Internet's Residency Exam (Regina Maria Healthcare Network Case)

Traian Mihaescu traian at MIHAESCU.EU
Sat Jul 13 07:16:56 UTC 2019


The official report ”Antimicrobial Resistance: Lessons from Romania”
https://epha.org/wp-content/uploads/2017/06/In-the-red-zone-EPHA.pdf 
states

”Romanians’ knowledge about the appropriate use of antibiotics is below 
the European average:

....of all antibiotic prescriptions, a large proportion are given after 
a consultation with the family doctor: 34% for children and 22% for 
adults. Those requesting a prescription for antibiotics only after 
initiating the treatment themselves made up 20%. A further 13% of 
prescriptions were given for incorrectly initiated treatment (i.e. for 
non- bacterial diagnosis) at the emergency depart- ment or by other 
specialists. 11% of patients had received prescriptions for treatments 
from the pharmacy, without medical consultation.”

So 1 in 5 Romanian patiens ”only” initiates treatment themselves and I 
have no data how many of them after consulting DrGoogle. In my personal 
experience (subjective!) patients which cosulted Internet are active 
patients, ask for more information and clarification, know more details 
about adverse effects..and so on. This deserves a serious study..

Dr Traian Mihaescu
Clinic of Pulmonary Diseases
30 Dr I Cihac St
Iasi 700115, Romania
www.ispro.ro
@tmihaescu

On 2019-07-13 01:44, HM Epstein wrote:
> Thank you for joining in Traian Mihaescu:
> 
> We need your point-of-view. Is this really an issue for Romanian
> healthcare or is it just a clever advertising campaign? And if true
> then are people self-healing themselves to the emergency room?
> 
> Best,
> Helene
> 
> Website [2] Twitter [3]
> LinkedIn [4]
> ​ Facebook [5]
> 
> On Jul 12, 2019, at 2:24 PM, Traian Mihaescu <traian at mihaescu.eu>
> wrote:
> 
> However, at least in Romania, Google could be better than the state
> health system... Maybe (=to be sustained by data! study needed!)
> patients can have benefits consulting Google than the local health
> system...
> Traian Mihaescu
> Clinic of Pulmonary Diseases
> Iasi, Romania
> www.ispro.ro [6]
> 
> On 2019-07-12 18:04, Ed Hoffer wrote:
> 
>> The key here is that doctor (or patient) plus artificial
>> intelligence
> 
>> may often be better than without AI, not that one replaces the
>> other.
> 
>> Edward Hoffer MD
> 
>> Sent from my iPhone
> 
>> On Jul 12, 2019, at 10:34 AM, Sherrill Franklin
> 
>> <sfranklin131 at gmail.com> wrote:
> 
>>> Dear Karen,
> 
>>> Of course, using the internet for diagnosis is almost never
>>> optimal
> 
>>> for patients.  But it is often the only resource for those who are
> 
>>> extremely ill and desperate after visiting one doctor after
>>> another
> 
>>> without getting help. I trust your article is constructive and not
> 
>>> intended to disparage patients who have often faced enough
>>> ridicule
> 
>>> in the doctor’s office.
> 
>>> Best regards,
> 
>>> Sherrill Franklin
> 
>>> —Undiagnosed 10 years, $50k out of pocket, 22 doctors including
>>> 5
> 
>>> endocrinologists (some at academic medical centers)—none of whom
> 
>>> ran a full set of labs/ Finally went into AFIB, taken to ER,
> 
>>> diagnosed with Hashitoxicosis (Graves/Hashimoto’s)
> 
>>> 129 E. Harmony Road
> 
>>> West Grove, PA 19390
> 
>>> 610-869-4234
> 
>> On Jul 12, 2019, at 8:53 AM, Karen Davis <kdavis at LAMMICO.COM>
> 
>> wrote:
> 
>> Thanks, Helene. That was great. I’m writing an article about
> 
>> patients using the Internet for diagnosis, and I hadn’t seen
> 
>> this.
> 
>> Karen
> 
>> KAREN K. DAVIS, MA, CPHRM
> 
>> LAMMICO
> 
>> CME/CNE Writer and Editor
> 
>> Risk Management Department
> 
>> kdavis at lammico.com
> 
>> (504) 841-2736 Phone
> 
>> (800) 452-2120 Ext 1736 Toll Free
> 
>> (504) 841-5312 Fax
> 
>> One Galleria Blvd., Suite 700
> 
>> Metairie, LA 70001
> 
>> www.lammico.com [1] [1]
> 
>> FROM: HM Epstein [mailto:hmepstein at GMAIL.COM]
> 
>> SENT: Thursday, July 11, 2019 6:53 PM
> 
>> TO: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
> 
>> SUBJECT: [IMPROVEDX] Internet's Residency Exam (Regina Maria
> 
>> Healthcare Network Case)
> 
>> WARNING!! THIS EMAIL IS FROM AN EXTERNAL SENDER! Do you trust this
> 
>> email? If you are unsure DO NOT click any links and NEVER input
> 
>> your username and password!!
> 
>> In Romania, they had a problem that patients didn’t visit their
> 
>> doctors when they felt ill. Instead they would Google their
> 
>> symptoms, go to the pharmacy, get the medications Dr. Google
> 
>> suggested (one big difference between the United States and other
> 
>> countries), and treat themselves. Of course, a good percentage of
> 
>> them ended up in the emergency room.
> 
>> While we encourage patients to become knowledgeable about their
> 
>> diagnoses, the process and potential treatment plans, none of us
> 
>> would suggest that they also choose their own medicines and
> 
>> oversee their own treatment.
> 
>> This brief but fascinating video shows how one healthcare system
> 
>> in Romania decided to address that problem. They challenged
> 
>> Internet visitors to take an “open book“ medical residency
> 
>> exam, the exact exam their doctors have to take. Enjoy.
> 
>> https://youtu.be/lkgk9zGz5ro
> 
>> Best,
> 
>> Helene
> 
>> Website [2] Twitter [3]
> 
>> LinkedIn [4]
> 
>>> 
>> Facebook [5]
> 
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>> Links:
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>> ------
> 
>> [1] http://www.lammico.com/
> 
>> [2] http://hmepstein.com/
> 
>> [3] https://twitter.com/hmepstein
> 
>> [4] https://www.linkedin.com/in/helenekepstein/
> 
>> [5] https://www.facebook.com/HeleneEpsteinAuthor
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> Moderator: David Meyers, Board Member, Society to Improve Diagnosis in
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> Links:
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> [1] http://www.lammico.com
> [2] http://hmepstein.com/
> [3] https://twitter.com/hmepstein
> [4] https://www.linkedin.com/in/helenekepstein/
> [5] https://www.facebook.com/HeleneEpsteinAuthor
> [6] http://www.ispro.ro






Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine




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