{"id":8279,"date":"2011-01-20T17:14:49","date_gmt":"2011-01-20T21:14:49","guid":{"rendered":"http:\/\/pmedicine.org\/epatients\/?p=8279"},"modified":"2011-01-21T10:38:48","modified_gmt":"2011-01-21T14:38:48","slug":"is-the-culture-budging-time-reports-that-informed-patients-can-help-doctors","status":"publish","type":"post","link":"https:\/\/participatorymedicine.org\/epatients\/2011\/01\/is-the-culture-budging-time-reports-that-informed-patients-can-help-doctors.html","title":{"rendered":"Is the culture finally budging?? Time reports that patients who google can help doctors"},"content":{"rendered":"

Thanks to friends Kavita Patel and Brian Ahier for pointing out this sign of shifting winds, in yesterday’s Time<\/em> online:\u00a0Googling Symptoms Helps Patients and Doctors<\/a>. It’s a watershed moment, because the last physician column I saw on this was the unpleasant 2007\u00a0When the Patient is a Googler<\/a>, by Scott Haig MD.<\/p>\n

It drove me up a wall, because the title suggested Googling was the problem, when the story was actually about\u00a0a nightmare patient who was just plain rude<\/em>. To brand “googlers” as wack jobs was imprecise at best. \u00a0I responded with one of my first posts here,\u00a0March 2008: When the Patient is a Yahoo<\/a>.
\n
\nShortly after, our Alan Greene, physician c0-chair of SPM and co-founder of DrGreene.com, posted here<\/a> about the article, with links to coverage in Salon.com. He summed up our status:<\/p>\n

We live in a time of rapid tectonic shifts in what it means to be a doctor and what it means to be a patient. I\u2019m not surprised that there are clashes of ideology and practice. Our labyrinthine, barnacle-encrusted healthcare system resists change. So do our social structures that have lasted for millennia.<\/p>\n

But already many e-patients and many e-doctors are actively enjoying a new way of relating, rooted in mutual respect and open access to health information.<\/p><\/blockquote>\n

There was so much blog discussion that Dr. Haig led a physician roundtable, How to deal with the digitally empowered patient<\/a>,\u00a0reported in Orthopedics Today<\/em>. Haig cited that twenty major blogs hosted lengthy discussion of his “When the Patient” article. (John Grohol posted<\/a> here\u00a0about the roundtable.)<\/p>\n

That was the background, from 2008, against which yesterday’s Time<\/em> piece landed. In the new piece I was thrilled to see author Dr. Zack Meisel (@ZacharyMeisel<\/a>) describe how patient engagement actually plays out for him: (emphasis added, in all quotes here)<\/em><\/p>\n

Recently I saw a patient who came to the ER with a strange rash. She arrived with color printouts that correctly identified her condition. Not only was she correct in her self-diagnosis, but I am not sure I would have considered the right diagnosis so quickly<\/strong> if she hadn’t brought in the pictures (it was a common condition with an atypical presentation). I know many health providers who have experienced similar circumstances.<\/p><\/blockquote>\n

Partnership! An engaged patient, trying to contribute what she can, helps the physician <\/em>do his job.<\/p>\n

The best part comes next:<\/p>\n

But to debate whether patients should or should not Google their symptoms (which a surprising number of doctors seem to enjoy engaging in) is an absurd exercise<\/strong>. Patients already are\u00a0doing<\/a> it, it is now a fact of normal patient behavior, and it will only increase as Internet technology becomes ever more ubiquitous.<\/p>\n

The average Joe has more health information at his fingertips<\/strong> \u2014 both credible and charlatan \u2014 than all the medical libraries ever built<\/strong> put together. So the real question is, What can professionals do to translate this phenomenon into better health<\/strong> for their patients and the public?<\/p><\/blockquote>\n

That information-at-the-fingertips point resonates with what a Dartmouth-Hitchcock anesthesiologist told me on a plane flight last May: “I have <\/em>to take my laptop into the OR. We don’t physically have, here in the building, all the information I might need during the procedures.”<\/p>\n

In all of this coverage I think the best perspective is what John G extracted for his post about the roundtable:<\/p>\n

A well-educated patient is easier to treat. A badly educated patient is very difficult to treat.<\/p><\/blockquote>\n

I think it’d be great for the Society for Participatory Medicine to accelerate this shift by developing tools to teach smart info-shopping. Culture change doesn’t show up in life all that often, and we should guide it.
\n________<\/p>\n

A curious note: The headline cited above is different from what it said yesterday:<\/em><\/p>\n

\"\"<\/a><\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

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