a Rare Disease who participated in the EURORDIS 2008 photo competition, just in case you haven&#8217;t wept yet today:</p>
<p><a href="http://www.youtube.com/watch?v=bqEKxygDZg0" rel="nofollow">http://www.youtube.com/watch?v=bqEKxygDZg0</a></p>
<p>No, really, check it out.</p>
]]></content:encoded>
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		<title>By: Michael Segal MD PhD</title>
		<link>http://e-patients.net/archives/2009/02/raise-awareness-of-the-reality-of-rare-disorders.html/comment-page-1#comment-8624</link>
		<dc:creator>Michael Segal MD PhD</dc:creator>
		<pubDate>Mon, 23 Feb 2009 23:11:47 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=1291#comment-8624</guid>
		<description>Many medical listservs are restricted to medical professionals so as to encourage doctors to discuss details of a clinical situation in more detail than they would do publicly.  There are plusses and minuses to doing so, but that is the choice they made.

For this particular discussion the minuses are more evident since we are all operating from the public account of the case.  However, if Dr. Gahl joins the discussion on the listserv or discusses the case with one of us the plusses would be somewhat more evident (but he hasn&#039;t do so yet).</description>
		<content:encoded><![CDATA[<p>Many medical listservs are restricted to medical professionals so as to encourage doctors to discuss details of a clinical situation in more detail than they would do publicly.  There are plusses and minuses to doing so, but that is the choice they made.</p>
<p>For this particular discussion the minuses are more evident since we are all operating from the public account of the case.  However, if Dr. Gahl joins the discussion on the listserv or discusses the case with one of us the plusses would be somewhat more evident (but he hasn&#8217;t do so yet).</p>
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	<item>
		<title>By: e-Patient Dave</title>
		<link>http://e-patients.net/archives/2009/02/raise-awareness-of-the-reality-of-rare-disorders.html/comment-page-1#comment-8561</link>
		<dc:creator>e-Patient Dave</dc:creator>
		<pubDate>Mon, 23 Feb 2009 02:26:56 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=1291#comment-8561</guid>
		<description>Why?</description>
		<content:encoded><![CDATA[<p>Why?</p>
]]></content:encoded>
	</item>
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		<title>By: Michael Segal MD PhD</title>
		<link>http://e-patients.net/archives/2009/02/raise-awareness-of-the-reality-of-rare-disorders.html/comment-page-1#comment-8559</link>
		<dc:creator>Michael Segal MD PhD</dc:creator>
		<pubDate>Mon, 23 Feb 2009 02:14:58 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=1291#comment-8559</guid>
		<description>The listserv is at http://www-personal.umich.edu/~leber/c-n/e-mailUM.html, but membership &quot;is restricted to pediatric neurologists, pediatricians, adult neurologists, and neurosurgeons&quot;.</description>
		<content:encoded><![CDATA[<p>The listserv is at <a href="http://www-personal.umich.edu/~leber/c-n/e-mailUM.html" rel="nofollow">http://www-personal.umich.edu/~leber/c-n/e-mailUM.html</a>, but membership &#8220;is restricted to pediatric neurologists, pediatricians, adult neurologists, and neurosurgeons&#8221;.</p>
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	</item>
	<item>
		<title>By: e-Patient Dave</title>
		<link>http://e-patients.net/archives/2009/02/raise-awareness-of-the-reality-of-rare-disorders.html/comment-page-1#comment-8552</link>
		<dc:creator>e-Patient Dave</dc:creator>
		<pubDate>Mon, 23 Feb 2009 00:15:11 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=1291#comment-8552</guid>
		<description>Welcome, Michael! Got a link to that listserv for anyone who happens by?</description>
		<content:encoded><![CDATA[<p>Welcome, Michael! Got a link to that listserv for anyone who happens by?</p>
]]></content:encoded>
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		<title>By: Michael Segal MD PhD</title>
		<link>http://e-patients.net/archives/2009/02/raise-awareness-of-the-reality-of-rare-disorders.html/comment-page-1#comment-8551</link>
		<dc:creator>Michael Segal MD PhD</dc:creator>
		<pubDate>Mon, 23 Feb 2009 00:09:11 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=1291#comment-8551</guid>
		<description>People may be interested in the article in today&#039;s New York Times Magazine about diagnosing rare diseases 
(http://www.nytimes.com/2009/02/22/magazine/22Diseases-t.html).  Running the case described in the article through our SimulConsult diagnostic software raises the possibility of some basement membrane disorders, the same type of diseases that the folks at the NIH are considering.  We have a discussion on the Child Neuro listserv trying to figure out the diagnosis.</description>
		<content:encoded><![CDATA[<p>People may be interested in the article in today&#8217;s New York Times Magazine about diagnosing rare diseases<br />
(<a href="http://www.nytimes.com/2009/02/22/magazine/22Diseases-t.html" rel="nofollow">http://www.nytimes.com/2009/02/22/magazine/22Diseases-t.html</a>).  Running the case described in the article through our SimulConsult diagnostic software raises the possibility of some basement membrane disorders, the same type of diseases that the folks at the NIH are considering.  We have a discussion on the Child Neuro listserv trying to figure out the diagnosis.</p>
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		<title>By: Michael Segal MD PhD</title>
		<link>http://e-patients.net/archives/2009/02/raise-awareness-of-the-reality-of-rare-disorders.html/comment-page-1#comment-8550</link>
		<dc:creator>Michael Segal MD PhD</dc:creator>
		<pubDate>Sun, 22 Feb 2009 23:59:48 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=1291#comment-8550</guid>
		<description>e-Patient Dave wrote &quot;I need some help here from people who are wizards in the “long tail” concept.&quot;  We&#039;ve been taking that approach in a general way towards diagnosis of rare diseases.  It is great to have support groups once a diagnosis is made, but it is crucial to find the diagnosis without going through years of a diagnostic odyssey.  Our software helps people diagnose 1,832 neurological and metabolic syndromes - it runs from www.simulconsult.com.

There are a variety of sites that have groups for individual diseases or collections of many such groups.  We discuss some of these in our &quot;Health 2.0 for Neurologists&quot; article at http://www.aan.com/news/?event=read&amp;article_id=5277</description>
		<content:encoded><![CDATA[<p>e-Patient Dave wrote &#8220;I need some help here from people who are wizards in the “long tail” concept.&#8221;  We&#8217;ve been taking that approach in a general way towards diagnosis of rare diseases.  It is great to have support groups once a diagnosis is made, but it is crucial to find the diagnosis without going through years of a diagnostic odyssey.  Our software helps people diagnose 1,832 neurological and metabolic syndromes &#8211; it runs from <a href="http://www.simulconsult.com" rel="nofollow">http://www.simulconsult.com</a>.</p>
<p>There are a variety of sites that have groups for individual diseases or collections of many such groups.  We discuss some of these in our &#8220;Health 2.0 for Neurologists&#8221; article at <a href="http://www.aan.com/news/?event=read&#038;article_id=5277" rel="nofollow">http://www.aan.com/news/?event=read&#038;article_id=5277</a></p>
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		<title>By: Bill Stadick</title>
		<link>http://e-patients.net/archives/2009/02/raise-awareness-of-the-reality-of-rare-disorders.html/comment-page-1#comment-55675</link>
		<dc:creator>Bill Stadick</dc:creator>
		<pubDate>Sat, 21 Feb 2009 22:48:21 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=1291#comment-55675</guid>
		<description>&lt;span class=&quot;topsy_trackback_comment&quot;&gt;&lt;span class=&quot;topsy_twitter_username&quot;&gt;&lt;span class=&quot;topsy_trackback_content&quot;&gt;RT: @skybluedesigns2 Rare Disease Day is February 28th http://tinyurl.com/asr59d #rare&lt;/span&gt;&lt;/span&gt;</description>
		<content:encoded><![CDATA[<p><span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">RT: @skybluedesigns2 Rare Disease Day is February 28th <a href="http://tinyurl.com/asr59d" rel="nofollow">http://tinyurl.com/asr59d</a> #rare</span></span></span></p>
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	<item>
		<title>By: PleaseRetweet</title>
		<link>http://e-patients.net/archives/2009/02/raise-awareness-of-the-reality-of-rare-disorders.html/comment-page-1#comment-50062</link>
		<dc:creator>PleaseRetweet</dc:creator>
		<pubDate>Sat, 21 Feb 2009 01:18:52 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=1291#comment-50062</guid>
		<description>&lt;span class=&quot;topsy_trackback_comment&quot;&gt;&lt;span class=&quot;topsy_twitter_username&quot;&gt;&lt;span class=&quot;topsy_trackback_content&quot;&gt;RT Rare Disease Day actions you can take: http://budurl.com/esh7 #rare Please retweet.: Rare Disease Day actio.. http://tinyurl.com/ahs76o&lt;/span&gt;&lt;/span&gt;</description>
		<content:encoded><![CDATA[<p><span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">RT Rare Disease Day actions you can take: <a href="http://budurl.com/esh7" rel="nofollow">http://budurl.com/esh7</a> #rare Please retweet.: Rare Disease Day actio.. <a href="http://tinyurl.com/ahs76o" rel="nofollow">http://tinyurl.com/ahs76o</a></span></span></span></p>
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	<item>
		<title>By: ePatientDave</title>
		<link>http://e-patients.net/archives/2009/02/raise-awareness-of-the-reality-of-rare-disorders.html/comment-page-1#comment-50063</link>
		<dc:creator>ePatientDave</dc:creator>
		<pubDate>Wed, 18 Feb 2009 03:10:02 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=1291#comment-50063</guid>
		<description>&lt;span class=&quot;topsy_trackback_comment&quot;&gt;&lt;span class=&quot;topsy_twitter_username&quot;&gt;&lt;span class=&quot;topsy_trackback_content&quot;&gt;@gfry Result: uncommon diseases (the most common condition! http://is.gd/irvi) continue to go unserved.  #medpedia&lt;/span&gt;&lt;/span&gt;</description>
		<content:encoded><![CDATA[<p><span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">@gfry Result: uncommon diseases (the most common condition! <a href="http://is.gd/irvi" rel="nofollow">http://is.gd/irvi</a>) continue to go unserved.  #medpedia</span></span></span></p>
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	<item>
		<title>By: ePatientDave</title>
		<link>http://e-patients.net/archives/2009/02/raise-awareness-of-the-reality-of-rare-disorders.html/comment-page-1#comment-50064</link>
		<dc:creator>ePatientDave</dc:creator>
		<pubDate>Tue, 17 Feb 2009 19:26:33 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=1291#comment-50064</guid>
		<description>&lt;span class=&quot;topsy_trackback_comment&quot;&gt;&lt;span class=&quot;topsy_twitter_username&quot;&gt;&lt;span class=&quot;topsy_trackback_content&quot;&gt;@gfry How appropriate w/ Rare Disease Day coming up 2/28. http://is.gd/irvi&lt;/span&gt;&lt;/span&gt;</description>
		<content:encoded><![CDATA[<p><span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">@gfry How appropriate w/ Rare Disease Day coming up 2/28. <a href="http://is.gd/irvi" rel="nofollow">http://is.gd/irvi</a></span></span></span></p>
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	<item>
		<title>By: A thousand points of pain &#124; e-Patients.net</title>
		<link>http://e-patients.net/archives/2009/02/raise-awareness-of-the-reality-of-rare-disorders.html/comment-page-1#comment-7280</link>
		<dc:creator>A thousand points of pain &#124; e-Patients.net</dc:creator>
		<pubDate>Sun, 15 Feb 2009 01:37:38 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=1291#comment-7280</guid>
		<description>[...] and so many others. Did you know rare diseases are more common than the most common disease? Rare Disease Day is Feb. 28. Might be a thousand points of pain every hour – in the US [...]</description>
		<content:encoded><![CDATA[<p>[...] and so many others. Did you know rare diseases are more common than the most common disease? Rare Disease Day is Feb. 28. Might be a thousand points of pain every hour – in the US [...]</p>
]]></content:encoded>
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		<title>By: SusannahFox</title>
		<link>http://e-patients.net/archives/2009/02/raise-awareness-of-the-reality-of-rare-disorders.html/comment-page-1#comment-50065</link>
		<dc:creator>SusannahFox</dc:creator>
		<pubDate>Tue, 10 Feb 2009 22:07:33 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=1291#comment-50065</guid>
		<description>&lt;span class=&quot;topsy_trackback_comment&quot;&gt;&lt;span class=&quot;topsy_twitter_username&quot;&gt;&lt;span class=&quot;topsy_trackback_content&quot;&gt;WashPost Rare Diseases discussion was v good (http://is.gd/j2tK). If you want to keep talking about #rare join us: http://is.gd/irvi&lt;/span&gt;&lt;/span&gt;</description>
		<content:encoded><![CDATA[<p><span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">WashPost Rare Diseases discussion was v good (<a href="http://is.gd/j2tK" rel="nofollow">http://is.gd/j2tK</a>). If you want to keep talking about #rare join us: <a href="http://is.gd/irvi" rel="nofollow">http://is.gd/irvi</a></span></span></span></p>
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	<item>
		<title>By: Rare Disease Day</title>
		<link>http://e-patients.net/archives/2009/02/raise-awareness-of-the-reality-of-rare-disorders.html/comment-page-1#comment-55676</link>
		<dc:creator>Rare Disease Day</dc:creator>
		<pubDate>Tue, 10 Feb 2009 16:51:37 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=1291#comment-55676</guid>
		<description>&lt;span class=&quot;topsy_trackback_comment&quot;&gt;&lt;span class=&quot;topsy_twitter_username&quot;&gt;&lt;span class=&quot;topsy_trackback_content&quot;&gt;Interesting debate happening over at e-patients http://is.gd/irvi #rare&lt;/span&gt;&lt;/span&gt;</description>
		<content:encoded><![CDATA[<p><span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">Interesting debate happening over at e-patients <a href="http://is.gd/irvi" rel="nofollow">http://is.gd/irvi</a> #rare</span></span></span></p>
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		<title>By: Denis Costello</title>
		<link>http://e-patients.net/archives/2009/02/raise-awareness-of-the-reality-of-rare-disorders.html/comment-page-1#comment-6672</link>
		<dc:creator>Denis Costello</dc:creator>
		<pubDate>Tue, 10 Feb 2009 16:50:11 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=1291#comment-6672</guid>
		<description>Great article! and delighted to see such a response.  What is happening around Rare Diseases online right now is fascinating.  

I like your metaphor of the &#039;deep end&#039; Susannah and I would perhaps like to provoke debate by adding to your image something of the &#039;open frontier&#039;.  While it&#039;s always exciting to explore new horizons I feel that a time will also come to realize boundaries lest the &#039;open frontier&#039; become the &#039;wild west&#039;!   While social networks focused on Rare Diseases (due primarily to patient isolation and lack of information) represent an ideal terrain for connecting patients to each other and to quality information there is equally the potential for exploitation of patient trust and patient data.  After all having been so neglected for so long rare disease patients are only too delighted to find such oases in the desert.  I would like to see more transparency and indeed patient involvement at board level in emergent online communities to ensure that patient trust is embedded in the long-term future of these high-potential tools.  Thus if emergent social networks have an exit strategy patients can have a say in the future (and future benefits) of a community which they themselves have helped forge. 

How secure is patient data in the context of any hypothetical business models reliant on industry? and what about good governance charters and online community management best practices, two emergent métiers where patients can play a huge role in providing shared experience and collaboratively enhancing the corpus of knowledge.  Clearly these are issues that with time all stakeholders in the community will determine through consensus.  What an exciting future!</description>
		<content:encoded><![CDATA[<p>Great article! and delighted to see such a response.  What is happening around Rare Diseases online right now is fascinating.  </p>
<p>I like your metaphor of the &#8216;deep end&#8217; Susannah and I would perhaps like to provoke debate by adding to your image something of the &#8216;open frontier&#8217;.  While it&#8217;s always exciting to explore new horizons I feel that a time will also come to realize boundaries lest the &#8216;open frontier&#8217; become the &#8216;wild west&#8217;!   While social networks focused on Rare Diseases (due primarily to patient isolation and lack of information) represent an ideal terrain for connecting patients to each other and to quality information there is equally the potential for exploitation of patient trust and patient data.  After all having been so neglected for so long rare disease patients are only too delighted to find such oases in the desert.  I would like to see more transparency and indeed patient involvement at board level in emergent online communities to ensure that patient trust is embedded in the long-term future of these high-potential tools.  Thus if emergent social networks have an exit strategy patients can have a say in the future (and future benefits) of a community which they themselves have helped forge. </p>
<p>How secure is patient data in the context of any hypothetical business models reliant on industry? and what about good governance charters and online community management best practices, two emergent métiers where patients can play a huge role in providing shared experience and collaboratively enhancing the corpus of knowledge.  Clearly these are issues that with time all stakeholders in the community will determine through consensus.  What an exciting future!</p>
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