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	<title>Comments on: My take: CME, virtual colonoscopy, Google</title>
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	<link>http://www.kevinmd.com/blog/2008/03/my-take-cme-virtual-colonoscopy-google.html</link>
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		<title>By: K.</title>
		<link>http://www.kevinmd.com/blog/2008/03/my-take-cme-virtual-colonoscopy-google.html/comment-page-1#comment-84058</link>
		<dc:creator>K.</dc:creator>
		<pubDate>Fri, 07 Mar 2008 19:13:00 +0000</pubDate>
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		<description>I think you have it right, that-xmas. There are many times in which I&#039;ve wished to ask a physician before potentially wasting both my and his time.&lt;br/&gt;&lt;br/&gt;Case in point: a relative of mine presented with three fixed, nontender, swollen posterior cervical nodes and one enormous suboccipital node. No  infection, cat exposure, night sweats or fever. Possible fatigue, possible 5 lb weight loss, both unsure because he works a high stress job. Late 20s.&lt;br/&gt;&lt;br/&gt;Google says he has Hodgkins. Except because they&#039;re hard, he has non-Hodgkins. Or AIDS. &lt;br/&gt;&lt;br/&gt;Since less than &lt;1% of enlarged lymph nodes turn up malignant, he would have loved to know if he should go to the doctor quickly, or in a couple of months. The GP ran a normal CBC and referred him to an ENT, which has left him even more unsure of whether or not he&#039;s wasting the doctor&#039;s time or if there might be something serious.&lt;br/&gt;&lt;br/&gt;When I was a kid I still remember the nurse reassuring my mother over the phone that such-and-such was unlikely to be serious and not to come in unless Y, Z and Q happened. My guess is that modern liability has destroyed that option.</description>
		<content:encoded><![CDATA[<p>I think you have it right, that-xmas. There are many times in which I&#8217;ve wished to ask a physician before potentially wasting both my and his time.</p>
<p>Case in point: a relative of mine presented with three fixed, nontender, swollen posterior cervical nodes and one enormous suboccipital node. No  infection, cat exposure, night sweats or fever. Possible fatigue, possible 5 lb weight loss, both unsure because he works a high stress job. Late 20s.</p>
<p>Google says he has Hodgkins. Except because they&#8217;re hard, he has non-Hodgkins. Or AIDS. </p>
<p>Since less than &lt;1% of enlarged lymph nodes turn up malignant, he would have loved to know if he should go to the doctor quickly, or in a couple of months. The GP ran a normal CBC and referred him to an ENT, which has left him even more unsure of whether or not he's wasting the doctor's time or if there might be something serious.</p>
<p>When I was a kid I still remember the nurse reassuring my mother over the phone that such-and-such was unlikely to be serious and not to come in unless Y, Z and Q happened. My guess is that modern liability has destroyed that option.</p>
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		<title>By: that-xmas</title>
		<link>http://www.kevinmd.com/blog/2008/03/my-take-cme-virtual-colonoscopy-google.html/comment-page-1#comment-84057</link>
		<dc:creator>that-xmas</dc:creator>
		<pubDate>Fri, 07 Mar 2008 18:05:00 +0000</pubDate>
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		<description>Googling diagnosis - People will be happy with a 58% accuracy if the Googled diagnosis errs on the bad side.  In other words, I&#039;d be happier if my Google diagnosis tells me I have pancreatic cancer, but a visit to the doctor proves that I just have a bad cold. (Yes, this is hyperbole.)&lt;br/&gt;&lt;br/&gt;A bad google diagnosis, I think, helps people that are looking for an excuse to take the time to go see a doctor.  &lt;br/&gt;&lt;br/&gt;From a traditional-role-of-doctors point of view, this is a response to the problem that many patients cannot just call their doctor in the middle of the day and ask if their symptoms are something serious.  Do doctors take out-of-the-blue direct calls from patients?  Or does an administrator answer the phone and schedule an appointment sometime next month?</description>
		<content:encoded><![CDATA[<p>Googling diagnosis &#8211; People will be happy with a 58% accuracy if the Googled diagnosis errs on the bad side.  In other words, I&#8217;d be happier if my Google diagnosis tells me I have pancreatic cancer, but a visit to the doctor proves that I just have a bad cold. (Yes, this is hyperbole.)</p>
<p>A bad google diagnosis, I think, helps people that are looking for an excuse to take the time to go see a doctor.  </p>
<p>From a traditional-role-of-doctors point of view, this is a response to the problem that many patients cannot just call their doctor in the middle of the day and ask if their symptoms are something serious.  Do doctors take out-of-the-blue direct calls from patients?  Or does an administrator answer the phone and schedule an appointment sometime next month?</p>
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