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DiscussionReflections

Why Physician Guidance Matters: A Night of Neuralgia, Meningitis, and WebMD

Anson Au
The Annals of Family Medicine September 2019, 17 (5) 462-464; DOI: https://doi.org/10.1370/afm.2414
Anson Au
University of Toronto, Toronto, Canada
MSc, FRAS
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  • For correspondence: anson.au@mail.utoronto.ca
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Abstract

During a night of severe pain and weakness, I found several plausible-sounding diagnoses online: occipital neuralgia, nerve damage, and meningitis. The next day, I consulted a physician who did not offer professional guidance; instead the physician suggested tests entirely based on my self-diagnoses. What resulted was an unnecessary array of lengthy and costly testing that did not diagnose the problem. Although my symptoms disappeared on their own, I was left feeling mistrustful of my physician and ultimately stressed and anxious. Against the backdrop of my experience, I highlight the potential harms of Internet-based self-diagnoses and the importance of collaboration and trust in the patient-physician relationship.

Key words
  • clinical decision making
  • diagnosis
  • physicians
  • patients
  • trust
  • Received for publication August 10, 2018.
  • Revision received March 14, 2019.
  • Accepted for publication April 9, 2019.
  • © 2019 Annals of Family Medicine, Inc.
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The Annals of Family Medicine: 17 (5)
The Annals of Family Medicine: 17 (5)
Vol. 17, Issue 5
September/October 2019
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Why Physician Guidance Matters: A Night of Neuralgia, Meningitis, and WebMD
Anson Au
The Annals of Family Medicine Sep 2019, 17 (5) 462-464; DOI: 10.1370/afm.2414

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Why Physician Guidance Matters: A Night of Neuralgia, Meningitis, and WebMD
Anson Au
The Annals of Family Medicine Sep 2019, 17 (5) 462-464; DOI: 10.1370/afm.2414
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