MEDICAL ADVICE AND THE WEB
Medical Advice, strictly speaking, should come from a physician or from a
well-documented and authoritative source such as medical literature.
Surfing the web for medical advice is fun, but dangerous to your health.
The "medical advice" web pages fall into several categories.
One is purely testimonial information. That is a person has PERSONAL
experience with the sign/symptom/syndrome/condition/disease of interest
and talks/writes from experience, NOT from authoritative knowledge of the
syndrome. Testimonial evidence is the LEAST factual information you can
find. It's one guy/gal telling you his/her experience. Their experience
should NOT be YOUR guide to behavior... Why should your next door neighbor
be a better doctor than you are? Why should you take their recommendations?
The next is "groups". That is, organizations of sufferers of the disease who
have a web page to share experiences and offer advice to one another...or
the world. This is where you find some really odd and perhaps dangerous
suggestions. Keep in mind that a large group of people CAN be wrong about
something: Think "Jamestown"...
Medical organizations or societies or hospitals often have medical advice on
their web pages, but they are very careful to tell you that you should not
follow their advice without medical supervision! Instead, you should always
consult your physician first with regard to your problem... You will be
benefited by printing out the Web advice to take with you when you go to
your own physician, or to a clinic.
The final authority is medical research and clinical experience. You may
find this at the National Library of Medicine, on line as Medline and
accessible via several different search engines. At this level, you need
either medical training or a medical vocabulary to understand what you may
find...indeed, to even find the information you may need deeper understanding
than a simple medical vocabulary...
Imagine that the Web is a blank wall and anyone can write and draw pictures
on it. That means ANYONE, not just honest and authoritative people with good
intentions. Many crooks, salesmen, charlatans and other malevolent people
have written, are writing, and will write upon it... Do NOT believe
everything you read on that wall.
If you want medical advice, see your doctor. If you don't have a doctor, get
one. If you can't get one, go to the hospital emergency room. If it's NOT an
emergency, ask your neighbor, pharmacist, or minister for the name of their
doctor [but NOT their medical advice]!
None of this is medical advice, nor should it be construed as such! Call it
health advice if you need a name...
Tom Stewart 12/21/04 [updated 11/23/07]
BE A SAVVY SURFER ON THE INTERNET
Holly Atkinson, MD, Editor HealthNews, January 27, 1998
The volume of medical information continues to grow explosively, and
perhaps nothing contributes to it more than the booming Internet. Over
the past year, health has been the fastest growing sector on the World
Wide Web, with more than 10,000 health-related sites now available.
According to one estimate, one in six American adults use the
Internet, and 37 percent of them have sought health information
online.
This Explosion is both a blessing and a curse. On a recent episode of
the popular TV drama ER, doctors used the Internet to help solve a
puzzling diagnosis. In fact, this was an accurate portrayal of what
goes on every day across the country. Doctors, patients, and health
conscious consumers are using online sources to cull the latest
information. For me, the Internet has become indispensable. Just two
years ago, it would have taken me many days to pull together reference
materials that I can now collect in minutes.
Now for the downsides: The volume of information is overwhelming, and
the quality can be difficult to judge. The Federal Trade Commission
found that hundreds of health Web sites contain potentially false or
deceptive claims. Even well-meaning publishers of Web sites can leave
much to be desired. Recently a team of doctors reporting in the
British Medical Journal reviewed 41 Web sites for advice on how to
treat a feverish child. They found plenty of information but very
little that was accurate and up to date.
How can you become a savvy surfer on the Internet? Here are five
questions to ask about each health Web site to help gauge its
reliability:
1. Who is posting the information? Reputation counts. Usually brand
names can be trusted; you're safer if you stick with known names in
the world of medicine, such as the National Institutes of Health, the
American Lung Association, and the Mayo Clinic.
2. Who is paying for the Web site? Ask yourself whether the specific
content of the site promotes any products subtly or not so subtly.
3. What are the credentials of the group developing the content? Many
reputable sites make clear their editorial process and list the names
and credentials of their advisory board members. If no one is
identified as being in charge, be more skeptical.
4. When was the material last updated? Medical information can become
outdated quickly. Check the date when the Web site was last updated
and whether the material you're reading has been updated since its
original posting. Ideally, a Web site should be updated at least
monthly, if not weekly.
5. How well are claims documented? Check for references and be
suspicious if the material does not refer to scientific studies or
expert panels that support the claims.
For more on how to judge the reliability and quality of health information,
check out the California Medical Association's Web Site: and look under
"Library of Links" for an area called "Evaluating Med Info".
If you have a specific medical problem or question, the best place to
start depends on what you need. If you're hunting for general
information on a particular disease start with Web sites developed and
maintained by the top voluntary health organizations devoted to it,
such as the American Cancer Society
Two other good places to start include:
Healthfinder, maintained by the US government;
Hardin MD (the MD stands for "meta directory" [a directory of directories]),
run by the Hardin Library for Health Sciences at the University of Iowa
These provide reliable lists of health sources by subject, usually with built
in hyperlinks that take you to other organizations' home pages.
Or, you can try one of the search engines such as Excite, Yahoo!, or
AltaVista. [Update: add Google to this list.] Although a general
search on these sites may yield a daunting number of matches, if you
know an organization's name but not its Web address, you can find it
almost instantly.
If you're hunting for cutting-edge treatments, you might want to
search the most recent findings published in the medical literature.
Last June, the US Government made MEDLINE, the world's largest medical
database available to anyone on the Web (See HN, August 5, 1997).
MEDLINE contains more than nine million summaries from the world's
4,000 top medical journals, and it can give you a wealth of
information about new treatments that are being developed in the best
medical laboratories. MEDLINE used to be accessed only by librarians,
doctors, and research scientists, but now the Web site gets about 1 million
visits a day -- most of them from consumers in search of treatment options.
If you are willing to pay someone else to do the search, visit The Health Resource
or MedSearch . You can also see portions of HealthNews and search their
online archives for top stories on advancements.
A word of warning: if you join a news group or chat forum, beware of the
quality of information. I have found some of the most irresponsible and
harmful material posted in bulletin boards. Well-meaning people -- but
sometimes charlatans and salesmen too -- post less-than-accurate
material, and rumors spread like wildfire. Find a forum affiliated with
a reputable organization and hosted by a well-qualified expert.
Finally, don't believe everything you read on the Internet. And remember
that there is a difference between information and knowledge, between facts
and wisdom. Ask your doctor [or Pharmacist] to help you sort through what
you find on the Web. Indeed, knowledge is power, but the challenge is
understanding it and using it wisely.
Transcribed 12/21/04 tgs [Transcriber's comments in brackets.]
What follows is more than 400 health-related websites collected from
various web sources. This is "RAW" information and NO claim is made
that ANY of these sites is up-to-date, accurate, truthful, correct,
useful, authoritative, or even functional. They have been categorized
as "health related" in some way
IMPORTANT: NEVER NEVER NEVER act on any web information without
consulting your own health care professional FIRST!
If you find any of these links to be incorrect in any way, please inform me
and I'll fix it as soon as possible. Please refer by specific page URL. Thanks!