“A new study by Microsoft researchers suggests that persons who consult the Internet for self-diagnosis of medical conditions typically end up with the wrong conclusions. The report is the first to take a systematic look at “cyberchondria,” the practice of leaping to dire conclusions while researching health matters online, according to Eric Horvitz, an artificial intelligence researcher at Microsoft. Many people, he said, treat search engines as if they can answer questions like a human expert. Microsoft researchers note that they did not intend to send the message that people should completely ignore medical symptoms. But they do need to consider lesser illnesses as well as more deadly ones if they search online. “People tend to look at just the first couple results,” Horvitz said.”

My point is that the Internet will never be a physician. Microsoft has clearly stated that they are going to face difficulties in developing intelligent search engines that will resolve internet search patterns letting them look for at the right places; they want to enhance the actual search. But the real question is the following: Is enough to simply enhance the actual search to provide valid results for users?  The short answer is no, and the guys at Miscrosoft are honest enough to admit it. At Your TeleDoctor we are tackling the same problem, but instead of leading into a very hazardeous route, we prefer to use the internet for what it is for: An way to enhance communications and to add value to healthcare consumers by offering real services through this medium, remotely. We add a missing element to the value chain. People will keep looking for health information online, because it is a more convienient way to verify health issues and also a faster way as medicine is not an exact science and will never be. In the other hand, they want a more convinient way to confirm this information with a qualified physician.

As described in previous posts, Internet users, due to time constraints, convenience, availability and proximity are tempted to practice auto-diagnosis based on the information found in search engines or general medical websites like WebMD or Doctissimo. And here lies the problem, as the average healthcare consumer is more likely to make mistakes in the diagnosis, due to his lack of medical expertise. This can lead consumers to think the worst, for instance diagnosing an appendicite or a chronic sleep disorder. Online health information services should be considered as such, just information. By no means is it a way to conduct a diagnosis which is a more complex process that takes a series of parameters, quantifiable or not.

The full article from lifehacker describes the phenomenom:

“Everyone’s done it: you’ve got a raging stomachache and you’re feeling kind of fatigued, so you search online for the cause of your malady and conclude that you’ve got cancer. A new study from Microsoft shows that “cyberchondria” is common because when you search for symptoms, the worst case scenario can be the first result—or not representative of the frequency of a serious illness. (For example, searching for a headache will return just as many brain tumor results as caffeine withdrawal, when the chances of a tumor are “infinitesimally small.”) Have you decided you’re dying after searching for illness symptoms online? Tell us about it in the comments.” Source:Lifehacker

I will also include one of the most interesting comments on the article:

“My boyfriend uses the internet to self-diagnose and predict his impending doom on a regular basis.” Healthcare consumer

“I can’t tell you how many times I’ve convinced myself I have appendicitis by reading WebMD.”  Healthcare consumer

I also found a detailled comment by a neuropsychologist about the dangers of self-diagnosis:

“As a clinical neuropsychologist, I cannot tell you how often patients search for health-related information that ends up being wrong, or does not apply to them. I would estimate from clinical experience that people are led to inaccurate or non-applicable information 95% of the time, whereas only 5% actually find something useful. People often show up at my office with printouts of symptoms and all sorts of illness-related information, having completely convinced themselves that they have disorder X. It’s actually a sad thing and it takes forever to disabuse individuals of information that they have latched onto as explaining all of their problems.

There are many considerations and variables that factor into diagnostic decision-making besides a list of symptoms. I would encourage anyone who seriously believes that he or she is ill to seek medical attention. I’m not saying that we should unquestionably accept information from our health care providers — doctors can and do make mistakes. But, please, try to keep an open mind and resist the urge to self-diagnose. If you have been to multiple doctors and no one can find anything wrong with you, it might be fruitful to check your premises.”

Your TeleDoctor is aiming at bridging the gap between healthcare consumers and physicians by offering a plateform that provide the same advantages of accessibility and convinience of information website, but by adding value by having a physician to help you with your medical concerns.

After the success of the previous editions of Startup Camp Montreal, the folks at Embrase, a business consulting firm in Montreal, have rolled their sleeves to organize a third edition. The event is scheduled 27th November 2008.

The event is a good occasion to pitch and test your plan in front of seasoned investors. The feedback gathered there is invaluable. Gurus and investors are tough enough and if you pass the test, you will know that you are in the right track. It is also the occasion to compare yourself against the other startups present. Competition is always healthy and necessary to push us forward.

So, if you have a startup or an idea of a startup and want to present, go register here.

Your TeleDoctor will be present at the event. Please come and talk to me, I will be more than happy to answer your questions about the product and the exciting things to expect in the next few weeks.

Update: I won’t be able to make it to the event. Hope good luck to everyone.

Calling in sick may be a thing of the past, but not for the reason you might think: A poll by www.ehealthforum.com shows that more than 30 percent of people surveyed feel guilty about taking the time to attend a doctor’s appointment during office hours. According to the results, 29 percent of U.S. residents felt “mild to extreme” guilt, while 28 percent of Canadians and 35 percent of British respondents carried the same feelings. Mark Turkovic, co-founder of eHealth Forum, said people often want to be seen as the hardest, longest worker in an effort to preserve their jobs - especially in a down economy. “Sadly, taking the time out to visit the doctor all too often falls by the wayside,” Turkovic said.

At Your TeleDoctor, we believe that such a behaviour can lead to the following consequences:

-Increased Illness and death from stress, hearth disease, cirrhosis and suicide.

-Loss in competitivness due to lack of energy and lack of focus at work. Ultimatly, this situation can lead for you to lose your job.

As discussed in an earlier post, we believe that being able to consult your physician remotely can greatly reduce the likehood of missing a whole day to arrange a doctor visit. This is even more important in the current economic downturn where employers want to keep their jobs at any cost.

Since we are heading towards a possible economic recession, people will be very attentive at their spendings, by this means people will buy what they urgently need. And while healthcare is one of the priorities with food expenses and housing, we can expect that a cut on that budget occurs, especially for the category that pays for the visits.

In that sense how can we keep with health expenses when our overall budget is tightening? You cut on on your healthcare budget waiting for better times? This is certainly the immediate solution, still, it does not solve the problem, as ignoring your condition will just make it harder to diagnosis and to treat.   Afterall, and we all agree, our health is our most precious capital. What if you could access healthcare services from the comfort of your home, without having to take a day off for a doctor visit and most importantly at an affordable price?

In fact, when considering an online visit, we profit from the following benefits:

-The online consultation’s price is lower than a visit to the emergency room or at a doctor’s office. In the United States for instance, it costs as high as $140 per visit to the emergency room while teleconsultations can be priced as low as $50 without a loss in quality, as online doctors have the same formation as the doctors you visit at the office.

-Consulting a doctor implicates driving a distance, making you lose time and money while teleconsultations can be conducted immediatly and from the comfort and privacy of your home.

-When diagnosing a condition early on, the chances for a fast recovery are higher while avoiding complications. The overall recurring cost, although harder to materialise, from complications and complex diagnosis is reduced and in certain cases, eliminated. In that sense, telemedicine encourages preventive medicine by trying to understand the causes of the medical condition rather than trying to hide its symptomes with drugs; doctor being physically distant from his patient will take the time to circle the problem and propose an indepth solution.

How do you foresee telemedicine and remote consultations in the near future? Do you see yourself as a potential user of such a service? Do you think remote consultations will become mainstream any time soon?

The consulsion that can be drawn from these results is that using video conferencing helps doctors in decision making, the right decision that can save a life, while it decreases the risk for patients. At TeleDoctor, these facts conforts us and shows that we are heading to the right path as we are developping the most compelling tool to help doctors in decision making as well as offer the best medical service for patients.

“For several months there has been discussion amongst Health 2.0 companies about the concept of a Health 2.0 Accelerator. It started with Marty Tenenbaum’s introduction of the concept in September 2007. It continued with the discussion at the San Diego meeting in March 2008. Since then conversations and meetings among a small group have continued to define a first cut at what the Health 2.0 Accelerator should be.

The basic idea is for organizations to collaborate to create “public goods” —frameworks and strategies that will help all concerned to advance the industry. The way to do this is via projects that tackle particular problems, and leave behind frameworks and utilities that all can use.

The reality is of course going to be more complex, but we’re delighted to announce that the first project concerning moving pharmaceutical data has been announced, and the first principles and statements about the future of the Accelerator are now up at its own wiki at Health2Accelerator.org.

We are now asking for everyone in the Health 2.0 Community to become members, suggest projects, and contribute to the wiki. This is very much a work in progress, but we believe that the potential is huge. Please go to the new site, and contribute by giving us your comments.”

By Mathieu Hault and Indu Subaiya

But we need to not forget that people are driving the revolution themselves, by using web 2.0 tools to communicate, find information about health and wellness, and even practice auto diagnosis. People are then ready to use more advanced tools to perform other tasks, like auto managing their health, their medications intakes, and health in general. They also want to use these tools to talk to their doctors. 

Some startups have seized the opportunity, and are developing tools, using technology that has existed from some time now, to enhance patient experience with health care, making the end user happier and healthier.

Here are the options I found so far:

• Elc Techlnologies that have a Service for Entrepreneurs to provide you with a 1.0 version in as little as 6 weeks. The cost is 90K, all inclusive. Their portfolio is impressive.
• Atlantic Dominion Solution offers to develop around 25 mockups and provide me with one month with one developer for around 32K. Of course, this doesn’t ensure that I will have all the funtionalities implemented. I don’t know how much I should add to this, knowing tht a developer’s rate is $11o an hour.
• InfoEther is a superstars rails shop and have people like Chad Fowler and Rick Kilmer as developers. Their rate is $200 to $225 dollars an hour. This is pretty expensive but can offer consultancy if I choose to work with less skilled developers.
• HashRocket has a program similar to Elc Technologies called 3-2-1 Launch, but the duration is 1 month. They provide you with two developers, rough out an application in 3 days and spend the rest of the month cleaning up and adding features the application according to customer feedback.
• Freelancers. I don’t know what to say about freelancers but from my previous experience, it is very hard to manage someone that will get paid on a hourly basis. I think the best option for someone with limited ressources is to fix the goal. The compagnies that I stated have a proved process and can deliver. One of the problems I ran into for my previous startup is running out of money while paying developers $90 an hour. I spent over $15,000 dollars for maybe one or two functionalities that are not even working properly.

So if you are a rails shop and wants to work towards building an alpha version of teledoctor, please send me an email to mehdi.akiki@gmail.com.