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Medical Forum / General / General / February 2007

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Hello group, an invitation to post at a new Side Effects Wiki

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wheresdave - 02 Feb 2007 07:01 GMT
I would like to take a moment to share with you a new web application
that is currently in development. This application is in its first
stages and can be found at

http://www.unburdenus.com

Please take a moment to read through the following details about the
application.

Our mission: To allow anyone anywhere to share and compare information
on side effects from medication for free.

How we plan on accomplishing this:

A wiki has been setup that anyone can contribute side effects and side
effects related information to. We encourage people to contribute the
following information.

Side Effects: If you have ever experienced a side effect from
medication you are asked to share your experience or enhance a
description already provided. Also we are attempting to include dosage
information and medications associated with the side effects on the
side effects page.

Medication: We also would like to compile as much information as
possible on medications regardless of whether they are Over the
Counter or Prescription Medication. We realize this information is
posted elsewhere, however having this information in our wiki will
allow us to access it directly through the second part of our
application.

Note: Medications also apply to herbs and other natural treatments.

Symptoms: If a Side Effect is also experienced as a symptom please
create a symptoms page.

Illness/Disease: Descriptions of Illnesses and Diseases, and the
medications and symptoms associated with them.

Phase two of the application will provide the following features
separate from the wiki.

Extensive forms where users will provide Anonymous information about
themselves the illness(es) they are living with, the medication(s)
they are taking and the side effects(s) associated with those
medications.

Once the user has completed a profile the data provided by them will
then be compiled with the data provided by other users and attached to
the entry for that side effect on the wiki.

This way we will have a definition of the side effect on the wiki
described in a way that makes sense to people who live with this side
effect each day. In addition to this at the bottom of this side effect
description  will be compiled statistics on a global scale of people
who live with this side effect.  An example of the data at the bottom
of the wiki will is displayed here as an example:

Number of users worldwide who experience this side effect: 500,000

Breakdown by Race: x percentage of a particular race experience this
side effect.

Breakdown by sex: x number of males experience this. X number of
females experience this.

Other special factors will be defined in the wiki as well if requested
by research or medical institutions.

As a service to the patients themselves, we will provide them with the
capability in the second part of the application to print out a much
more detailed report than what will be provided on the wiki. The goal
of this report is to give them much more descriptive data and trends
that they can share with their doctor, and the report will be
available to them Once they complete a profile.

My goal and objective in creating this application is to allow us as
individuals who experience side effects to use the capabilities of the
internet to pool our information together in a way that allows us to
hopefully make a difference in each others lives by bringing this data
together in one central location which can then be viewed by patients
and doctors together and acted upon.

In closing, remember the success of this site is based upon individual
contribution on a global scale. If you are on meds I hope you will be
encouraged to do your part, and that through this we can make a
positive contribution to the lives of others.

Best regards,

Dave Carpenter

Founder and Chief Concept Architect
UnburdenUs.com
Jeff - 02 Feb 2007 13:47 GMT
>I would like to take a moment to share with you a new web application
> that is currently in development. This application is in its first
[quoted text clipped - 90 lines]
> Founder and Chief Concept Architect
> UnburdenUs.com

This, IMHO, won't provide a useful service. You're not going to get a
representative sample. For example, you're going to get more computer geeks,
who may have different diseases and experiences than other people. In
addition, you going to get people who attribute their events to the wrong
medication or to something that is totally unrelated to the medication. And
the idea of asking about dosage seems pretty dangerous to me. The dosage for
may be different for different forms of medications, especially different
herb preparations.

It seems like a good idea at the surface, but, unless it has some sort of
statistical validity and proper controls, it is going to give out bad
information. Garbage in --> garbage out.

Jeff
marcia - 02 Feb 2007 14:56 GMT
> This, IMHO, won't provide a useful service. You're not going to get a
> representative sample. For example, you're going to get more computer geeks,
[quoted text clipped - 10 lines]
>
> Jeff

For an example supporting Jeff's argument, see
www(dot)crazymeds(dot)com. The results are all over the place: emotion-
laden, misleading and, as Jeff pointed out, include many testimonials
where side-effects may not be attributable to the specific medication,
or may be attributable to combinations of medications (which are
generally not listed), or where the patient dc'd the med in an early
phase of treatment when certain side-effects are to be expected, but
later subside.

This is not a project for the lay public.

marcia
marcia - 02 Feb 2007 14:59 GMT
> This, IMHO, won't provide a useful service. You're not going to get a
> representative sample. For example, you're going to get more computer geeks,
> who may have different diseases and experiences than other people.

It will also be self-selecting for people who either love or hate a
particular med, thus skewing results away from the mean.

m
wheresdave - 02 Feb 2007 16:47 GMT
> > This, IMHO, won't provide a useful service. You're not going to get a
> > representative sample. For example, you're going to get more computer geeks,
[quoted text clipped - 4 lines]
>
> m

well, it is better to try, than do nothing and achieve nothing.

Besides I am sick of the lack of information the medical community has
on side effects.

Have a good day everyone. I expected this response here.
marcia - 02 Feb 2007 17:08 GMT
> > > This, IMHO, won't provide a useful service. You're not going to get a
> > > representative sample. For example, you're going to get more computer geeks,
[quoted text clipped - 11 lines]
>
> Have a good day everyone. I expected this response here.

The point is, what you're proposing is *worse* than doing nothing,
because you're going to disseminate misinformation. The data on side-
effects is available online for practically all medications; all you
have to do is Google the generic or brand name.

You've gotten this response elsewhere as well--because it's a valid
response and worth considering.
wheresdave - 03 Feb 2007 01:45 GMT
> > > > This, IMHO, won't provide a useful service. You're not going to get a
> > > > representative sample. For example, you're going to get more computer geeks,
[quoted text clipped - 19 lines]
> You've gotten this response elsewhere as well--because it's a valid
> response and worth considering.

So, what you are saying is that giving a person who is experiencing a
side the opportunity to put it words that make sense to them is a bad
thing? I disagree. People who live with these side effects daily and
cannot articulate to a medical provider how they feel carry a huge
burden because of this. This is not in anyway shape or form
misinformation. This is accurate information provided in a way that
makes sense to the people who take these meds everyday. To the medical
community this may be misinformation. To us, it makes perfect sense
because we live with it everyday.

Thank you for taking the time to reply.
BrainDead@PiratesCave.gov - 03 Feb 2007 04:57 GMT
>> > This, IMHO, won't provide a useful service. You're not going to get a
>> > representative sample. For example, you're going to get more computer geeks,
>> > who may have different diseases and experiences than other people.
>>
>> It will also be self-selecting for people who either love or hate a
>> particular med, thus skewing results away from the mean.

>well, it is better to try, than do nothing and achieve nothing.

>Besides I am sick of the lack of information the medical community has
>on side effects.

The negative comments are silly. Do the posters really think that the
FDA-mandated studies the drug mfg does to obtain approval are a
representative sample of the people likely to take the drug? Do all
those studies on Medline use representative samples? Of course not!
Neither the researchers, the drug mfgs, nor the FDA have the ability
to compel people to participate in such studies (thankfully) therefore
all the studies will be skewed to those that are desperate enough (for
money or a cure) or have some sort of "good for my fellow man" streak.

The only thing different here is that you're more likely to have less
people (not getting paid and it's not going to affect their illness)
and more who have passionate feelings about the drug. As long as you
realize that, such a DB can be an interesting and worthwhile endeavor.
Personally I check out any new medication with the "Ask The Patient"
DB and I'll certainly visit this one.
wheresdave - 03 Feb 2007 12:16 GMT
On Feb 2, 8:57 pm, BrainD...@PiratesCave.gov wrote:

> >> > This, IMHO, won't provide a useful service. You're not going to get a
> >> > representative sample. For example, you're going to get more computer geeks,
[quoted text clipped - 21 lines]
> Personally I check out any new medication with the "Ask The Patient"
> DB and I'll certainly visit this one.

Thank you Braindead

I think alot of the posters here are missing the spirit and mission of
this site.

Here is what it is not.

It is not a place for people to slam drug companies.

It is not a place for people to discuss treatment for their illness or
for their side effects ( They need to do this with their doctor, not
on a website).

Here is what it is

A repository of information compiled on side effects in patients own
words.

Here is what the goal of the site is meant to achieve

1st phase

Compile this information based upon patient contribution into the
wiki.

2nd Phase utilize the information compiled from the wiki to allow
patients who are experiencing a certain side effect to tag it to a
medication, and then use the information provided by patients, along
with the side effect definitions provied by patients in their own
words to identify any trends that the medical community is unable to
identify due to the prescribing of some meds on a global scale.

This information that patients submit """Anonymously""" will be fed
straight back to the wiki and attached to the side effect.

It is the intention of the site to be used in this manner once it is
populated with data. I will use an example.

John is experiencing a side effect due to medication he has been put
on. The side effect is not common, and when he has shared it with his
doctor, his doctor really has no idea how to treat it and is not
really able to understand what is John is experiencing as he cannot
really put it into words.
At this point John is faced with a decision, he can quit taking the
med and possibly die or at the very least his life will have to be
alterably changed....or he can deal with the side effect, and make
other changes in his life.

At this point John is referred to our wiki by a friend. When he comes
to the wiki he begins to read through the side effects tagged to his
medication, and finds a side effect described by another patient that
is as the patient describes it is very very similar to what he
experiences. He notices at the bottom, that he can fill out a profile
and add his information to our database to help increase the
understanding of this side effect.

While filling out the profile, he selects the listbox which says that
he smokes. After completing his profile he runs a report which
compares his data such as age, weight, race, height and sex to others
who have the same or similar physical characteristics.

Once he has completed the profile, he can now run off the report with
the data showing all those similar to him in physical characteristics
along with the description of the side effect he is experiencing which
was provided by another patient on the wiki.

He then takes this report to his doctor, and they both notice that
every single individual who has this side effect is a smoker. Also, as
the doctor reads the other patients description of the side effect it
really clicks, and the doctor is able to identify how it may be
treated, or they may be able to identify it as another illness or
whatever.

***Please remember...........this is a hypothetical situation. Whether
tobacco could cause medication to cause a side effect I have no
clue.***

In closing, here is one thing that I want to point out to anyone
reading this. Some of the responders to this post have said that our
wiki will fill up with misleading junk data that will confuse the
patients. My response to them is, the nature of the site prevents that
from happening. If a person enters junk data, no one will tag it as a
valid side effect because they are not going to reply to it unless
they experience it themselves. The site is user driven, and the
patients themselves will validate or invalidate a side effect.

I hope I have helped bring some clarity to this post, and that if you
are a person who would like to contribute to this site by adding valid
content it is something that has the ability to benefit all of us.

Best,

Dave
Jeff - 03 Feb 2007 14:22 GMT
<...>

> ***Please remember...........this is a hypothetical situation. Whether
> tobacco could cause medication to cause a side effect I have no
> clue.***

And that is the big problem. There is no way for someone who knows what he
or she is doing to go back and ask the right questions. And the poster won't
know what is important or not.

You're absolutely correct: You don't have a clue.

Who are the members of the scientific or medical advisory board? You do have
one, right?

Jeff
Jeff - 03 Feb 2007 14:18 GMT
>>> > This, IMHO, won't provide a useful service. You're not going to get a
>>> > representative sample. For example, you're going to get more computer
[quoted text clipped - 12 lines]
> FDA-mandated studies the drug mfg does to obtain approval are a
> representative sample of the people likely to take the drug?

They are certainly not perfectly representative. But, they are much more
representative than the type of anecdote-gathering that is being done here.
You can't call this a study.

So are you saying that the drug companies and FDA don't do proper studies,
so it is ok if someone else does a totally unpresentative data-gathering
with no quality control at all?

> Do all
> those studies on Medline use representative samples?

No, but the limitations of the studies are described in the papers. And, not
being representative is one of their strengths.  For example, a study that
looks at the incidence of cancer in people who have a gene that is linked to
colon caner would bring in more useful data than one that is
"representative."

> Of course not!
> Neither the researchers, the drug mfgs, nor the FDA have the ability
> to compel people to participate in such studies (thankfully) therefore
> all the studies will be skewed to those that are desperate enough (for
> money or a cure) or have some sort of "good for my fellow man" streak.

And this anecdote-gathering is an even weaker design.

> The only thing different here is that you're more likely to have less
> people (not getting paid and it's not going to affect their illness)
> and more who have passionate feelings about the drug.

And this ancedote-gatherign has even poorer data-gathering. At least the
drug companies and FDA have an idea of what side-effects to look for and try
to determine which events are side-effects of other drugs.

> As long as you
> realize that, such a DB can be an interesting and worthwhile endeavor.
> Personally I check out any new medication with the "Ask The Patient"
> DB and I'll certainly visit this one.

You are free to do what you want.

However, the anecdotes gathered here will be practically worthless. The only
thing worse than no information is harmful information. And I think this
site falls into the latter category.

Is there even a scientifically-vetted rational for this anecdote-gathering?

Jeff
 
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