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Medical Forum / General / Dentistry / December 2004

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Jan, where are you when we need you .....

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Joel M. Eichen - 16 Dec 2004 18:03 GMT
A dentist asks,

I see a walk in today with caries involving the pulp on #18.
Tx plan her for endo BU and crown. She refuses endo because the
almighity computer told her that root canals can cause
cancer!!!!!!Tried exp[laining that there is all sorts of junk info
online and she should not trust everything she reads etc...etc.....
Long story short I took the tooth out.
How the hell does one combat the junk out there.Some patients will
always think I am Tx planning my pocket.
Hey I just realised...why am I complaining, I just made a quick $140.
Tony Bad - 16 Dec 2004 18:14 GMT
> A dentist asks,
>
[quoted text clipped - 7 lines]
> always think I am Tx planning my pocket.
> Hey I just realised...why am I complaining, I just made a quick $140.

As a wise old dentist once said...a fool and his teeth are soon parted!

T
CWatters - 16 Dec 2004 21:19 GMT
It seems even the _good_ medical health sites out there might be bad for
you. They "lull users into a false sense of security"....

http://news.bbc.co.uk/1/hi/health/3746056.stm

People with chronic disease should think twice before relying on the
internet for health advice, research suggests.

A University College London study found many would be in a better condition
if they had simply listened to their doctor's advice.  The study found
interactive computer tools do improve medical knowledge. But there was no
evidence they change behaviour positively, and some that they left people in
worse health.

The UCL team reviewed the effect of interactive web tools - known
technically as Interactive Health Communication Applications (IHCAs) - on
people with long-term conditions such as diabetes and asthma.

In total they looked at 28 studies covering 4,042 participants.

Lead researcher Dr Elizabeth Murray said she was surprised that the tools
seemed to boost medical knowledge, but, if anything, have a negative effect
on the users' health.

Paradox

Dr Murray said one reason for this apparent paradox may be that titbits of
information may lull users into a false sense of security.  Thus they become
less motivated to control their condition in the way they would be if faced
with a blunt instruction from a doctor.  Alternatively, users may become so
steeped in information that they make treatment choices on their own,
contradicting advice from their doctors.  For instance, a diabetic person
might be told by a doctor to lower blood sugar but decide, based on his own
interpretation of data, that the short-term tradeoffs of not complying are
worth the long-term risks.
Dr Murray said: "We found that people who use these things had more sugar in
their blood than those who didn't."  The researchers say more work is needed
to fully understand the negative effect of interactive health applications
on clinical outcomes - and whether some computer health programs can be
designed to improve them.

Friends on the web

The UCL team defined an IHCA as a computer-based information source combined
with one or more additional services, such an on-line support group, chat
room or tailored advice based on data provided by the user. Dr Murray said,
however, that some researchers "worry that the friends you make on computer
are not right sort of friends, won't be there for you and may not be good
for your social well being."  The authors suggest that other assumptions
about interactive health care are flawed.  For example, if knowledge was all
that was needed to promote healthy behaviour, smoking would not be as
prevalent as it is. Further, well-informed health consumers may not, as
expected, drive down the use of health care but may increase it by demanding
specific and possibly more costly treatments. The review appears in the
Cochrane Collaboration, an international organization that evaluates medical
research.
clintonz@prodigy.net - 17 Dec 2004 04:09 GMT
> It seems even the _good_ medical health sites out there might be bad for
> you. They "lull users into a false sense of security"....
[quoted text clipped - 52 lines]
> Cochrane Collaboration, an international organization that evaluates medical
> research.

I'd love to see how this study was done. sounds like one of
those smear studies financed by the establishment. "

We can't provide any details but we did a broad study utilizing 1000's
of participants and a specially designed questionarre which concluded
that you should just shut up and listen to your doctor."

Whose to say that people searching on the internet aren't already
sick to begin with and more prone to become sicker anyway?

I guarantee you another study fianced by medical search engines
would conclude overwhelmingly that patients who use the internet
are overwhelmingly much happier and healthier than those who don't.
Joel M. Eichen - 17 Dec 2004 10:56 GMT
>I'd love to see how this study was done. sounds like one of
>those smear studies financed by the establishment. "

Yes, the establishment propagandizes even more than the alties.
There's a TV program on PBS called "Second Opinion." So far its about
such troubles from getting involved with chelation and various altie
stuff.

Joel
clintonz@prodigy.net - 18 Dec 2004 09:26 GMT
Sounds like PBS has finally sold out. However I get a kick out of those
alternative remedy commericials by Kevin Trudea about how the FDA
blocks natural remedies which probably has a lot of truth to it
although I can't believe many of his claims like a cure for MS. The FDA
comes into my office to shut it down, he says and in case you don't
know he tells the talkshow host--they come in with guns. That's right,
he repeats, the FDA comes in with guns!

.
 
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