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Meet Web Hypochondriacs
prostoalex writes "When Jerome K. Jerome in 1889 described going to the British Museum to read medical encyclopedia and subsequently finding symptoms of almost all diseases in his body, he didn't realize the problem would exacerbate more than a century later. Web hypochondriacs are calling up doctors with requests for prescriptions for all sorts of diseases, since they discovered some similar symptoms on the Web. Wall Street Journal quotes a doctor: 'My impression is that people believe more of what they read than what I tell them. It seems that traditional Western medicine based on scientific evidence is less and less trusted by the general public. Meanwhile, some dubious theory from the Internet will be swallowed hook, line and sinker nine times out of 10.' "
That sounds EXACTLY like the problem *I* have!!!!
I hope there's a cure...
You see? You see? Your stupid minds! Stupid! Stupid!
I think the web is making everyone out to gullable. We all need to remember that there is a lot of FALSE information on the web. I think this applies to other things other than medicine. The web is giving a false sense of knowlege.
2000 BC: Here, take this root.
1000 AD: That root is for a heathen. Here, say this prayer.
1850 AD: That prayer is superstition. Here, drink this potion.
1940 AD: That potion is snake oil. Here, swallow this pill.
1985 AD: That pill is ineffective. Here take this antibiotic.
2000 AD: That antibiotic is artificial. Here, eat this root.
2005 AD: That root works! Read about it on my blog!
Web hypochondriacs are calling up doctors with requests for prescriptions for all sorts of diseases
I've got some e-mails about getting their pills if the doctor won't prescribe it.
It's nice to have the information researchable, so that you can get more information than what your doctor tells you. I've recently started suffering from eczema outbreaks, followed by a couple of nasty infections over the past year. I've seen several GPs, a couple of dermatologists, and an infectious disease specialist for the infection that keeps popping up all over my legs. Aside from the antibiotics, the things I've read about eczema on the web have helped me more than the vague advice given by the family doctors and dermatologists.
WebMD is the worst thing to come along for Hypocondriacs since pneumoconiosis and other sesquipadelian afflictions.
I never spellcheck and I freely admit it. Save your karma for more worthwhile "lol erorrs" replies
Wall Street Journal quotes a doctor: 'My impression is that people believe more of what they read than what I tell them...
Of course! Because you're telling them things like "Stop smoking, don't drink so much, cut down the fat, get some excersize, brush your teeth and watch your diet". Who the hell wants to hear that? Websites aren't so much interested in your health as they are in getting ad impresions, so they probably aren't going to preach.
On the internet no one knows you're a fat lazy bastard with bad habits. [but if I were a betting man, that's where I'd put my money]
My wife will get some symptom, and then scour books and the web for indications of possible diagnosis. I found it funny after a while, but the first couple of times she declared that she had cancer or MS was quite worrying.
The funniest thing is that my wife is a doctor.
Any fool can talk, but it takes a wise man to listen.
Doctors (their mistakes) are the 3rd leading cause of death in the USA.
- Leading-Cause-of-Death-in-the-US.htm
http://www.healingdaily.com/Doctors-Are-The-Third
This article is a little extreme. Almost half are due to unforseeable drug effects. But still, a good reason to doubt your doctor.
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I agree. I have many relatives who are online but not really technology savvy. Not a month goes by that I do not get CC'ed on some ridiculous email. I always go look it up on Snopes and do a reply to all with a link the Snopes article discrediting it. The thing that really gets me though, is a couple of times a year I will get one of these from someone who knows better. When I call them on it, I usually get the same response, "Well I figured better safe than sorry." Some how they just do not understand that by forwarding unsubstantiated false information they are perpetuating the problem.
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Self-diagnosing makes people feel more in control of their health. People perceive doctors as authority figures who take control away from the patients. People do not perceive sources they find on their own as controlling (even though many of the sources do have their own agendas) so they adopt the source's explanation rather than the doctors.
The desire to feel in control is such a powerful drive that people will trade concrete benefits like money or expert advice for the mere illusion of control.
I can't really empathize with doctors on this one. The last 4 or 5 times I've seen a doctor over probably the past 10 years, they have completely kept me in the dark with what's been wrong. I come in with congestion, or a cough, or a sore throat, and the result is always the same, they give me a new antibiotic, an inhaler, and some pseudophedrine.
I end up going to web md or some other website to do research and deduce what my symptoms point to. It seems like doctors no longer take the time to assess symptoms and determine what is actually wrong, they just dispense a few prescriptions, sign some paperwork, and send the patient on their way. It's not wonder that people want to get more info than what the MD profession is offering.
I have been suffering with some pretty fucking bad digestion problems all my life. I have the hershey squirts alot and real bad cramps in my stomach. I went to the gastrointestinal doctor here in my home town for a endoscopy and colonoscopy. He diagnosed me with IBS syndrome and sent me on my marry way saying it was just a nervous stomach. After suffering for 4 more years of that crap I decided to try and figure out what the hell was wrong with me. I googled my symptoms and found my symptoms closely related to Celiacs Disease...Almost identical in everyway to the people with Celiacs of what they described. I went to another doctor the week after reading the Celiacs website and was diagnosed after another biopsy as having Celiacs. Only after using the web to help me find out my symptoms was I actually diagnosed properly. Google saved my bowels from a lifelong of shitting and pain :/
Hyponchondriac is nothing. Alternativ medicine is more dangerous in my eye : people really ill getting alternative treatment and dying. And the web make for an exponential propagation of those despite that they are if not all, mostly junk.
Just have a look at all those totally supersticious claim and alternative medicine : homeopathy, colorotherapy, herbotherapy, crytsllotherapy, fengshui... Indeed we are in a demon haunted world.
I think education is the only answer, but how can you educate people when part of them learn that ID/creationism must be thaught in their class with the same footing than evolutionism, people misappropriate the definition of a theory in science, downright lie or misuse term they do not understand to support their own unscientific pet peeve, or even politic is used to support religious activity, even if there is a separation of church and state, downright disrespect, to not say hate, of science in all its form inclusive medicine.
For all wanting to learn a bit and start fighting against obscurantism I recommend this : James Randi Education Fundation (JREF I think it is called).
I think before solving hyponcondiacism we have to solve the problem of people believing in all sort of crap, and teach the tenet of the scientific method, or even if it is too much, at least teach back respect of science !!!
Frankly in comparison hyponchondriacism is nothing. It does not propagate as much damage...
C. Sagan : A demon haunted world:
http://www.amazon.com/gp/product/0345409469/
visit randi.org
I'm quite a hypochondriac myself. My doctor told me a few years ago that I had General Anxiety Disorder. When I told my girlfriend at the time she asked me "How do you feel about having G.A.D.?"
I responded, "Quite frankly it makes me a little nervous."
Not exactly as you described, but give The Merck Manual a try.
Well, the simple reason is that people don't trust their physicians anymore. Back in the Elder Days(tm) of Marcus Welby and so on, doctors took an interest in the health of their patients. A relationship was built over time. Finally, when the doc said, "You know, you need to go in and have surgery for this", a patient would do so without thinking twice because of the relationship and the longstanding trust between them.
Now, due to the way that doctors have to practice medicine (if they don't want to lose their shirts), they don't have a choice. 15 minutes in and out. No time to get to know their patients, no time to listen to the little old lady that just needs someone to talk to, no time to do anything but write a prescription and go on to the next patient. Now, when a doctor says, "That article on the internet is full of crap, you need surgery," people ask, "Why should I trust you? I don't know you."
If that doctor REALLY wants to know why people would believe an apocryphal story on the internet rather than him, he needs to look at the type of medicine he's practicing.
Note: This is not to blame him. Generally, with the reimbursement rates he's getting from the insurance plans with which he is signed, he is very limited in the amount of time he can spend with a patient. But the point remains: Speaking for myself, if someone wants to practice medicine on me, I have to trust them first. They've got lots of patients, but I only have one body. And the piece of paper on the wall saying M.D. only goes so far in building that trust.
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Another one (here in the UK) has been where someone is told that there is nothing that can be done for some problem only for them to find out using the web that something can be done about it (usually in another country).
A good example is this story about a baby born with a deformed head who was wrongly told that nothing was wrong and to live with the deformity. Thankfully, in the next four months the baby will be fine.
Not that I'm suggesting that all doctors get it wrong but once in a while the web has been a life-saver.
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http://en.wikipedia.org/wiki/Munchausen_syndrome
"Munchausen syndrome is a form of psychological disorder known as a factitious disorder (the term "Munchausen syndrome" is sometimes used, incorrectly, to refer to any form of factitious disorder). Sufferers mimic real diseases, presenting a great problem to themselves and their healthcare professionals. The disorder is named after a literary figure, Baron Munchausen, a real person who was portrayed in fiction as a famous teller of tall tales."
MOD parent up! I read this somewhere else on the web, too!!!
Intron: the portion of DNA which expresses nothing useful.
Is this the same scientific evidence that said "Margarine is good", "Eggs are bad", and "We know about triglyceride problems, but we'll built the Food Pyramid this way because people are too stupid?" I'm sorry, all medical "science" does is stumble around in circles until they land on top of something remotely approaching the truth.
You have a valid point to some extent, but much of what you're talking about doesn't come from the scientific medical establishment - it comes from agenda-driven groups, corporate shills, and govenrment administrations who buy their propoganda. For example, actual medical science indicates that obesity isn't particularly unhealthy. Inactivity, which often accomponies obesity, IS quite unhealthy. But if you get a reasonable amount of exercise, your health isn't likely to suffer from carrying extra pounds until you reach extreme limits, well past what is specified as being obese. In fact, you're likely to suffer fewer problems from being overweight than you are from being underweight. So why is there so much talk about the "obesity epedemic" in America? Because there's a multi-billion dollar diet and diet food industry out there that wants to sustain itself, and it pours lots and lots of money into advertising and propoganda. There have been lots of studies which do not control for inactivity. Those studies show a corelation between being overweight and health problems, and assume a cause and effect, when the real cause is the underlying inactivity. But the flawed studies are still being used to support the "obesity will kill you" claim. There are lots of honest, well-meaning, but misinformed people who really believe that obesity will kill you (hell, everybody knows it, right?) and they're interested in helping save your life.
What does the science tell you about your health and your weight? If you're interested in your health, throw out the scale. DON'T go on a diet but do pay a bit of attention to what you eat. Try to get a few vegetables in your system in between the Big Macs and the beer brats. But most importantly, get your ass up off the couch and get a bit of exercise. If it trims you down a bit, great. If not, don't worry about it. It ain't that big a deal. But that's not what the nutritionist and the diet industry tell you, and their voice is much louder than the actual science.
So please don't confuse medical science with the medical establishment or with the various government guides. They aren't the same thing at all.
"The legitimate powers of government extend only to such acts as are injurious to others." Thomas Jefferson.
You underestimate humanity. The desire for a quick fix is nothing new and it's not growing, it's been here for centuries and it will be here for centuries to come. It's part of the human condition. It just happens to be manifesting itself in slightly different ways because the world is slightly different today than it was 100 years ago. Today we take anti-virals (which happen to work, I can testify to this, thanks to my recurring bouts of shingles), 100 years ago we lined up for snake oil (which happens to not work).
Technology has advanced, our ability to create cures has advanced, our desire for a quick fix to our ailments (be that illness, or lack of money, or lack of knowledge, or boredom, or whatever else ails us) is the same as it ever was..
I thought someone said there was going to be free beer!
Granted, some B.S. seems to be slowly dying out - astrology and belief in space alien visitations, for example. But others seem absolutely rampant. We are awash in homeophathic medicine, claims of psychic powers, and on and on. And, yes, I include religion in this.
I guess rationality and empiricism just aren't cool these days. Perhaps people mistake skepticism with closed mindedness. Or perhaps, deep down, they just don't care whether what they believe is true or not.
This is a sign of a much bigger problem, many people in the US cannot afford the cost of official medicine, they're trying to find less costly alternatives.
In other countries with more or less socialized medical care (of widely varying levels of efficiency), doctors and transnational companies are trying to force the governments to have "American style" medicine, that is a carefully controlled supply of doctors, (high) prices set by medical associations, exclusive regions, constant effort to legally marginalize alternative medicine, profit-oriented control of your medical history, legally mandated medical procedures, and the creation of new categories of sicknesses that require new costly, patented medicine.
So, maybe there is some reason in not fully trusting all doctor's advice and look for a second opinion.
If you have alot of lower back pain but aren't fat, try drinking water ONLY for a few weeks.
Two meanings for this:
1. Go on a fasting diet where you don't eat food but do drink liquids;
2. Drink more water (several more glasses per day) to your normal diet;
The first concept, fasting, is of dubious value. BUT: According to the CRON diet people, and peer-reviewed research into longevity, the ONLY known way to extend the lifespan of a mouse is to reduce their available caloric intake while maintaining a proper nutritional diet. This forces the metabolism into a maintenance-mode (instead of growth-mode) so all energies are put into repairing cellular damage and decay. This method is proven to work in many animals, but is
Sure, you'll be healthy and feel great, but you'll also feel really hungry. Not sure I like the option.
The second is a reasonable response to your kidneys complaining; flush them out and keep them flushed for a bit, but don't go overboard, too much water can really put a strain on your kindeys, too, and in extreme cases (several gallons per day for many days straight) can be toxic, since your body loses electrolytes, and (b) cannot eliminate that much water.
If you constantly crave a certain type of food, whatever is in it may be lacking in your body.
Very true, but misleading. Doughnuts do not apply. If you crave carrots or broccoli or salt, this might mean you need these things or the nutrients they contain. If you crave Ho-Ho's, your body is just being gluttenous.
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While this may be true, I don't know what's scientific about a typical Doctor's diagnosis. It's just practice of an Art, based on experience. Typically, a Doctor will not setup an experiment and often, they won't even run any kind of instrumented test, they'll just ask you what symptoms you have, make some notes and make a diagnosis.
As I understand it, extra weight isn't unhealthy (and may actually be healthier on average than "proper" weight), but true obesity (defined as 25% to 30% body fat content, depending on what sources you use) is a health problem that can bring about a number of ailments, including liver and kidney diseases and congestive heart failure. However, true obesity is also less common than many studies would have you think.
:)
Your point on exercise is important, though. The people that I've seen that are generally in shape are those that are willing to put in even a little bit of effort, even if they eat too much. There's no need to do an hour on a treadmill and a dozen laps in the Olympic pool; sometimes it's just as simple as taking the 20 minute walk instead of the ten-minute drive (people in the city know this one) or playing in the pool for a little while a few times a week. If you can learn to fidget, this may also help, as the extreme end of this can actually handle a few hundred calories a day, but if you have touchy coworkers, this may not be the best option.
You can never go home again... but I guess you can shop there.
Is this the same scientific evidence that said "Margarine is good", "Eggs are bad"
No, they never said anything of the sort. YOU, as the general population, took what they DID say and made 3-word sentences out of it because that's all you're capable of understanding.
Medical science is usually very fair about what they know and don't know, it's what happens when the information gets out into the uneducated masses that it changes into some degenerate version of itself.
I think this idea of the quick fix is also causing a lack of mental responsiblity... There is no more accountability anymore, just people making more excuses and using unrelated medical information to give their problem a name.
This view of mental health that is invasive in our country, especially invasive in the conservative ditto head culture in our country, is perplexing to me.
My wife had gall stones and had to have her gall bladder removed. Do you doubt the validity of her medical condition?
My mother has hyperthyroidism, and has had to take a pill every day of her life since she was a teenager (and was diagnosed). Do you doubt the validity of her medical condition?
I often get the shingles, a recurrence of the Chicken Pox virus along one nerve bundle that results in a large crusty oozing rash along a thin band around one half of my body. Do you doubt the validity of my medical condition?
My friend had appendicitis and had to be rushed to the hospital to have his appendix removed. Do you doubt the validity of his medical condition?
If all of these conditions are medically valid, why is it so hard to believe that the brain, simply another organ in our body, like our thyroid, our gall bladder, our nerves, our appendix, our heart, or any other organ, is capable of being stricken ill? I doubt you would tell your friend with intense abdominal pain, or your father with shortness of breath and chest pains, that they were just imagining a condition to avoid accountability and that they are just making excuses.
Why do we look down on people with illnesses of the brain and not people with broken arms or heart disease or any other illness? The human organism is not perfect, sometimes the pieces of the puzzle that make us tick don't work the correct way. For some reason we've decided to single out a certain group, those with mental illness, and decide they are weak, while the ones with other ailments are perfectly fine.
I thought someone said there was going to be free beer!
Maybe if the American Medical Association and its industry didn't keep prices artificially inflated by restricting the supply of doctors, while demand explodes, doctors would be seen as respected members of the community, rather than inaccessible luxuries.
I was in the pre-med track for 10 years, starting in junior high school, and the #1 lesson for everyone is that the system is designed to "weed out" most of the people who want to become doctors. The weeding isn't done on the basis of one's compassion, or one's committment to medical science, or even to one's skill at medical practice. In fact, those essential criteria aren't even in the game until college, or even med school. Along the way, it's just pure competition, mostly measuring how much abuse people will stand, from the program and from each other, before they quit. The system lets people study subjects that get relatively easier grades than do sciences, so they are more competitive numerically. In fact, practically everything that aspiring doctors must do to get into med school selects for people who just want to make a lot of money, are indifferent to the suffering of others (or who relish it), who discard curiosity and compassion in favor of absolute focus on the bottom line: protecting their time and money from any threat, including patients.
Sure, doctors have to deal with insurance (patient and malpractice, at each end) and other dehumanizing bureaucracies when they start to practice. But by then they're in the doctor supply, so it's only the prospect of that that inhibits "people people" from staying in the game. Not only does the med school track select for people ill suited to be "caregivers" (rather than mechanics or drug pushers), it just artificially reduces the supply of people trained to help other people's medical conditions. And of course our high-stress, high-pollution, bad-diet lives create ever more medical problems to treat. The combination supply/demand problem means not enough doctors to treat too many patients, driving up prices, and driving a wedge between the people who need some of the utmost intimacy to succeed in their relationship.
Doctors make a lot of money. Pharma and insurance companies make even more. It's practically all profit: the costs of running a doctor's practice are large only when counting their insurance, which is of course driven up by the supply/demand crisis. We should extract enough of those profits, especially from insurance and pharma companies, to double or triple the number of doctors. We should expand medical schools across the country. Require the top 20% of schools, which depend on public subsidies for their research (which they then sell for profit), to double the number of graduates they produce. We have at least that many people who want to be doctors, including foreigners who need retraining/recertification, that could change the supply picture within 5-10 years. And we should require every med student who receives government subsidies to relocate to an underserved community for at least as long as they were paid to go to school - usually at least 7 years. If they're going to cash in on socialist financing of their careers, the people should get what we pay for: more doctors for more people, not more golfers at Boston golf courses.
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make install -not war
Will hiring more MDs fix the problem- NO! because DOctors are typically working all the time -getting calls from hypochondriacs, and from people who are actually sick. Familly practice and Pediatricians are about the lowest paid MDs around and they start around $80k in Kalifornia - and that's for working around 70 hours a week.
Lesson is if you want a better service - you need to pay for it.
..........FULL STOP.
As someone that has anxiety and depression problems, I agree. People are taking prozac to "cure" themselves of what would have been simple personality quirks 50 years ago.
The other side of the coin is that society is putting people in a position where any deviation from the personality norm will result in a reduction in quality of life, from causing someone to not be considered a "team player" at the office, to being harassed by people in their leisure time because they are different.