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  1. #151
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    Quote Originally Posted by HarvestMoon View Post
    I would imagine a new cloth daily?
    On the topic of washing, and something I've notice is really common of late, why do so many people not use soap after going to the toilet? A quick splash of water on the hands seems to be deemed adequate by many.

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    http://m.theatlantic.com/health/arch...-hands/258839/

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    How do Martians know they're called Martians and they live on mars? Do they call Mars Mars? What do they call earth? Do they really call us earthlings?

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    Dollypops...as a doctor myself, I don't like my patients "Googling" things because one needs the ability to put things into a clinical context...and without a Medical Degree, this is very difficult and dangerous. I am also appalled that my colleagues are using Google infront of patients...very unprofessional

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  6. #154
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    Quote Originally Posted by J37 View Post
    Dollypops...as a doctor myself, I don't like my patients "Googling" things because one needs the ability to put things into a clinical context...and without a Medical Degree, this is very difficult and dangerous. I am also appalled that my colleagues are using Google infront of patients...very unprofessional

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    What do you mean by a clinical context? Do you have an example you can give?

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    OK, just say you were worried about your child having Meningococcal Disease, and you Googled the signs and symptoms, and you found "fever, lethargy, flu-like symptoms". Whilst this is true, this could also apply to many other benign viral illnesses of childhood, and cause unneccessary panic and duress. Took me over 4 years working in ED to get my head around "the approach to the unwell child"; those symptoms need to be evaluated within the context of: further history from the parents, clinical examination and laboratory investigations, in order to risk-stratify and differentially-diagnose that child.

    Get my point?

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  9. #156
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    Quote Originally Posted by J37 View Post
    Dollypops...as a doctor myself, I don't like my patients "Googling" things because one needs the ability to put things into a clinical context...and without a Medical Degree, this is very difficult and dangerous. I am also appalled that my colleagues are using Google infront of patients...very unprofessional

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    A specialist googled stuff in front of my husband once. Really disappointing

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    Quote Originally Posted by mrsharvey View Post
    What do you mean by a clinical context? Do you have an example you can give?
    Eta - Sorry @J37 , must have posted at the same time

    So if I google something like 'electric shock when I bend my head down' - the first thing Google will (most likely) come up with is MS or spinal stenosis.

    So of course, I'm going to panic and google some more and find more symptoms that fit my new Dr Google diagnosis.

    After a visit to the dr, he does a physical exam, has me move around, has a feel, maybe orders an xray - I probably have a tight muscle, or a temporary neuropathy.

    But, I've worked myself up and decided that I have MS because I had these three or four symptoms that match, so I decide that dr is an idiot and go to 17 more until I feel better.

    Does that make sense? Sorry if it doesn't, I just finished work.

  11. #158
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    Seymour, that's a great example. Are you a doctor also?

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    SpecialPatrolGroup is offline T-rex is cranky until she gets her coffee.
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    Quote Originally Posted by J37 View Post
    Dollypops...as a doctor myself, I don't like my patients "Googling" things because one needs the ability to put things into a clinical context...and without a Medical Degree, this is very difficult and dangerous. I am also appalled that my colleagues are using Google infront of patients...very unprofessional

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    Still I would hope that they are just using it to get to the correct part of a resource online, not entering symptoms and spinning the wheel.

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    I think Seymour TB made a great point; Dr Google causes unneccessary panic and distress. 7 years of Medical School and 13 years of clinical work, and there are still clinical scenarios which confound me. I cannot imagine having none of this, yet trying to use Dr Google to diagnose!!

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