Good morning all, This story has nothing to do with Pksns. It does however, point out the pro and cons of looking for medical resources on the WWW. It also makes the point that it is important to learn about and take charge of your own illness... September 30, 1999 Net helps afflicted man find cure By CP TORONTO -- Michael Bonnar is used to being misunderstood. Everyone -- complete strangers to health professionals -- misread the painful, leaky boils and abscesses in his armpits, groin, neck and occasionally his ears that have plagued him most of his adult life. He was told by the manager of his apartment complex that he couldn't swim in the pool -- a tenant had complained about his shirtless appearance. His condition is non-contagious. Doctors have been equally wrong about his skin disorder, hidradenitis suppurativa. He has been prescribed drugs that didn't work but caused severe side-effects. He has had his boils lanced, drained and gouged out of his body, leaving scarred craters in his skin. Still the flare-ups persisted. The 29-year-old figures he can't do much about the ignorance of strangers. But he has found a way to seek help and understanding -- the Internet. His experience is a powerful rejoinder to the medical world's penchant for nay-saying the Web as a source of health information. "It has made a huge, huge difference," he says. Two years ago, Bonnar found a motherlode of information about hidradenitis suppurativa on the World Wide Web. He found other sufferers too. And, for the first time, he found hope. Suddenly he was telling his doctors about cutting-edge research on his condition, the current understanding of the cause of the acne and how to treat it. Inspired by the experience of others he met in cyberspace, he had a plastic surgeon remove the apocrine sweat glands under his arms, which are believed to be the source of the abscesses. That has turned out to be the best treatment he has had. Today, Bonnar is the Web master of HIDE International (Hidradenitis Information Development and Exchange at http://webhome.globalserve.net/hidecan), which last year had 24,300 electronic visits. He believes the Web is incomparable for centralizing knowledge about disorders, for sharing practical care tips, for getting support, for amassing research information and ultimately for improving the lives of thousands around the world who suffer from intractable and little-known health problems. Not everyone agrees. Some doctors scold patients who use the Web to become informed about medical ailments; at the same time, the doctors depend on it for professional development. They fear people can't tell the difference between credible electronic information and the kind that promotes unrealistic expectations or dangerous medical treatments. In some cases they are right. Yet patients are crawling all over the Web in ever-larger numbers. Now some forward-looking health professionals are trying to transform their colleagues' notion of this Net worth. In an editorial in the British Medical Journal, epidemiology professor Alejandro Jadad, chief of McMaster University's health information research unit, says the Internet presents an opportunity to strengthen the relationship between patients and doctors, but not before both change somewhat. "At some point, patients may have to learn more about their own conditions than their clinicians," Jadad says. "That's because, for them, their case is their only case. For the clinician, their patient's case is just one of many. . . . The ideal would be for the health provider to look at the well-informed patient as an ally, not a threat." Jadad believes the future doctor-patient relationship will be a hybrid of virtual knowledge and face-to-face contact. He is developing a tool to achieve that happy balance: a Web-based coaching system that patients can use to find out everything they want about their condition before they see their doctor. Designed by patients and physicians, the coaching system prompts patients to ask questions and then answer them by scouring the Web, allowing them to learn as little or as much as they choose. The information will have been tested for scientific validity. "The hope is that by helping people focus their questions, their time with the clinician can be spent on what's important," Jadad says. "About seven clinical trials have shown that patients who are coached on how to ask questions and then given information relevant to those questions and to their conditions do much better in the long run." Louise Kinross would have been thrilled to have such a tool. Five years ago, she was told that her newborn son, Ben, had Langer-Giedion syndrome, a rare chromosomal disorder that profoundly affects a child's physical development. One of the first questions she and her husband had was if they could contact other families whose children had the same disorder. They needed to know they weren't alone. "We were told we might not want to meet another family because they might be worse or better off than we were; there's so much variation," Kinross says. The couple was also advised not to read medical literature. But after 1 1/2 years of intolerable isolation, she wrote to a magazine for parents of special-needs children and eventually made contact with a Minnesota mother whose child also had Langer-Giedion. The two women decided to go online. They posted notes on New York University's electronic rare-disease registry and added their names to electronic mailing lists about related conditions. They quickly made connections with families in 12 countries. Ultimately they established a Langer-Giedion Web site (http://www.geocities.com/HotSprings/9308) support group and newsletter with a medical advisory board. Today, the world's first database of families with Langer-Giedion children has been established at the University of Houston, largely because of Kinross's efforts. This database has become a one-stop shopping source for researchers all over the world interested in studying the disorder and looking for affected families. Kinross banks her hopes of improved treatments and better understanding there. But for help in coping with her son's day-to-day problems, she reaches out into cyberspace. "A doctor doesn't always know the practical information that another parent does, nor can they give the same emotional support," she says. Copyright © 1999 The London Free Press a division of Sun Media Corporation. Copyright © 1999, Quebecor New Media Limited Partnership. -- Judith Richards, London, Ontario, Canada [log in to unmask] ^^^^ \ / \ | / Today’s Research \\ | // ...Tomorrow’s Cure \ | / \|/ `````