Saturday, December 25, 2010

A Doctor's Disdain for Medical 'Googlers' - NYTimes.com

A Doctor's Disdain for Medical 'Googlers' - NYTimes.com

November 19, 2007, 11:06 AM

A Doctor’s Disdain for Medical ‘Googlers’

(Jason Lee/Reuters)

Can a patient ever show up at the doctor’s office with too much information?

A doctor’s essay about medical “Googlers” — patients who research their symptoms, illness and doctors on the Web before seeking treatment — suggests they can. The report, which appeared in Time magazine, was written by Dr. Scott Haig, an assistant clinical professor of orthopedic surgery at Columbia University College of Physicians and Surgeons. He begins with a description of a patient he calls Susan, who seems to be clicking on a keyboard as she speaks to him on the phone. “I knew she was Googling me,” he writes.

Dr. Haig’s disdain for her information-seeking ways becomes quickly evident. He describes the woman’s child, whom she brings to the office, as “a little monster” and notes that the woman soon “launched into me with a barrage of excruciatingly well-informed questions.” Every doctor knows patients like this, he writes, calling them “brainsuckers.”

Susan had chosen me because she had researched my education, read a paper I had written, determined my university affiliation and knew where I lived. It was a little too much — as if she knew how stinky and snorey I was last Sunday morning. Yes, she was simply researching important aspects of her own health care. Yes, who your surgeon is certainly affects what your surgeon does. But I was unnerved by how she brandished her information, too personal and just too rude on our first meeting.

The problem, Dr. Haig notes, is that patients can have too much information and often don’t have the expertise to make sense of it. “There’s so much information (as well as misinformation) in medicine — and, yes, a lot of it can be Googled — that one major responsibility of an expert is to know what to ignore,” Dr. Haig writes.

Dr. Haig’s essay, however, has riled patient advocates, who believe patients need to arm themselves with information and take charge of their own medical care. Mary Shomon, who runs a popular thyroid disease blog on About.com, recently highlighted the essay on her site, generating angry responses from readers. Ms. Shomon said she thinks many physicians like Dr. Haig are threatened by patients who use Google and other Internet resources to research their own health questions.

“By condemning Googlers, he made it clear that he’s threatened by empowered, educated and assertive patients who do their own research,” said Ms. Shomon. “He can’t handle a patient who talks and doesn’t just listen. Good patients…are seen and not heard, right?”

Dr. Haig concludes his essay by confessing that he decided not to treat the woman, whom he described as “the queen of all Googlers.”

I couldn’t even get a word in edgewise. So, I cut her off. I punted. I told her there was nothing I could do differently than her last three orthopedists, but I could refer her to another who might be able to help.

Friday, December 24, 2010

New From Google: The Body Browser - NYTimes.com

New From Google: The Body Browser - NYTimes.com

RESEARCH FITNESS & NUTRITION MONEY & POLICY VIEWS HEALTH GUIDE

December 23, 2010, 3:52 PM
New From Google: The Body Browser
By SINDYA N. BHANOO

Six years ago, I took a hard fall while playing soccer and tore a ligament in my knee.

As I weighed my treatment options in confusion, I searched on the Internet for images and videos to help me better understand how the knee works.

I wish I’d had access to Google’s Body Browser, a new, free 3-D tool that lets users rotate the body, peel back layers of it, and zoom in and zoom out, all from within an Internet browser window. There’s a search feature, so I typed in “anterior cruciate ligament” and it zoomed into the part of the knee that I’d injured.

It’s like a Gray’s Anatomy coloring book, come to life. I was curious, though, about what medical practitioners think about it. Is it something that medical students might use, or that doctors might use to educate patients?

When I talked to doctors who have played around with Body Browser, they said that isn’t nearly as detailed or sophisticated enough for a medical student. But, many told me, it may end up being an excellent teaching tool for patients.

“I could well imagine that this could replace the innumerable line drawings I’ve done on paper and on endless pairs of scrubs,” said Dr. Ziv Haskal, the chief of vascular and interventional radiology at the University of Maryland Medical Center. “If I could put it up on my iPad or local computer in front of them, that could be very useful.”

Keith Walker, a chiropractor in England, is already using the tool in his clinic. And so far, it’s been a hit.

“As a patient education tool, it’s one of the best I’ve seen,” he said. “There are other things like this on the Web, and they tend to be not as usable, or on medical university Web sites and directed at students.”

Mr. Walker wishes that the 3-D model had limbs that rotated. For example, users can’t lift the wrists of the model, which happen to block a portion of the hip.

The browser also lacks the sort of detail a serious student would need, he said. “If you look at the shoulder, you can’t peel off the layers,” he said. “There are some really important muscles under the deltoid, and you can’t see those.”

Dr. Haskal, too, had a couple of requests. “If we could modify or customize to demonstrate certain diseases, the way you can lay your own map on Google Maps, it would be wonderful,” he said.

Dr. Roni Zeiger, Google’s chief health strategist and an urgent-care physician, was reluctant to share too many details about what’s to come with the Body Browser, but he welcomes suggestions.

“We love all kinds of information, including visual information. And we built this to let anyone who’s curious about anatomy explore it,” he said. “We’ve gotten wonderful feedback from students, patients, teachers, physical therapists and doctors at all levels of training.”

He did say that Google plans to introduce a male model soon. Currently, the browser displays only a female body.

My own request? For the search bar to handle colloquial terms for body parts. Right now, you need to type in medical terms like “gastrocnemius” or “scapula” rather than commonly used ones like “calf” or “shoulder.”

I’m also wondering if one day I’ll be able to map my electronic health record directly to a 3-D model, so that I can visually track any ailments I might have. I reported on a similar technology in Denmark earlier this year.

Try it out if you’d like, and then please join the discussion below. What do you think of Body Browser? What works? What’s lacking?

Note: To use it, you’ll have to install the beta version of the Google Chrome browser, Mozilla Firefox 4 beta or another browser that supports WebGL, which allows for 3-D graphics to be displayed within a browser’s window. You can find those on the Google Body page.
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