
Late-Breaking Health News
“Cyberchondria”—the practice of leaping to dire conclusions while
researching personal health matters online—has been around for a decade or so.
A recent study of the phenomenon by researchers at Microsoft found Web
searches for common conditions, such as headache and mild chest pain, were
more likely to lead consumers to sites describing serious illnesses than benign
conditions, even though the serious diseases are much more rare.
For example, a search for headaches produces just as many links to brain
tumor as to caffeine withdrawal, although the chance of having a brain tumor
is miniscule.
Researchers also found about a third of the consumers conducting health searches
ramped up their follow-up searches to find out about more serious conditions.
Of the more than 500 Microsoft employees
who answered a survey about their
online health search habits, more than
half said online medical queries
related to a serious illness had
interrupted their day-to-day
activities at least once.
A majority of U.S. doctors practice
defensive medicine—ordering
unnecessary tests, procedures, referrals,
and even hospitalizations—to
avoid legal action.
A study by the Massachusetts
Medical Society found 83 percent of
physicians surveyed said they had
practiced defensive medicine, and an
average of 18 to 28 percent of tests,
procedures, referrals, and consultations
and 13 percent of hospitalizations
were ordered to avoid lawsuits.
The findings were similar to those
reported by doctors in other states.
The study found 28 percent of
physicians surveyed said liability
concerns affected the care they
provided “a lot.” Roughly one in
four doctors ordered excessive tests,
including X-rays and ultrasounds,
because they were worried about
missing something and being sued.
Almost one in three adults who
has been told he or she has asthma
may not have the chronic airway disease,
according to a study published in
the Canadian Medical Association Journal
of 496 men and women who had been
diagnosed with the disease.
Researchers concluded some of the
misdiagnosed cases could result from
bad viral infections, but the main reason
people are misdiagnosed is because
doctors don’t always perform a key
lung-function test called spirometry.
Editors reviewing the study
pointed out that trying to diagnose
asthma without doing such testing
was like trying to diagnose high blood
pressure without taking blood pressure
readings.
Other serious problems that can be
mistaken for asthma include chronic
obstructive pulmonary disease and
congestive heart failure.
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