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How Symptoms Are Presented Online May Affect Whether We Think We Have The Disease

The Huffington Post  |  By Posted: 03/18/2012 11:42 pm

Symptoms Online

If you're one of those people who obsessively Googles your symptoms when you're feeling sick, you should read this.

A new study in the journal Psychological Science shows that we're more likely to think we have the sickness or disease if a number of our symptoms are listed consecutively on a website.

"People irrationally infer more meanings from a 'streak,'" study researcher Virginia Kwan, a psychologist at Arizona State University, said in a statement. It leads them to "perceive a higher personal risk of having that illness."

For the experiment, Kwan and researchers from University of California, Irvine, Ono Academic College and the University of Warwick had student study participants were introduced to six symptoms for a made-up thyroid cancer, that researchers called "isthmal."

One group of study participants received three broad symptoms (like weight changes, or fatigue) which were then followed by three specific symptoms (like having a lump in the neck). The second group of students received the same symptoms, but in reverse order -- meaning the specific symptoms were given first, followed by the broad symptoms. The third group of students received a list of symptoms that alternated between broad and specific.

The study participants were asked to check off whether they'd felt any of the symptoms before over the last six weeks, and then were asked to rate how likely they thought they were to have developed the "isthmal" cancer.

The researchers found that for the first two groups who received the "lumped" broad and specific symptoms, they rated their risk of having cancer about the same. But the group that had the alternating symptoms were less likely to say they had the cancer, according to the study.

The researchers then conducted a similar experiment, but this time with lists of six or 12 symptoms for the real cancer meningioma. The researchers found that the appearance that there was a "streak" of symptoms disappeared when 12 symptoms were listed, compared to just six.

Patients aren't the only ones Googling their symptoms -- a survey published least year by Wolters Kluwer Health showed that nearly half of doctors (46 percent of those in the study) use sites like Google and Yahoo to treat, diagnose and care for their patients.

By comparison, 68 percent of doctors said they frequently look to professional journals and 60 percent of doctors frequently go to their colleagues, according to the survey. Forty-two percent of doctors say they frequently get their information from conferences and events, and 42 percent say they frequently get their information from online health sites like the Mayo Clinic and WebMD.

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If you're one of those people who obsessively Googles your symptoms when you're feeling sick, you should read this. A new study in the journal Psychological Science shows that we're more likely to ...
If you're one of those people who obsessively Googles your symptoms when you're feeling sick, you should read this. A new study in the journal Psychological Science shows that we're more likely to ...
 
 
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This user has chosen to opt out of the Badges program
10:00 AM on 03/20/2012
if you're not an idiot, you can probably do fairly well googling symptoms.
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dancerctry
I love Gardening and Decorating
09:59 AM on 03/20/2012
I have OCD and General Anxiety Disorder (diagnosed by an acutal doctor). My son in 2 1/2 now but when he was small I started getting scared of if he developed Autism or ADHD. My problems are genetic and I was starting to see the signs in him of both either way. I went to WebMD and MayoClinic.com and found that there are a lot of parallel symptoms of GAD and/or OCD and Autism and/or ADHD. I told his doctor about how I came across the symptoms and mentioned my genetic issues. I didn't want him assuming his repetitiveness was Autism when it's clearly OCD. I also told his teachers when he started preschool in January. I didn't want them thinking he had something that is way overdiagnosed when it's clearly OCD and GAD too.

When they mention symptoms like headache , for example, I assume they mean "very strong" for it to count as could be that disease. If I get suspicious about something I do ask my doctor about it but, luckily, I don't look things up often and rarely think I actually have what's mentioned. It is good to help me understand what the doctor has diagnosed though./
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MiMi LLawsonn
Just my opinion****
09:31 AM on 03/20/2012
Better be careful of what you "google".....http://ireport.cnn.com/docs/DOC-736024 you just might get a lot more than you intend to.....the link provided indicates how a "Google Evidence" changed one man's life forever.....even though it was NOT PROVED in court that he did it....
it will SHOCK you....watch the trial and make your own conclusion of just what took place....
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09:17 AM on 03/20/2012
This is fantastic. The very doctors who tell us to stop treating ourselves online are the ones who go "online" to treat us. There is a reason I don't go to the doctor....(aside, of course, from the expense, for which my expensive health insurance is useless.)
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Arn Arn
08:38 AM on 03/20/2012
You'd really have to be a complete idiot to think you have a disease just because Google lists the symptoms consecutively. Wow.
noahmarder
Exposing the regressive lies, one by one
04:34 AM on 03/20/2012
Here are some tips from a veteran online health researcher:

1. There are many causes for common symptoms like headaches, abdominal pain, dizziness, and nausea. You can't make an internet diagnosis based solely on common symptoms.

2. Less common and more specific symptoms (rashes, localized orthopedic pain, physical deformities) can help you make a diagnosis. Make sure to use credible websites. Peer reviewed medical journal articles are the best, information from non-profit medical organizations is usually decent, and anything for-profit should be regarded with suspicion. You should also make sure you gain a working knowledge of the medical terminology and basic medical science regarding your suspected condition.

3. Try to learn about differential diagnoses for your condition as well. Be aware of confirmation bias, and try to combat it as much as possible.

4. Don't make any significant changes to your life without at least informing your doctor. If you don't trust your doctor, or he doesn't like the fact that you do internet research, or he just isn't making sense to you, find a new one, or at least get a second opinion. It may be hard to find a good doctor, but it will be worth the effort if you do.
07:59 PM on 03/19/2012
I admit, I used to lookup my symptoms online and take a lot of medication for any little thing. Now I try to tough it out. I've been working harder at eating more cleanly and avoiding unnecessary pills. You'd be surprised how great you feel just after 2 weeks of making small changes in your diet. Are you keeping your heart & mind healthy? Stay away from researching all the "possible" symptoms you might have and start making positive changes: 7 Ways to Keep Your Heart Healthy
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09:18 AM on 03/20/2012
Any rational person would realize that prescription drugs kill you. How often do we read about people being treated for cancer, who died because chemo destroyed their other organs? That is just one example.
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GOODDOC1
"civil war" is an oxymoron
10:52 AM on 03/20/2012
Say that when you have cancer yourself! I'm alive today because of chemo and radiation -- and I definately wouldn't be without them! If you want to live your life with a doctor, be my guest. That will leave more time for the rest of us rational people who realize that they DO save lives!
07:54 PM on 03/19/2012
Google has made me a hypochondriac.
11:10 PM on 03/19/2012
LOL..
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Havana Thinks
Live and Let Live!
09:29 AM on 03/20/2012
Stop it, Woody! LOL
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ohxpress
What? Now I'm a micro-biologist too? Cool!
07:21 PM on 03/19/2012
There was a health issue that I had recently and used WebMD to find out if I needed a prescription to treat it or if there was something over-the-counter that I could use. I typed in the symptoms and found out exactly what it was. I looked up the treatment and found out that I needed a prescription, so I made an appointment with my family doctor and told him what the WebMD site said I had. I described the symptoms to him and he immediately shrugged it off, and said that was NOT what I had. He said it could be something else; so I did extensive blood work which proved it was not what he suspected. My doctor sent me for more tests, and they were all negative. He finally referred me to a specialist after I dealt with the issue for 3 long months. When I saw the specialist, he diagnosed me as having what WebMD said I had within 5 minutes and gave me the prescription I needed. I felt much better after a few days of using that medication. So sometimes using the Internet can be very helpful. Hopefully doctors will not feel slighted by patients who use the Internet to try to find out what's bothering them and shrug off a potentially correct diagnosis.
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09:20 AM on 03/20/2012
That is what doctors are ABOUT. Expensive test after expensive test. And expensive drug after expensive drug. Gotta keep the highly-paid pharmacists working somehow. Even though they are paid a fortune for dispensing poison to naive, unsuspecting "patients."
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Ranveig Elvebakk
Innovator, author and lecturer on weight and nutri
01:46 PM on 03/19/2012
In my career as a primary care physician I worked a lot with assistants. They would list me exhaustive case history and symptoms, but there was no substitute for meeting the patient in person myself. This told more that there is no substitute for understanding who the symptoms belong to so to speak. Self-diagnosis falls woefully short here-
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silkzephyr
11:20 AM on 03/20/2012
wow, a doctor who actually looks at you!!! invaluable diagnostic tool. fanned!
noahmarder
Exposing the regressive lies, one by one
04:14 AM on 03/21/2012
If more doctors made the effort to actually examine their patients, take thorough histories, and spend time THINKING about the proper diagnosis, fewer people would feel the need to diagnose via the internet. Thank you for treating patients as human beings. I'm afraid you are of a dying breed.

The internet is a great tool for patients to educate themselves, but no amount of patient education can fully compensate for a good doctor's clinical experience and wider breadth of medical knowledge. In the end, care should be a partnership between patient and doctor, where each party listens to, and respects the other.