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Can You Trust All the Health Information You Find Online?

shutterstock_172524281With all the information out there on the internet, in magazines, books, newsletters, radio, hotlines and on television, sometimes it’s hard to know where to go for information to learn about health and diseases on your own.  I encourage most of my patients to use technology, but I want them to have a list of resources to search when they are looking for information and be able to judge whether it comes from a credible source.  A huge amount of information is available online, however sometimes it’s of variable quality and can be difficult for the patient to decide whether or not a particular source is credible.

I think it’s the medical providers responsibility to educate patients on how they can do their own research, because patients may not have:

1)   An understanding of the biology of the disease process

2)   Knowledge about how to determine if the information is credible based on the type of research study (i.e. case report, single randomized trial or double blinded trial with placebo).

3)   Skepticism about the information that may come from biased sources such as from a drug company, from authors with financial conflict of interests and intellectual zeal, or wish for personal aggrandizement.

4)   Familiarity with how a patient with the disease presents and the signs and symptoms of the illness

5)   An understanding how good scientific research done by well trained scholars in centers of academic excellence

Some hints on finding trustworthy information online:

1)   Was the website recommended from someone you trust, such as your physician, the National Institute of Health or A Medical Library Association?  I recommend using a trusted source of information rather than relying on a search engine and using the first or second webpage that comes up in the search.

2)   Sites such as the Mayo Clinic (http://mayoclinic.com) that display the seal logo on their page.

3)   Websites that are sponsored by medical schools, or the government

4)   If you type your question into a general search engine such as yahoo, or Google, use multiple sites and compare the information based on the criteria below.

How do you know if a website is good quality?  Here are some possible factors to consider:

1)   Who created the website?  Anyone can create a website or blog and the information all is printed and looks legit, but is it?  Is it a well known and respected organization or recommended site by someone you trust?

2)   What is the purpose of the website?  Consider who the intended audience is, and how it was created.

3)   What are the funding sources for the website?  Do the producers of the website have some financial interest or sell something that may bias the information presented on the site?

4)   Consider the date that the information was released.  Medical research is rapidly advancing and the information may be dated.  Look for a date that the site updated or posted the information.

5)   Consider the evidence when examining the treatment recommendations.

6)   Personal experiences of the authors may make for interesting reading material, but should be clearly marked as personal experiences and not be the only rationale for the recommendations.

7)   The author of the website or blog should be available for communication and response.

8)   The website should explain if there are conflicts of interest or limitations in the information provided and that the information does not replace contact with a medical provider or physician.

9)   If there are forums, bulletin boards or interactive chat rooms, be wary of who the participants are.

The Medical Library Association has created a set of criteria to help patients judge the quality of websites for themselveswww.mlanet.org/resources/userguide#3

The US Government has also created a guide called A User’s Guide to Finding and Evaluating Health Information on the webwww.healthfinder.gov

Books:  Some credible books that are produced by the government or medical schools include:

1)   Mayo Clinic Health Book, 4th Ed. New York Time Home Entertainment, 2009

2)   Harvard Medical School Family Health Guide, 1st Edition. New York; Simon and Shuster, 2005

3)   American Medical Association Family Medicine Guide, 4th Ed. Indianapolis, IN, Wiley 2004

Magazines:  Consumer Reports and American Family Physician publish information responsibly.  The information from the American Family Physician magazine is intended for medical providers and may use medical jargon that is less helpful for the average patient however.

Newspapers:  The New York Times and Washington Post have medical writers who are scientific backgrounds and often provider information in a very captivating way.

 

I hope that you have found this information useful.  Wishing you the best of health,

Scott Rennie, D.O.
Board Certified in Obesity Medicine and Family Medicine

This blog is for educational purposes only and does not constitute individual medical advice. Always consult your own physician before making changes to your health, medications, or treatment plan.

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Are you getting your medical information from the internet? Think again…

Teenage patients are answering medical questions on Yahoo! Answers

by Lorelei Armstrong Doctors debate whether patients Googling symptoms is a good thing or a bad thing. I bet you haven’t thought about something that might be worse:  your teenage patients are answering one another’s medical questions on Yahoo! Answers. They’re not always clear on anatomy and terminology:  “How can I tell if I’m circumcised?” and “What’s the best way to shave my vagina?” and “Where is the female prostate located?” They are sexually active and not well informed: “If my boyfriend and I put the condom on after we start, can I still get an STD?” and “I had the HPV shot, am I protected from other STDs and AIDS?” and “I’m 12, should I take Viagra for my penis?” They are worried that they are too tall, too short, too heavy, too thin, that their parts are the wrong shape or size. They believe every fad diet in the world. “Is anorexia a good diet?” and “Is it healthy to drink 16.9 fluid ounces of water per day?” The girls think their periods should run like a Swiss watch and be red blood. Anything else is abnormal. “I’m a virgin and my period is two days late?!?!?!” and “Brown discharge why?!” and the boys have no idea what a normal size for a penis might be or much else. “Left nut too low!” I feel sorry for any doctor that faces the surprisingly common “Back of my head hurts!” and the perpetual “How tall will I be?” Every symptom means cancer or a tapeworm. They think the annual odds of catching tapeworm approach 80%. There are some very serious hypochondriacs. Many cannot spell. “Problem with my virgina?” They worry about their parents who have cancer, or alcoholism, or kidney failure, and no health insurance. They worry about their grandparents who just had strokes or fell down the stairs. “Help my Gran!” Want to make a billion dollars? Invent something that clears drugs from the urine, blood, and hair in eight hours. “Toked saturday, pee test thurs, chances?” and “OMG, I have to pass!” Some will take anything to get high. “I just smoked something. What was it?” and “How many Oxycodone 325s to get high?” and “Just snorted two Vics and nothing, why?” and “How come 11 650mg paracetamols make you feel high?” I know the number for poison control now. Some things you don’t just observe. They want to know if there’s any risk from smoking a joint through a toilet paper tube jammed full of dryer sheets to hide the smell. “Is this OK?” A few are not interested in health:  “How can I get sick by tomorrow?” and “What’s the easiest way to break a bone?” and many variations on:  “Where can I buy a euthanasia kit?” They get groped by the neighbor while babysitting. Their fathers tell them they have a rare disease that won’t let them have children with people of another race. They really do get STDs and cancer. They cut themselves. Their parents refuse to take them to the dentist and refuse to take them to the doctor and tell them not to tell the doctor things or they’ll get in trouble. Some of them worry about the voices in their heads and the secret cameras their parents put in their rooms to spy on them. These are your patients. Don’t assume they understand what you tell them. Tell them things that seem obvious to you. Write things down. Spell things out. Tell them where to find more information. When they ask you a question, do not shrug. Ask them if there’s anything anyone told them not to tell you. Ask them if they’re scared. Lorelei Armstrong is a novelist and can be reached at her self-titled website, Lorelei Armstrong.

Scott Rennie, D.O.
Board Certified in Obesity Medicine and Family Medicine

This blog is for educational purposes only and does not constitute individual medical advice. Always consult your own physician before making changes to your health, medications, or treatment plan.