{"id":17950,"date":"2015-11-30T14:03:31","date_gmt":"2015-11-30T19:03:31","guid":{"rendered":"http:\/\/pmedicine.org\/epatients\/?p=17950"},"modified":"2023-09-21T20:11:50","modified_gmt":"2023-09-22T00:11:50","slug":"the-truth-about-the-your-googling-and-my-medical-degree-mug","status":"publish","type":"post","link":"https:\/\/participatorymedicine.org\/epatients\/2015\/11\/the-truth-about-the-your-googling-and-my-medical-degree-mug.html","title":{"rendered":"The truth about that &#8220;your Googling and my medical degree&#8221; mug"},"content":{"rendered":"<div id=\"attachment_17951\" style=\"width: 310px\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.facebook.com\/TheEmergencyMedicineDoctor\/photos\/a.385316101573978.1073741828.376035359168719\/742642892507962\/?type=3&amp;theater\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-17951\" class=\"size-medium wp-image-17951\" src=\"https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2015\/11\/Google-doctor-mug-300x300.jpg\" alt=\"Google doctor mug\" width=\"300\" height=\"300\" srcset=\"https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2015\/11\/Google-doctor-mug-300x300.jpg 300w, https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2015\/11\/Google-doctor-mug-150x150.jpg 150w, https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2015\/11\/Google-doctor-mug-600x600.jpg 600w, https:\/\/participatorymedicine.org\/epatients\/wp-content\/uploads\/sites\/3\/2015\/11\/Google-doctor-mug.jpg 695w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><p id=\"caption-attachment-17951\" class=\"wp-caption-text\">Photo: facebook.com\/TheEmergencyMedicineDoctor<\/p><\/div>\n<p>I can&#8217;t tell you how many people have flung this Facebook item at me since last night, starting with my wife. :-) It&#8217;s already approaching 25,000 shares.<\/p>\n<p><em>(Update: at 11am ET on Dec 1 it&#8217;s up to 73,000 shares in 48 hours. I&#8217;d say it&#8217;s going viral&#8230;)<\/em><\/p>\n<p>Listen, people: <b>Googling does\u00a0<em>not\u00a0<\/em>mean I think I&#8217;m a doctor. It&#8217;s a sign of being an engaged, empowered &#8220;e-patient.&#8221;\u00a0<\/b><\/p>\n<p><b>I\u00a0<em>partner\u00a0<\/em>with great doctors &#8211; I don&#8217;t tell them what to do. And they welcome me doing it.<\/b><\/p>\n<p>I personally am completely opposed to a patient going in and saying &#8220;I&#8217;ve decided I have condition X, and I want you to prescribe 42mg QID of medication Y.&#8221; I mean, have you ever <em>seen\u00a0<\/em>the things medical students have to learn to get their license??<\/p>\n<p>But I&#8217;m all in favor of a patient saying, &#8220;I have symptoms A and B, and from what I can tell from websites J and Q, that sounds like it could be M.&#8221; Explain your thinking, identify your source, and try to solve the diagnostic puzzle together:\u00a0<em>Collaborate<\/em><em>.\u00a0<\/em><\/p>\n<p>The flip side is that it&#8217;s demonstrably wrong for a doctor to insist that their diagnosis <em>must<\/em> be right; the Society to Improve Diagnosis in Medicine has lots of data on that, and the National Academy of Medicine recently published a big report on it. (See SPM patient member <a href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2015\/09\/breaking-spm-board-member-peggy-zuckerman-on-nbc-nightly-news-tonight.html\" target=\"_blank\" rel=\"noopener noreferrer\">Peggy Zuckerman&#8217;s recent spot<\/a> on the NBC News item about that report.)<\/p>\n<p>And to flip it again, patient engagement isn&#8217;t a synonym for &#8220;the patient is always right.&#8221; (See SPM co-chair Dr. Danny Sands&#8217; <a href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2015\/11\/dr-danny-sands-explains-what-participatory-medicine-is-and-isnt-great-5-minute-video.html\" target=\"_blank\" rel=\"noopener noreferrer\">five minute video<\/a>\u00a0about that the other day.)<\/p>\n<p>I&#8217;m short on time so I&#8217;ll just post what I said on Facebook:<\/p>\n<hr \/>\n<p><!--more--><\/p>\n<blockquote>\n<ul>\n<li>In 2014 the Belgian government got this spectacularly wrong: their insulting misinformed &#8220;Don&#8217;t google it&#8221; commercials say at the end, &#8220;Don&#8217;t google it. Check a reliable source.&#8221;\n<ul>\n<li>They&#8217;re not mutually exclusive! You can google <em>and\u00a0<\/em>check a professional source.<\/li>\n<li>I say, &#8220;Inform yourself &#8211; learn what you can. And partner with professionals.&#8221;<\/li>\n<li>The wrong-headed govt commercials: <a class=\"\" href=\"https:\/\/l.facebook.com\/l.php?u=http%3A%2F%2Fdave.pt%2Fbelgiangoogle3&amp;h=sAQG9gwGS\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">dave.pt\/belgiangoogle3<\/a> and <a class=\"\" href=\"https:\/\/l.facebook.com\/l.php?u=http%3A%2F%2Fdave.pt%2Fbelgiangoogle4&amp;h=EAQFLCSoh\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">dave.pt\/belgiangoogle4<\/a><\/li>\n<\/ul>\n<\/li>\n<li>In contrast, <a href=\"http:\/\/dave.pt\/stopgoogling1\" target=\"_blank\" rel=\"noopener noreferrer\">here&#8217;s the sad story<\/a> of a 19 year old in the UK who died two years ago after NHS docs told her (and her mum) &#8220;Stop googling.&#8221; This year the hospital apologized after she died from something they didn&#8217;t know was possible &#8211; a recurrence of her unusual liver cancer.<\/li>\n<\/ul>\n<\/blockquote>\n<p><strong>It&#8217;s absolutely, demonstrably wrong for a doctor to think that doctors know everything that needs to be known and patients can&#8217;t possibly know anything useful.<\/strong> To the contrary, <em>not<\/em> googling can bring death.<\/p>\n<p>Here&#8217;s a one minute animation published in February by the BMJ, co-produced with Lucien Engelen at Radboud University Medical Center in the Netherlands, that explains how the world of information has\u00a0changed:<\/p>\n<span class=\"embed-youtube\" style=\"text-align:center; display: block;\"><iframe loading=\"lazy\" class=\"youtube-player\" width=\"1080\" height=\"608\" src=\"https:\/\/www.youtube.com\/embed\/rfWVCFXdTMo?version=3&#038;rel=1&#038;showsearch=0&#038;showinfo=1&#038;iv_load_policy=1&#038;fs=1&#038;hl=en-US&#038;autohide=2&#038;wmode=transparent\" allowfullscreen=\"true\" style=\"border:0;\" sandbox=\"allow-scripts allow-same-origin allow-popups allow-presentation allow-popups-to-escape-sandbox\"><\/iframe><\/span>\n<hr \/>\n<p><strong>Googling is a sign of an engaged patient.<\/strong>\u00a0The only reason a patient ever searches for information is because they&#8217;re trying to learn more! To smack that down is to discourage engagement. In my speeches I often say, &#8220;If someone&#8217;s trying something useful but they&#8217;re not good at it,\u00a0<em>coach\u00a0<\/em>them, don&#8217;t say &#8216;Stop that.'&#8221; (We&#8217;ve <a href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2015\/01\/the-movement-gets-real-one-of-doc-toms-sightings-gets-28-million-with-iora-health.html\" target=\"_blank\" rel=\"noopener noreferrer\">written about<\/a> modern medical practices like Iora Health, where a patient is assigned\u00a0not just a primary care provider but a\u00a0<em>coach\u00a0<\/em>they can talk to between visits.)<\/p>\n<p>That&#8217;s empowering. That&#8217;s modern. That&#8217;s participatory. Do it that way.<\/p>\n<hr \/>\n<h3>The tricky parts of medicine are hard.\u00a0<em>Work together.<\/em><\/h3>\n<p><strong>Docs and other providers:<\/strong>\u00a0Don&#8217;t\u00a0find out the hard way that you (with the best of intentions) have become a &#8220;dinosaur doc&#8221; of the worst sort &#8211; one who refuses to see that the world has changed since they were licensed. If you were taught that patients can&#8217;t know anything, take a look around. Maybe even read our e-patient white paper, the 122 page manifesto funded by Robert Wood Johnson and published in 2007, documenting the reality of engaged, empowered patients. It&#8217;s a free download on the right sidebar of this blog.<\/p>\n<p><strong>And patients, seriously:<\/strong> think for yourselves, sure, but I advise that you not think that gives you the training and clinical experience those licensed people have. Think, ask, engage, participate.<\/p>\n<p><em>See also:<\/em><\/p>\n<ul>\n<li><a href=\"http:\/\/33charts.com\/2015\/12\/doctors-google-threat.html\" target=\"_blank\" rel=\"noopener noreferrer\">Doctors and the Google Threat<\/a> by Dr. Bryan Vartabedian, @Doctor_V on Twitter<\/li>\n<li><a href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2015\/11\/misdiagnosis-a-chronic-condition-looking-for-a-cure.html\" target=\"_blank\" rel=\"noopener noreferrer\">Misdiagnosis: A Chronic Condition Looking for a Cure<\/a> (about that IOM\/NAM report)<\/li>\n<\/ul>\n<hr \/>\n<p>&nbsp;<\/p>\n<h3>Update December 13<\/h3>\n<p>Culture change only happens when what people\u00a0<em>say\u00a0<\/em>changes, and that starts with discussion. So I&#8217;m thrilled at how much this rich, subtle conversation has persisted.<\/p>\n<p>Here are snips from my two personal favorite responses so far:<\/p>\n<ul>\n<li>SPM co-founder Gilles Frydman of SmartPatients.com\u00a0proposes this, which could go on the other side of this mug:\u00a0\u201cAnd don\u2019t confuse my medical degree with a universal knowledge of medicine.\u201d<\/li>\n<\/ul>\n<ul>\n<li>&#8220;Googling doesn&#8217;t make you an expert &#8230; but it also doesn&#8217;t make you wrong.&#8221; &#8211; summary of the whole subject, from <a href=\"https:\/\/twitter.com\/DrTJamieson\/status\/675893678041382912\" target=\"_blank\" rel=\"noopener noreferrer\">a tweet<\/a> by @DrTJamieson<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I can&#8217;t tell you how many people have flung this Facebook item at me since last night, starting with my wife. :-) It&#8217;s already approaching 25,000 shares. (Update: at 11am [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":18065,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"give_campaign_id":0,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[127,76,7548,7740,158,55,51,7741],"coauthors":[8070],"class_list":["post-17950","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-general","tag-care","tag-doctors","tag-iora-health","tag-listen-googling","tag-medical","tag-patients","tag-students","tag-tid"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The truth about that &quot;your Googling and my medical degree&quot; mug - SPM Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/participatorymedicine.org\/epatients\/2015\/11\/the-truth-about-the-your-googling-and-my-medical-degree-mug.html\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The truth about that &quot;your Googling and my medical degree&quot; mug - SPM Blog\" \/>\n<meta property=\"og:description\" content=\"I can&#8217;t tell you how many people have flung this Facebook item at me since last night, starting with my wife. :-) It&#8217;s already approaching 25,000 shares. 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