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Dr. Jack Kruse
Dr. Jack Kruse

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HOW DO YOU VIEW DR. GOOGLE?

I am a rebel in healthcare and I know it. I personally love Dr. Google because it tells me which of my patients are fully engaged and care and who want aggressive input by me instead of just applying conservative paradigm algorithms.  These patients help me identify who really needs me and who really just wants conventional advice.  It really is a time saver for a quantum mitochondriac clinician.  I want my patients to be collectors of information based upon their conditions and come to me with it so we can go over it and I can discuss with them why I agree with it and why I may not.  I trust my patients to make the decision when they hear both sides of the argument.  It seems many of my fellow MD's don't have my perspective and look at Dr. Google as a "problem."  I don't feel this way at all.  Here is the account of another MD.  I'd like to hear your comments below out these two perspectives.  

Dr. Homere said, "In a world of cyberchondria and a web polluted with unlimited medical data, patients are searching their symptoms, diagnoses and treatment options even before going to a physician. Nowadays, at least one third of patients go on the Internet for self-diagnosis — or, often, self-misdiagnosis.

After searching for a symptom, understanding e-medical facts is not as simple as reading hotel amenities or reviewing a pizza place. This paradigm introduces new patient behaviors that physicians are not prepared to deal with in medical school, nor during training years.

Data showed that more than fifty percent of patients do not share with their doctor that they searched the topic on the Internet. How do patients react if the physician gives them different information than what they read on the web? Do they trust him and ignore their research? Or would they go to another physician thinking this one is wrong and outdated?

Unfortunately, this is now a fact — we cannot fight it anymore or control it. All we can do as physicians is to be aware of it and understand patient’s fears and thoughts, after they have been “manipulated” by the Internet.

Physicians are compelled to make the effort of not only following valuable medical information in peer-reviewed journals and professional societies sites, but also they need to be aware of the set of data available for the public, data often put together by non-doctors. This will make doctors understand better patient’s concerns and try to build on or correct “common e-knowledge” when sometimes this knowledge is wrong, inaccurate, or does not apply to the patient’s actual situation.

On another note, since we cannot convince our patients not to go on the Internet as they “can’t help it.” Providers should not be shy to direct their patients on how to use this tool, by recommending accurate keywords that apply to their disease and suggest specific procedures to look up on video sharing platforms.

With millennials seeking more medical care, social media revolution and Internet-mania will further impact patient behavior. Providers have non-conformal tasks: to be aware of these new trends and influences, in order to integrate them in their practices and reinforce patient-doctor relationships; we mention in this article following public data from unconfirmed medical sources and counseling patients for accurate web searches."

Who do you agree with it?  Do you have a different take on this topic ?  I'd like to hear your ideas below.  Share it, if you feel compelled 

Homere Al Moutran is an otolaryngologist in NYC.  He can be reached on LinkedIn and Twitter @DrHom_NY.  I am Dr. Jack Kruse and I can be found on Linkedin and on twitter @DrJackKruse or at www.jackkruse.com


Comments

If I trusted my Doctor I would be on fucking Statins, I do really like your perspective here. In the end I background check my Doc to see if he is a centralized Doc, if thats the case that would be a big red flag!

Stian Van Zweden

I see the same fear of "Dr. Google" that many doctors may have in the legal field. Many lawyers feel the same way. However, I see that this fear usually has its roots in some sort of "professional insecurity" both doctors and lawyers may have. Lets accept it, we can´´ t know everything about neither medicine nor law - or any other topic, by the way. The problem I see is... how do you handle that "not knowing"? I feel we should embrace the unkown, and be humble enough to say.. "hey, tell me what you have found or what you believe about this, I´´ ll tell you if I think it is bullshit and why I do, or maybe I´´ ll learn something valuable". The problem may lie in people´ s ego, that because they are the "experts" they won´´´´´ t admit they simply don´t know something. The flipside would be that people such as yourself, that know a ton about some topics can´t get distracted by meaningless shit that other people say, so I´´d say it is ultimately an art to learn to distinguish valuable inputs that make you grow as an expert from distracting stuff...

Pablo

Oops. <a href="http://www.couragerenewal.org/healers-need-healing-cannot-heal/" rel="nofollow noopener" target="_blank">http://www.couragerenewal.org/healers-need-healing-cannot-heal/</a>

Marcine

Just found this:

Marcine

My first personal training client when I was 17 years old is now my family physician. He is also one of my best friends. It has taken me over 20 years to get butter in his fridge. I never saw him as my doctor for more than a few things over the years. I always took my own advice and coupled it with his if it seemed to make sense. Currently, I feel lucky because I am boggling his mind with quantum biology and I know that eventually, he is going to crack one of the "recommended" readings I have told him about. Most likely when the stack of medications he takes himself begin to take a more rapid toll on his biology. That's why I am seeing him now. It took a high level of personal pain before I used Dr Google to begin researching detox techniques that I previously only skimmed and put no dopamine towards. He writes whatever I want to get tested on my blood panel requests. Hs-crp in Ontario is free. So are all the other tests:) I got lucky when "water light and magnetism" popped up next to Gerrard Pollacks video I was watching. Our ability take the red pill is usually governed by personal pain and how much we love our wallet. Cf-2017

Eric Morrison

Many doctors are working on the assembly line in the factory. You can still find doctors who are willing to discuss a line of treatment. One recently said, "What do you expect, you are getting old and maybe over time your injury will get better." That was the first, last and only time I saw him. LOL In a different situation, two other MDs explained to me that what they discussed with me is the standard of care. I told them I did not agree with this medical meme and there was no logic to back up the plan. It was like talking to the wall. I have a friend of sixty years with a similar situation and his standard of care was different from mine which was confusing to me. I discussed this with my brother, a retired lawyer and he explained to me that different states have a different standard of care. It does not need to make sense or be logical but to protect against law suits. I moved on from those two MDs too. I do have a primary care MD which does listen and will think a bit about what I say. I don't get the feeling that they are aware of many male patients searching the internet for answers.

Allin

I can write a story on the arrogance of the GPs that I have met. One told me to get pregnant, insinuating that all my aches and pains are just in my head and with a baby, my mind would be off myself. Another overdosed me with anti-thyroid medication, I went from 49kg to 65kg in three months, that's when I started my relationship with Dr Google. The most recent was being prescribed Amoxicillin when I clearly recorded my allergy to Penicillin in my patient record, went back the next day with a swollen right eye as big as half a hard boiled egg, no apologies and the only come back from the "not so good but very arrogant" GP was, because of your thyroid problem, you have many drug allergies. Very glad I found you Dr Kruse.

Joanna Wong

"What you leave behind is not what is engraved in stone monuments, but what is woven into the lives of others." ~ Pericles

Dr. Jack Kruse

I started out by trusting my doctor. I probably trusted him for a few months too long. When I decided what he was doing for me was causing more harm than good I turned to doctor Google. It empowered me to take control of my health. I found your work and a whole new definition of what good health really is. When I hear a lot of the recommendations given by doctors today it makes me wish more people would rely on themselves, do their own research, and come to their own conclusions.

Nathan Walz

The biologic future is already here for mitochondriacs — it’s just not evenly distributed in our mind or our tissues. Your Rx is usually found in what you do not like.........because if you liked it you would not be in your current situation. This is why I tell everyone I meet become comfortable with your discomfort because that will be the stimulus for you to change what you've always done that got you in trouble initially

Dr. Jack Kruse

I think you are on target when you insist on "skin in the game." If you don't help your own N=1 then why bother. Just be a zoo animal. When the obedient, disempowered are dead and gone, Doctors will be forced into the new paradigm or be out of business, which they probably should have never gone into in the first place. I don't even have much compassion for them because you would have to be practicing under a rock to not know the changes going on in that profession and the risks to their own health! Blessed that you are pushing the envelope.

Marcine

Dr Google is why I am in a much better place than I was. It's why I felt compelled not to listen when the endocrinologist asked me whether I had 'hope for the future' when I'd gone in to discuss subclinical hypothyroidism, it's why I stopped believing the 'calories in, calories out' advice when the food I was eating didn't match the weight I was gaining. It's empowered me to search for a better truth when the answers I'm being given don't add up. And I think the fact that the patient Dr Googles before attending a medical appointment is great - it will hopefully change the MD/patient relationship to better explanation and advice instead of 'Dr's orders'.

Eliza Channon

I was expecting that lol. Sure I can educate without college - I have the growing library of texts to show. Takes some time but I do it's a piecemeal process. Otherwise, just pursue what does pay the bills and then some, don't get caught up in the prestige of degrees and accolades?

James Westmoreland

education in what matters most matters. A degree should be sought just to pay you bills.

Dr. Jack Kruse

These concerns could all boil down to a few things less any character flaws (pride, arrogance, for ex.) One that comes to mind is accessibility of knowledge. I get the feeling there came a time when, libraries aside, certain information was only a privilege of the elect medically trained few - becoming a well educated layman can be quite threatening. Consistent case exposure has a role here too. In my personal professional experience, I like you Jack enjoy when a client opens up with "I've been reading about this and that.." or they try to diagnose which muscle or nerve is a causal agent for pain. The problem starts at the over confidence from the client -- they are convinced they know what's wrong and know which treatment protocol or measures must be taken. That's where I calmly draw the line and "re-educate" them. But I've rarely encountered a few that walk away thinking I knew less then them. Lol. Those are memorable encounters. From a personal standpoint, one important factor in researching an illness or pain through Dr Google or diagnostic apps alike, is not only that it becomes educational, but it potentially (I do stress potentially) leads me or my family to a reasonable treatment that costs a fraction of a doctor visit. Even for me, I consider myself well educated enough to understand all that I'm reading, it can be a gamble for sure, but the lost art of critical thinking helps us determine when to pursue medical intervention before things get worse, with no fear of submitting our attempts to self-diagnose and treat. Proactive researching ones ailments can also, like those above, come across resources and references that one's typical medical practitioner has no idea about. I have a client who is an Opthalmic Surgeon - Jack - with all your offerings on the science behind RPE, vitamin A, Melatonin, cones/rods , artificial light vs natures sun light , etc... even he seemed puzzled and intrigued at times. An eye surgeon! I wasn't surprised though. But this is the benefit especially when one specialist info shares with another specialist - two brains working together is synergy at work. But in that regards, higher education needs a special overhaul. I hope to pursue a college program in the near future, so any suggestions on recommended degrees would be appreciated. UTSA has a "Athletic Medicine" program I like, also thought the "Medical Humanties" was intriguing. If I have to guess your recommendation, "Multidisciplinary Sciences" would be a go?

James Westmoreland

"forgive their ignorance and not their arrogance" That my dear is epic advice for any MD to read on here. We don't know it all and it is high time we tell the patients that.

Dr. Jack Kruse

Sara we all learn everyday. Any doctor who downs Google searches tells me they must hate libraries too because that is what Google was called when I was becoming a doctor and it is where I studied.

Dr. Jack Kruse

When I had my chronic cough (tic) I used Google all the time. It drove my Kaiser doctor crazy! My PHD in Google research isn't going anywhere. Google helped me find you. The bigger problem is the way doctor themselves see health and wellness. You can't prescribe the sun and make money. I found more answers to my questions on Google then my healthcare provider.

Sara Tarverdi

Dr. Google led me to you.... and I am convinced that the medical doctors I took my kid to were harming him - the gastro guy never even ordered a stool test, didn't know the gut leaked and thought Miralax was the end all be all - the neurologist was going to kill him with his drugs - the pediatrician was only going to vaccinate my kids regardless of why we went there - if you think about it, they have no idea how the body even works, light-wise and water wise... my endocrinologist though is great - basically, I spend my appointment telling her what I've learned lately from Dr. Kruse:-) You could forgive their ignorance, but not their arrogance - my endo is great though and willing to listen and learn something - she thinks you're funny BTW:-) Dr. Google is also refining my searches to be quantum inspired - reading your blogs, I now am sickened by the Life Extension supplement hawks and my biochemistry book provides a lot of laughs also as I see one misfolded protein after another - the doctor's comments remind me of the middle ages when the church was at its height - I bet they miss those days too... I am convinced no one really wants to be their own doctor - if you could find one with a clue that you could trust, that would be the best way to go - but I haven't seen any quantum doctors lately except you:-)

Penelope Pappas

What I'm certain of is that physicians cannot stop this, information is available for anyone who takes the time to look into it. My suggestion for physicians who have a problem with this is to put out their own videos, which is very simple to do, or links to videos or articles that they approve of, which would let their patients know their point of view. I'm not talking about whether they like Dr. Google or not but information about their specialty or practice. This would make it easier for communication between the doctor and patient.

Elliot Feldman

Like any knowledge if you read one thing and buy it hook line and sinker.... beware. Like reality there are good and less good doctors, good and less good web pages for info. I too appreciate an engaged patient who is seeking the truth with a capital T. Too many patients want the quick fix and won't except anything more complicated even if it will resolve their problem altogether.

Joshua


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