Psycho-Babble Medication Thread 42703

Shown: posts 1 to 25 of 33. This is the beginning of the thread.

 

Article on Problems with Medical Bulletin Boards

Posted by Cam W. on August 12, 2000, at 16:59:48

I was surfing and found an article on the risks and problems that can occur on internet medical bulletin boards:

Feldman,MD. Munchausen by Internet: Detecting Factitious Illness and Crisis on the Internet, Southern Medical Journal, July,2000; 93(7).

download pdf file directly at:

http://www.sma.org/smj2000/julysmj00/feldman.pdf

or go to the journal first and then download article:

http://www.sma.org/smj2000/julysmj00

- Cam

 

Re: Article on Problems with Medical Bulletin Boards

Posted by afatchic on August 13, 2000, at 16:23:04

In reply to Article on Problems with Medical Bulletin Boards, posted by Cam W. on August 12, 2000, at 16:59:48

I confess, I have Munchhausen by Internet. I've never actually been depressed, OD'd on sleeping pills, or suffered a panic attack. In reality I am a deliriously happy, completely stable, healthy woman. Hell, I'm not even fat. My life is so perfect that I have to come to this board (and many others) and pretend to have problems. Does anyone know of a good Munchhausen by Internet board I could post on?

Sandi

> I was surfing and found an article on the risks and problems that can occur on internet medical bulletin boards:
>
> Feldman,MD. Munchausen by Internet: Detecting Factitious Illness and Crisis on the Internet, Southern Medical Journal, July,2000; 93(7).
>
> download pdf file directly at:
>
> http://www.sma.org/smj2000/julysmj00/feldman.pdf
>
> or go to the journal first and then download article:
>
> http://www.sma.org/smj2000/julysmj00
>
> - Cam

 

Re: Article on Problems with Medical Bulletin Boards

Posted by Dr. Bob on August 13, 2000, at 16:40:16

In reply to Re: Article on Problems with Medical Bulletin Boards, posted by afatchic on August 13, 2000, at 16:23:04

> Does anyone know of a good Munchhausen by Internet board I could post on?

I just skimmed it, but the many links on his home page:

http://www.munchausen.com/

didn't seem to include any of those. :-)

Bob

 

Re: Article on Problems with Medical Bulletin Boards

Posted by Greg on August 13, 2000, at 18:11:09

In reply to Re: Article on Problems with Medical Bulletin Boards, posted by afatchic on August 13, 2000, at 16:23:04

Sandi,

Thank God I found you, I thought I was the only one pretending to be sick! Rather than being a mid-fourties, badly graying male with a ever-widening variety of depressive ailments and 30 lbs overweight, I am a 25 year old completely healthy male, never been sick a day in my life, 270lbs with body fat of 4%, 28 inch biceps and a face that belongs on the cover of GQ magazine. And my take-home is $750,000 a year. Where have you been all my life?

Hugs,
Greg ;^)

> I confess, I have Munchhausen by Internet. I've never actually been depressed, OD'd on sleeping pills, or suffered a panic attack. In reality I am a deliriously happy, completely stable, healthy woman. Hell, I'm not even fat. My life is so perfect that I have to come to this board (and many others) and pretend to have problems. Does anyone know of a good Munchhausen by Internet board I could post on?
>
> Sandi


 

Medical Deities by Proxy on the internet? » Cam W.

Posted by Oddzilla on August 13, 2000, at 20:29:02

In reply to Article on Problems with Medical Bulletin Boards, posted by Cam W. on August 12, 2000, at 16:59:48


I think another problem on support groups is the ability of any individual to assume the stance of an authority with or without identifying himself as such.

One way is the recovered sufferer as expert. Of course there is no way to verify she ever even had the condition or ever recovered. This person discounts everybody else's experience in comparison to hers. One of her techniques is to use the authoritative we in all references to symptoms, etc. There is reference to common knowledge,authorities say, tests have shown,etc.,but few actual sources given Another technique is to present oneself as the ultimate sufferer before in order to give more weight to the present "recovery". The MD by proxy often is very outgoing and very voluminous poster. In order to be one of the "in crowd" and recieve attention and support it is tempting and comforting to listen to her and agree with her.

Second is the guy with the big vocabulary and a little bit of knowledge (which as we know is a dangerous thing).

Third is the guy with a lot of knowledge (apparently) but not willing to disclose where he got it. If someone gives information in a professional manner for a while, people who are looking for information and support and are unable to conduct research themselves because of their conditions may come to rely on him. And that could be disastrous. (Like Sunnely?)

Fourth is the person who announces he is a professional but refuses to give credentials. This person (such as Toby?)could be a shy psychiatrist or he could be an inmate at a hospital for the criminally insane with a computer in the hospital library. Who knows?

In a review of an online discussion group for repetitive strain injury quoted in the article a third of the advice given was unconventional,unconfirmed or inappropriate. That might cause a little discomfort but bad advice in a mental health group could cause disaster.

I consider you an authentic Pharmaceutical Deity.

I am an expert on nothing but these are my observations and opinions.


Oddzilla

PS I know DR Bob has a little disclaimer up at the top of the page!

> I was surfing and found an article on the risks and problems that can occur on internet medical bulletin boards:
>
> Feldman,MD. Munchausen by Internet: Detecting Factitious Illness and Crisis on the Internet, Southern Medical Journal, July,2000; 93(7).
>
> download pdf file directly at:
>
> http://www.sma.org/smj2000/julysmj00/feldman.pdf
>
> or go to the journal first and then download article:
>
> http://www.sma.org/smj2000/julysmj00
>
> - Cam

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I was surfing and found an article on the risks and problems that can occur on internet medical bulletin boards:
>
> Feldman,MD. Munchausen by Internet: Detecting Factitious Illness and Crisis on the Internet, Southern Medical Journal, July,2000; 93(7).
>
> download pdf file directly at:
>
> http://www.sma.org/smj2000/julysmj00/feldman.pdf
>
> or go to the journal first and then download article:
>
> http://www.sma.org/smj2000/julysmj00
>
> - Cam

 

Re: Medical Deities by Proxy on the internet? » Oddzilla

Posted by danf on August 13, 2000, at 21:07:16

In reply to Medical Deities by Proxy on the internet? » Cam W., posted by Oddzilla on August 13, 2000, at 20:29:02

along with ODDS observations is the fact that there is a very real divergence of opinions by Real MD practitioners about treatment methods, med dosing, etc.

most rely on experience as well as book /journal info.

most of the frauds will eventually out themselves & Even the best informed will make mistakes from time to time. one big difference is that the well informed admit their mistakes & have little incentive to prove themselves by argueing & doing one upmanship stuff. JUST LIKE IN REAL LIFE.

so one has to have some caution when using internet BB information.

To all a good night

 

Re: Medical Deities by Proxy on the internet? » Oddzilla

Posted by Snowie on August 13, 2000, at 22:14:36

In reply to Medical Deities by Proxy on the internet? » Cam W., posted by Oddzilla on August 13, 2000, at 20:29:02

Odd,

I think it was rude of you to identify the nicks of the regular posters you deem suspect when you know nothing about them or their backgrounds. A person has a right to post anonymously if he or she so chooses, and there may be many reasons for wanting to do so. In order for someone to post with knowledge and intelligence regarding a subject, you seem to be saying that person must first post or register his or her credentials. This is a BBS, not a doctor's office. What more do you want for free?

Snowie

 

Re: Medical Deities by Proxy on the internet? » Oddzilla

Posted by Cam W. on August 13, 2000, at 22:47:28

In reply to Medical Deities by Proxy on the internet? » Cam W., posted by Oddzilla on August 13, 2000, at 20:29:02

Odd - Very good observations, except for the deity thing. Give me another 10 years, then maybe.... =^]

I still feel that my knowledge base is so woefully inadequate, still. So many of the neat little tricks that I forget. New drugs are released in Europe that I know absolutely nothing about. I also lack in the ability to diagnose, which would help in drug selection. I still cannot visualize the circuitry of the different neurotransmitter systems and how they interconnect. My knowledge of brain anatomy, while getting clearer, is still frighteningly inadequate. The list could go on forever and it seems the hurrier I try to learn this stuff, the behinder I get.

But, getting back to the possiblity of fraud, I am too trusting. But, before I use any information I receive on the internet, not from known peer reviewed sources, I always check the accuracy of information through Google and Medline searches and also bounce it off of some of the psychiatrists that I work with. I believe one should be very skeptical of advice they get from the internet (or from any other source for that matter).

BTW - How do you really know that I am a pharmacist? Maybe I just read a lot. But then again, what is knowledge but paying attention to and understanding the current, ever changing scientific norm. Sure there are problems with the scientific method, but it's the best approximation we can use to understand the world.

Anyway, I babbling, so it must be bedtime. Thanks for the interesting post. - Cam

 

There is no Allah but Allah

Posted by mIstERb on August 13, 2000, at 23:03:10

In reply to Re: Medical Deities by Proxy on the internet? » Oddzilla, posted by Snowie on August 13, 2000, at 22:14:36

snow, I got the same vibe from Odd's post but I am kindof an Odd fan so I let it go. Something about the posting of the study here in the first place was suspect to me, too, like what was the hidden indictment there, but it is clearly relevant to the board, so who am I to whine?

I kind of agree with Odd. It is easy to represent oneself as an authority in the on-line community and she correctly identified some of the ways people do this. I try to take information for what it is, regardless the source.

These quasi-authoritative roles are rather typical of the self-help community in general, though. Treatement centers are thouroughly staffed with recevering whatevers, and the boilerplate philosophy is that one remains "An Alchoholic" for life, regardless whatever else they become.

As the frequent whipping-boy of choice here, I wondered whether there was in implication that I am faking something...very narcisitic of me, I know...I'm so vain I prob'ly think this is about me...

But at various times I am represented by others here as either not experiencing the same depth of symptomology as they, or so seriously in need of help that whatever I contribute is meaningless except as a symptom of my pathology. I just find this interesting.

So i will add to this thread that in some cases, the internet might allow us to connect with people who are like us in many ways, but who manage their similar situations very differently. Often, rather than attempting to understand a different perspective, we might attempt to discredit that perspecitve. Sometimes we are afraid of things we don't understand and express our fear as anger.

I mean, how could I not be seriously depressed...I had to break it off with Monica, I was humiliated in front of the whole nation with that impeachment thing and now Al is distancing himself from me. I don't know what's up with the wife and her New York house...I know she won't let me campaign for her. And I might loose my law license....at least I can still teach....

 

Re: Medical Deities by Proxy on the internet?

Posted by shar on August 13, 2000, at 23:39:19

In reply to Medical Deities by Proxy on the internet? » Cam W., posted by Oddzilla on August 13, 2000, at 20:29:02

Hmmmm, I always think that boards with a fairly consistent group of posters sort of self-regulate. That is, if someone posted something out in left field here, I would expect others would say something. I don't feel it's important to have someone's vita before I read what they have to say, and evaluate its veracity.

On the other hand, I believe the "grain of salt" caveat, and I still do research on my own. Many posters here seem to have better information than my pdoc--info I've independently confirmed via research after seeing it here.

Shar


>
> I think another problem on support groups is the ability of any individual to assume the stance of an authority with or without identifying himself as such.
>
> One way is the recovered sufferer as expert. Of course there is no way to verify she ever even had the condition or ever recovered. This person discounts everybody else's experience in comparison to hers. One of her techniques is to use the authoritative we in all references to symptoms, etc. There is reference to common knowledge,authorities say, tests have shown,etc.,but few actual sources given Another technique is to present oneself as the ultimate sufferer before in order to give more weight to the present "recovery". The MD by proxy often is very outgoing and very voluminous poster. In order to be one of the "in crowd" and recieve attention and support it is tempting and comforting to listen to her and agree with her.
>
> Second is the guy with the big vocabulary and a little bit of knowledge (which as we know is a dangerous thing).
>
> Third is the guy with a lot of knowledge (apparently) but not willing to disclose where he got it. If someone gives information in a professional manner for a while, people who are looking for information and support and are unable to conduct research themselves because of their conditions may come to rely on him. And that could be disastrous. (Like Sunnely?)
>
> Fourth is the person who announces he is a professional but refuses to give credentials. This person (such as Toby?)could be a shy psychiatrist or he could be an inmate at a hospital for the criminally insane with a computer in the hospital library. Who knows?
>
> In a review of an online discussion group for repetitive strain injury quoted in the article a third of the advice given was unconventional,unconfirmed or inappropriate. That might cause a little discomfort but bad advice in a mental health group could cause disaster.
>
> I consider you an authentic Pharmaceutical Deity.
>
> I am an expert on nothing but these are my observations and opinions.
>
>
> Oddzilla
>
> PS I know DR Bob has a little disclaimer up at the top of the page!
>
>
>
> > I was surfing and found an article on the risks and problems that can occur on internet medical bulletin boards:
> >
> > Feldman,MD. Munchausen by Internet: Detecting Factitious Illness and Crisis on the Internet, Southern Medical Journal, July,2000; 93(7).
> >
> > download pdf file directly at:
> >
> > http://www.sma.org/smj2000/julysmj00/feldman.pdf
> >
> > or go to the journal first and then download article:
> >
> > http://www.sma.org/smj2000/julysmj00
> >
> > - Cam
>
>
>
> --------------------------------------------------------------------------------
>
> If you want to change anything, please do so in the box into which you typed it.
>
> If you're starting a new thread, this should be the "Message" box on the main page, which should be in a different frame or window.
>
> If you're posting a new follow-up, this should be the "Follow-up" box on the other post's page, which you should be able to get by going "back".
>
> If you're satisfied with it (and your registration information is below), then go ahead and post it.
>
>
>
> --------------------------------------------------------------------------------
>
> Registration information:
>
>
> Name:
> Password:
>
>
> If you've already registered and your name and password appear above, just go ahead and post. You'll have to enter them yourself each time if you don't have Javascript and cookies enabled.
>
>
> --------------------------------------------------------------------------------
>
> If you haven't registered yet, please do so now. No money or waiting is required. Afterwards, come "back" here and re-enter your name and password if necessary to proceed with posting.
>
>
>
>
>
> I was surfing and found an article on the risks and problems that can occur on internet medical bulletin boards:
> >
> > Feldman,MD. Munchausen by Internet: Detecting Factitious Illness and Crisis on the Internet, Southern Medical Journal, July,2000; 93(7).
> >
> > download pdf file directly at:
> >
> > http://www.sma.org/smj2000/julysmj00/feldman.pdf
> >
> > or go to the journal first and then download article:
> >
> > http://www.sma.org/smj2000/julysmj00
> >
> > - Cam

 

Re: Article on Problems with Medical Bulletin Boards » Greg

Posted by shar on August 13, 2000, at 23:44:24

In reply to Re: Article on Problems with Medical Bulletin Boards, posted by Greg on August 13, 2000, at 18:11:09

Ok, since we're coming clean here, I'm a 14 year-old boy. Happy, too. With rich parents who love me. And a wonderful future.

Shar

 

LOL you two!! (nm) Sandi and Greg

Posted by shar on August 13, 2000, at 23:46:56

In reply to Re: Article on Problems with Medical Bulletin Boards, posted by Greg on August 13, 2000, at 18:11:09

> Sandi,
>
> Thank God I found you, I thought I was the only one pretending to be sick! Rather than being a mid-fourties, badly graying male with a ever-widening variety of depressive ailments and 30 lbs overweight, I am a 25 year old completely healthy male, never been sick a day in my life, 270lbs with body fat of 4%, 28 inch biceps and a face that belongs on the cover of GQ magazine. And my take-home is $750,000 a year. Where have you been all my life?
>
> Hugs,
> Greg ;^)
>
> > I confess, I have Munchhausen by Internet. I've never actually been depressed, OD'd on sleeping pills, or suffered a panic attack. In reality I am a deliriously happy, completely stable, healthy woman. Hell, I'm not even fat. My life is so perfect that I have to come to this board (and many others) and pretend to have problems. Does anyone know of a good Munchhausen by Internet board I could post on?
> >
> > Sandi

 

Re: Medical Deities by Proxy on the internet? » Cam W.

Posted by Oddzilla on August 14, 2000, at 8:12:43

In reply to Re: Medical Deities by Proxy on the internet? » Oddzilla, posted by Cam W. on August 13, 2000, at 22:47:28

How do I know your a pharmacist? Well, In an old post you listed an article you and published online in a pharmacy journal and I looked it up. It mentioned where you work. Also you answer questions about your job and training if people ask. Of course no one can be totally sure.


> Odd - Very good observations, except for the deity thing. Give me another 10 years, then maybe.... =^]
>
> I still feel that my knowledge base is so woefully inadequate, still. So many of the neat little tricks that I forget. New drugs are released in Europe that I know absolutely nothing about. I also lack in the ability to diagnose, which would help in drug selection. I still cannot visualize the circuitry of the different neurotransmitter systems and how they interconnect. My knowledge of brain anatomy, while getting clearer, is still frighteningly inadequate. The list could go on forever and it seems the hurrier I try to learn this stuff, the behinder I get.
>
> But, getting back to the possiblity of fraud, I am too trusting. But, before I use any information I receive on the internet, not from known peer reviewed sources, I always check the accuracy of information through Google and Medline searches and also bounce it off of some of the psychiatrists that I work with. I believe one should be very skeptical of advice they get from the internet (or from any other source for that matter).
>
> BTW - How do you really know that I am a pharmacist? Maybe I just read a lot. But then again, what is knowledge but paying attention to and understanding the current, ever changing scientific norm. Sure there are problems with the scientific method, but it's the best approximation we can use to understand the world.
>
> Anyway, I babbling, so it must be bedtime. Thanks for the interesting post. - Cam

 

Re: Medical Deities by Proxy on the internet? » Oddzilla

Posted by Cam W. on August 14, 2000, at 20:05:26

In reply to Re: Medical Deities by Proxy on the internet? » Cam W., posted by Oddzilla on August 14, 2000, at 8:12:43

> How do I know your a pharmacist? Well, In an old post you listed an article you and published online in a pharmacy journal and I looked it up. It mentioned where you work. Also you answer questions about your job and training if people ask. Of course no one can be totally sure.

Odd - Okay, I'm busted. Nice dectective work.
BTW - I hope you don't mind me calling you Odd =^P
- Cam

 

Re: Oddzilla

Posted by Billb on August 18, 2000, at 21:01:23

In reply to Re: Medical Deities by Proxy on the internet? » Cam W., posted by Oddzilla on August 14, 2000, at 8:12:43

How did you formulate your name. It is very interesting. Do you know MisterB?

 

Re: Article on Problems with Medical Bulletin Boards

Posted by Adam on August 21, 2000, at 23:36:07

In reply to Article on Problems with Medical Bulletin Boards, posted by Cam W. on August 12, 2000, at 16:59:48

Hmm.

Well, coming out of lurkerdom for a second, I've actually found that, as time went on and my research into psych-related stuff became more extensive, the more I knew, the less I wanted to tell people about it. I keep getting this worry that playing p-doc or drug expert or anything else is a distinctly bad idea, and maybe I should just stop it for good. I don't know. I'm happy to tell people what I (at least think I) know or have learned if they are my friends, and some have even said (my girlfriend especially) "God, you know, my doctor doesn't tell me any of this crap. I have no clue what these drugs do." I go home all happy feeling like I helped out and looked like a smartypants, etc. And then I get the nagging question in my head...did I get all that right? Does it matter? Should I leave all such talk to the experts?

Then I also wonder: Why DON'T the experts just talk about this more? Or if they do, why are they usually making you and I pay for it?

The net has loads of good stuff and even bigger loads of B.S. Of all the sites I have seen, this one is head-and-shoulder's above the rest. And yet it could also be among the most dangerous in some respects, party because it can be so compelling. One thing I really like parousing from time to time are the 'Tips, but I notice the additions ended a long time ago. Why aren't more P-Docs sharing their knowledge with us? Why, if people like the author are so worried about frauds of one form or another spreading lies and damn lies, aren't they, rather than taking potshots at internet pseudopsych, doing something about it in the way of contribution?

Here's a crazy idea: Five or ten psychiatrists pop in from time to time and aswer a few nuts and bolts questions about a drug. Maybe this is unethical behavior, I'm not sure. It just seems that while health-care professionals are spending a fair amount of time publishing in one form or another in a way that can be read surfing the net, they aren't interacting all that much. At least, I'm not seeing it. There are sites like quackwatch, which is very good for spotting the quacks, but they are few and far between, and, of course, the quackwatchers aren't aswering your questions. I would love, love, love to pick a good p-docs brain. I have heaps of questions I'd like to ask. I would love to have my mistakes corrected (reasonably gently, of course) when I make them.

So, you know, why not? It's anonymous. One couldn't do more harm than an erroneous poster or a chronic liar, could they?

I read articles like this and I think: Absolutely this is true, and it is right to provide such cautions, so long as one does not overgenralize, or resort to sneering elitism and derision. But I also think: Is the meter always running? Is the potential of the internet not worth as much of your time as its pitfalls? Do you ever want to experience a form of electronic discourse outside of the circle of your profession that is about your profession?

For the vast majority, it would seem the answer is no. So then, how do we offset these negative elements without ignoring it all?

 

Re: Article on Problems with Medical Bulletin Boards » Adam

Posted by Cam W. on August 22, 2000, at 0:23:51

In reply to Re: Article on Problems with Medical Bulletin Boards, posted by Adam on August 21, 2000, at 23:36:07

Adam - The probable reason that pdocs do not post is that it is a cardinal sin to step on the toes of a colleague in front of the world. I am a pharmacist and, if you notice, I never recommend a treatment. I give advice on the meds, but still try to persuade the person to consult with their doctor about any changes in therapy. It is only proper, as none of us really know the other's history or if we are getting a full story. We hear one side here. It would be unethical to try to treat someone without a complete history.

My 2¢ - Cam

 

Re: Article on Problems with Medical Bulletin Boards

Posted by Adam on August 22, 2000, at 18:39:52

In reply to Re: Article on Problems with Medical Bulletin Boards » Adam, posted by Cam W. on August 22, 2000, at 0:23:51

I agree completely with your statement. I was thinking more along the lines, though, of answering questions providing factual information that perhaps only a specialist in the field would have a firm or ready knowledge of. There are, here and there, such places on the internet ("Ask Dr. So-and-So", where one email in 1000 gets answered, it would seem). It might also be possible to express oppinions or certain points of view without being unethical or carelessly gainsaying the advice of another specialist. Perhaps the great dearth of specialist participants in the public discourse represents, as you say, professional decorum. Maybe it just represents fatigue. I think their presence would be much appreciated and valuable, and I'm sure there must be some way to satisfy some amount of people's curiosity without overstepping ethical boundaries. For me it would be a dream come true to have a few technical questions aswered without having to do so much searching. When, on the rare occasions I do see a doctor now, the meetings are so short, and the atomosphere so uncondusive, I just never get the chance or feel confortable to discuss ideas or theories or mechanisms of action or anything. Dr. Bob's disclaimer used to say "get your information the old fashioned way." Well, for me, unless I was in a research study, the old fashioned way meant no information of this sort. The pros have such a wealth of knowledge they could share. Some of us are really hungry just for a portion of it.

> Adam - The probable reason that pdocs do not post is that it is a cardinal sin to step on the toes of a colleague in front of the world. I am a pharmacist and, if you notice, I never recommend a treatment. I give advice on the meds, but still try to persuade the person to consult with their doctor about any changes in therapy. It is only proper, as none of us really know the other's history or if we are getting a full story. We hear one side here. It would be unethical to try to treat someone without a complete history.
>
> My 2¢ - Cam

 

Re: Article on Problems with Medical Bulletin Boards

Posted by Chris A. on August 22, 2000, at 21:22:08

In reply to Re: Article on Problems with Medical Bulletin Boards, posted by Adam on August 22, 2000, at 18:39:52

Adam,

Write your questions out for your pDoc and hand it to him or her. Make a copy for yourself and go through them together. Say things like "I respect your honest professional input...".

Physicians are reticent to participate online: 1) time pressure, fatigue, juggling practice management, continuing ed, hospital duties, call and family, etc. can be a daunting task. They are human and also need a life. 2) Ethically, licensing and insurance wise (at least in the US), you don't give out anything that can be construed as medical advice to anyone that you haven't personally seen face-to-face, taken a history on and have a chart for in your office or at your place of work. The same holds for writing prescriptions. Some would probably be happy to share if they could be of help, but hold back because we live in the most litigous society in history. That is very unfortunate.

I wish you Godspeed in your quest for info. I'm looking for it too, hence I check in here when I get a chance or feel up to it.

Chris A.


 

Re: Article on Problems with Medical Bulletin Boards

Posted by Snowie on August 24, 2000, at 18:58:19

In reply to Re: Article on Problems with Medical Bulletin Boards, posted by Chris A. on August 22, 2000, at 21:22:08

I think some pdocs are willing to post on BBSs such as this one as long as they are allowed a certain amount of anonymity. We had a practicing pdoc posting here at one time, but I haven't seen her in a while. I think perhaps she was too smart (is there such a thing?), and her knowledge of meds made some people uncomfortable. It's sad since she had so much to offer. I hope that she eventually returns.

Snowie


> Adam,
>
> Write your questions out for your pDoc and hand it to him or her. Make a copy for yourself and go through them together. Say things like "I respect your honest professional input...".
>
> Physicians are reticent to participate online: 1) time pressure, fatigue, juggling practice management, continuing ed, hospital duties, call and family, etc. can be a daunting task. They are human and also need a life. 2) Ethically, licensing and insurance wise (at least in the US), you don't give out anything that can be construed as medical advice to anyone that you haven't personally seen face-to-face, taken a history on and have a chart for in your office or at your place of work. The same holds for writing prescriptions. Some would probably be happy to share if they could be of help, but hold back because we live in the most litigous society in history. That is very unfortunate.
>
> I wish you Godspeed in your quest for info. I'm looking for it too, hence I check in here when I get a chance or feel up to it.
>
> Chris A.

 

Re: Article on Problems with Medical Bulletin Boards » Snowie

Posted by Oddzilla on August 24, 2000, at 19:38:11

In reply to Re: Article on Problems with Medical Bulletin Boards, posted by Snowie on August 24, 2000, at 18:58:19

> I think some pdocs are willing to post on BBSs such as this one as long as they are allowed a certain amount of anonymity. We had a practicing pdoc posting here at one time, but I haven't seen her in a while. I think perhaps she was too smart (is there such a thing?), and her knowledge of meds made some people uncomfortable. It's sad since she had so much to offer. I hope that she eventually returns.
>
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ There's a difference between being a practicing psychiatrist and saying you're a practicing psychiatrist. But I think perhaps she was so despondent over having her credentials questioned that she committed suicide. I hope everyone is really sorry now. They were just jealous because she was smarter than them. (Well,hey, my speculation is a good as anyone else's.) Maybe we should all just stick to the facts??????
>
>

 

Re: Article on Problems with Medical Bulletin Boards » Oddzilla

Posted by Snowie on August 24, 2000, at 20:48:22

In reply to Re: Article on Problems with Medical Bulletin Boards » Snowie, posted by Oddzilla on August 24, 2000, at 19:38:11

Odd,

Do I detect hostility coming from you? If so, please do me a favor and take it somewhere else. Thank you.

I knew she was a pdoc from another site I visit. She wanted to maintain her anomymity there as well, and the host of that BBS (a pdoc himself) respected her wishes. Here was his comment: "___ is a psychiatrist. He wishes to remain totally anon. His writing speaks to his/her qualifications. We are all grateful for his/her participation on this website."

Snowie


> > I think some pdocs are willing to post on BBSs such as this one as long as they are allowed a certain amount of anonymity. We had a practicing pdoc posting here at one time, but I haven't seen her in a while. I think perhaps she was too smart (is there such a thing?), and her knowledge of meds made some people uncomfortable. It's sad since she had so much to offer. I hope that she eventually returns.

> ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ There's a difference between being a practicing psychiatrist and saying you're a practicing psychiatrist. But I think perhaps she was so despondent over having her credentials questioned that she committed suicide. I hope everyone is really sorry now. They were just jealous because she was smarter than them. (Well,hey, my speculation is a good as anyone else's.) Maybe we should all just stick to the facts??????

 

Re: Article on Problems with Medical Bulletin Boards

Posted by Oddzilla on August 24, 2000, at 21:01:00

In reply to Re: Article on Problems with Medical Bulletin Boards » Oddzilla, posted by Snowie on August 24, 2000, at 20:48:22

No hostility here!!!! Do I detect accusations of hostility coming from you ? I feel slandered and hurt. Please take it somewhere else quickly.

Thank you
Oddzilla (in tears)
~~~~~~~~~~~~~~~~~~~```````````````````````````
>
> Do I detect hostility coming from you? If so, please do me a favor and take it somewhere else. Thank you.
>
> I knew she was a pdoc from another site I visit. She wanted to maintain her anomymity there as well, and the host of that BBS (a pdoc himself) respected her wishes. Here was his comment: "___ is a psychiatrist. He wishes to remain totally anon. His writing speaks to his/her qualifications. We are all grateful for his/her participation on this website."
>
> Snowie
>
>
> > > I think some pdocs are willing to post on BBSs such as this one as long as they are allowed a certain amount of anonymity. We had a practicing pdoc posting here at one time, but I haven't seen her in a while. I think perhaps she was too smart (is there such a thing?), and her knowledge of meds made some people uncomfortable. It's sad since she had so much to offer. I hope that she eventually returns.
>
> > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ There's a difference between being a practicing psychiatrist and saying you're a practicing psychiatrist. But I think perhaps she was so despondent over having her credentials questioned that she committed suicide. I hope everyone is really sorry now. They were just jealous because she was smarter than them. (Well,hey, my speculation is a good as anyone else's.) Maybe we should all just stick to the facts??????

 

Re: Article on Problems with Medical Bulletin Boards » Oddzilla

Posted by Snowie on August 24, 2000, at 21:04:42

In reply to Re: Article on Problems with Medical Bulletin Boards, posted by Oddzilla on August 24, 2000, at 21:01:00

Odd,

Please do not respond to anymore of my posts, and I will do likewise. Thank you.

Snowie


> No hostility here!!!! Do I detect accusations of hostility coming from you ? I feel slandered and hurt. Please take it somewhere else quickly.
>
> Thank you
> Oddzilla (in tears)
> ~~~~~~~~~~~~~~~~~~~```````````````````````````
> >
> > Do I detect hostility coming from you? If so, please do me a favor and take it somewhere else. Thank you.
> >
> > I knew she was a pdoc from another site I visit. She wanted to maintain her anomymity there as well, and the host of that BBS (a pdoc himself) respected her wishes. Here was his comment: "___ is a psychiatrist. He wishes to remain totally anon. His writing speaks to his/her qualifications. We are all grateful for his/her participation on this website."
> >
> > Snowie
> >
> >
> > > > I think some pdocs are willing to post on BBSs such as this one as long as they are allowed a certain amount of anonymity. We had a practicing pdoc posting here at one time, but I haven't seen her in a while. I think perhaps she was too smart (is there such a thing?), and her knowledge of meds made some people uncomfortable. It's sad since she had so much to offer. I hope that she eventually returns.
> >
> > > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ There's a difference between being a practicing psychiatrist and saying you're a practicing psychiatrist. But I think perhaps she was so despondent over having her credentials questioned that she committed suicide. I hope everyone is really sorry now. They were just jealous because she was smarter than them. (Well,hey, my speculation is a good as anyone else's.) Maybe we should all just stick to the facts??????

 

Re: Article on Problems with Medical Bulletin Boards » Snowie

Posted by Oddzilla on August 24, 2000, at 21:10:06

In reply to Re: Article on Problems with Medical Bulletin Boards » Oddzilla, posted by Snowie on August 24, 2000, at 21:04:42

> Odd,
>
> Please do not respond to anymore of my posts, and I will do likewise. Thank you.
>
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Sorry. You don't make the rules for me, I encourage you to choose which posts to answer for yourself. I intend to do likewise. Please try to be kind and non-accusatory.


Thanks
Oddzilla


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