Skip to main content

Google it Right!




If you are one of those who resort to Google for your health problems, you are not the only one.
Almost anyone who has access to the Internet does it nowadays, either to find out what their symptoms suggest, discover remedies and side effects, learn about “illnesses”, hunt for the right doctor or hospital, and sometimes to track if the treatment is going right.
Many doctors are still outraged by the cheekiness of patients trying to cross-check or “spy” on their “wisdom” reflecting a bygone attitude of “paternalistic” medicine.
I consider “Google” a useful repository of information, and the inevitable new factor in patient-doctor relationship, and am OK with it, as long as, ….and that is important, as long as my patients Google it right!
1. Look carefully at the source of information. What shows up immediately as soon as you type the search words and click the return button are usually advertisements and “promotional” sites.
2. Most reliable ones would have .edu or .net or .org after them, suggesting that these belong to educational or other reliable organizations. The ones with .com are usually commercial and are likely to be biased.
3. If you wish to Google symptoms, such as “constipation” it is fine. Most reliable sites will provide a large amount of information about its causes and management. When you go down the list, you will however realize that one of the rare causes is cancer of the colon.
4. If however you put two search terms such as “constipation” and a diagnostic term such as “colon cancer”, most of what will appear on the screen will seem to convey that you might have developed the bad disease.
5. Putting the information in a proper perspective is the most important bit. For example, if a young person has been suffering from “constipation” for several years, it is almost invariably going to be due to faulty eating (less amount of dietary fiber, consumption of constipating medicines or food items) or sluggish movement of the colon.
If however the same symptom occurs for the first time in an elderly person, is associated with rectal bleeding and loss of weight, the chances of the cause being colon cancer goes up. This is what the doctor does for you.
6. Don’t form your opinions based on what you see on social media. These are usually individual opinions or promotional in nature. If one aggrieved relative shrieks about the tragic death of his father from cardiac arrest after a surgery for colon cancer, it should not make us change our decisions in another patient, just as we would not stop driving on the road because of one reported accident.
7. The conditions and outcomes posted in social media are often the worst as good happy outcomes are rarely reported.
8. Do not hesitate to discuss what you have found on the net with your doctor. He will probably help you to navigate through the difficult paths that of a balanced clinical decision-making.

Comments

Popular posts from this blog

Food Fads in Liver Disorders

In an attempt at trying to do well to those they love, spouses and parents often enforce diets on patients of liver diseases that often turn out to be detrimental. The commonest food fad is pale insipid boiled cabbage being doled out to nauseous patients suffering from hepatitis that makes them puke even more.  The liver, in a way, is a buzzing manufacturing unit that requires lots of energy to keep its multiple functions going. And it derives all this from the food we eat. During disease, such as during an attack of jaundice, when many of the liver cells get killed, the liver attemptsdamage control by trying to regenerate quickly. For its cells to multiply however, it requires a generous supply of energy that comes from carbohydrates, and protein, the building block for its cells and tissues. Boiled green vegetables unfortunately have neither of these. Hence the situation often progresses to that of a starved liver unable to recuperate due to cut-off food supply.

Bad Dreams, Disturbed Sleep

  A good night’s sleep, so essential to rest your body and mind, and restore ‘energy” and vitality, is becoming a casualty for many these days. Last week a 58 year old lady complained that she woke up with a startle in the middle of the night dreaming of “drugs”, something she had never been exposed to all her life. Another reported a nightmare in which he felt someone was “strangulating” him by tightening something around his neck, till he woke up feeling choked! Yet another reported dreaming that he was in an ICU of a hospital with PPE draped figures surrounding his bed while he was being prepared to be hooked to a ventilator. Bad dreams can be disturbing to say the least. One wakes up with a startle or in sweat, feeling disturbed and uneasy, and feeling drained. The mood in the morning is usually uneasy and snappy. Creative thinking has usually gone for a toss…postponed to yet another day when one feels more cheerful and positive.   Several factors could be contributing to “

The Doctor’s Dress

The familiar white coat worn by physicians as their distinctive dress for over 100 years, has started generating  murmurs  of controversy. It is not uncommon to find the blood pressure to be higher when measured by a white-coat-wearing-doctor in the hospital or clinic than the readings obtained at home by relatives.  This is due to the anxiety that the white coat and the hospital setting evokes in patients, and has been termed “White Coat Hypertension”. Mature clinicians often routinely subtract a few points from these measurements when entering records in case charts or calculating the dose of anti-hypertensive medications to be prescribed. The white coat scares children too.  Kids often express their dislike for this dress by crying and screaming and by denying access to their bellies or chest for examination by paediatricians in this attire. Many pediatricians across the world have folded up their white coats and taken to informal colourful dressing to get closer to thei