Saturday, May 17, 2014

The Wikipedia doctor meets the Wikipedia patient



In these modern days in which everything is available on internet, the case of medical knowledge is also not different. Even me, a resident who is supposed to read original literature from big fat books find it easy to Google it.

I am not ashamed to say it, but I have become a big fan of Wikipedia. Even though I am not sure about its accuracy, it is easy it get a superficial idea about a subject from it. But I have to assure you that it is just literature. The real skill of a doctor comes from practice and not by literature alone. So definitely it is not going to be a substitute for doctor for treating illness.

Sometimes you get irritated by patients who come to you saying” Doctor, I read in Wikipedia that the medicine you prescribed is effective in only 5 percent of cases” or “the treatment option you suggest is a failure in fifty percent cases”.

Once a father of a boy asked me to comfort his boy suffering from hydrocephalus who was being taken to operation theatre for a shunt placement. It was his third surgery as previous two eventually got blocked.

So I asked him “why are you so worried? You have already undergone two surgeries and you know the usual procedures.”

He said to me “I know. But I read in Wikipedia that this surgery is associated with fifty percent chance of getting permanently paralysed.”

But he was smiling. I thought to myself “brave boy”. He recovered uneventfully from surgery that time.

Another time a young gentleman came to me when I was in Emergency room. He was having some intermittent pain or burning sensation in penis or sometimes in abdomen at some nonspecific points. All this started in two months and only factor I could pick out is his marriage was fixed around the same time. He has already undergone ultrasounds of abdomen, scrotum, urine cultures, microscopic examinations and NCCT abdomen, which were all normal. Then I assured him, “don’t worry, you don’t have any serious illness.”

Still he kept on asking “What is the reason for this, there must be some reason for these symptoms.”

The only thing that came to my mind then was “You can try searching in Wikipedia”

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