Comarow On Quality

Best Hospitals, Rating Docs, a 'Healthier Web'

By Avery Comarow

Posted: January 27, 2009

Health blogs? Sites that rate hospitals and doctors? If you're the kind of Web user I suspect you are—you found your way to this page, didn't you?—there's a good chance you're aware of them. Most of the public has no idea they exist, however, and their quality is all over the map. This was among the issues hashed out at an all-day conference last week devoted to a "healthier Web." The conference was sponsored by Consumer Reports and held at the magazine's headquarters in Yonkers, N.Y. I was on a panel that addressed ratings. Almost all of the panelists and attendees were bloggers, and quite a few were physicians.

A comment by one of the blogger docs, an Augusta, Ga., internist/pediatrician named Rob Lamberts (Musings of a Distractible Mind), registered with me. Many physicians who blog, he said, do not actively practice. They may be retired, in administrative or policy positions, at think tanks, or removed in other ways from the world of examining rooms, insurance hassles, and, of course, patients. These doctors also may not stay current with medical findings. Yet because they have an M.D. and post their thoughts in a public space, they wear the mantle of authority. Dr. Rob, as Lamberts calls himself in his blog, expressed concern about their accuracy, judgment, and credibility.

Several other physicians in the room agreed and related tales of doctors who blogged out of their areas of expertise and posted information that was simply wrong. And panelist Orly Avitzur, a neurologist and Consumer Reports medical adviser, sounded an alarm about physician blogs loaded with promotional ads for products. The obvious advice—trust but verify—sounds nice, but nailing down a medical assertion isn't always easy even for medical reporters, who are used to digging through journals and studies. Some consumers would rub their hands and dive in, but to expect that of the public is unrealistic and unfair.

In my next post, I'll talk about a spirited discussion later in the day about ratings, especially of doctors.

Oh, and would somebody tell me why Consumer Reports' own health blog doesn't have a word about the conference?

Consumer Report's What???

Good afternoon A.C. I'll tell you my friend, if I had my health, oh what I would of given to attend the conference that you did. Ever since my health has reached a point that it truly is to difficult to make the trip or when I was making these meetings and conferences that made all the sense in the world for me to go that were usually on the east coast so it gave me an opportunity to visit a few research clinicians that, In my opinion were very trustworthy." In fact one party you mentioned A.C. being Dr. Orly Avitz who also happens to be the Editor in Chief for the American Academy of Neurology website.

While I was blessed by having both Augusto Odone' and Dr. Hugo W. Moser (inventor of Lorenzo's Oil as he was in the movie w/ the same name also staring Susan Sarandon, Nick Nolte and Peter Ustinov who portrayed Dr. Moser) as my personal mentor after meeting him in Baltimore at the Kennedy Krieger Institute and Johns Hopkins. When Dr. Moser heard about me and my issues with Central Pontine Myelinolysis, we became very close as he gave me the direction as well as the "Hope and Honesty you don't get from every physicians door after hearing my situation in regard to my Iatrogenic Neuromuscular Disease of the Central Nervous System. Going back to Dr. Avitzur, she could see what happen to me in my opinion and was brave enough to mention me in an article she wrote in the Newest Neurology Periodical called "Neurology Now." I was part of an article in the November - December 2006 called Take Two written by Dr. Aviztur.

By the way A.C., all that about Consumer Reports without mentioning the ways and means of the BBB. (Better Business Bureau) I seem to remember the days that you had, "Better become a member of the BBB!" Should be a very popular article here. I really wish there were many more Dr. Avitzur's out there and especially Dr Mozer's who has touched sooooooooo many lives in a positive sense. One day maybe our story will go public also. After all it was he who said mine was better. A.C. my friend, G-d Bless.....

Franky (boston terrier neuro service companion) and WhataBreeze (that's me)

WhataBreeze and Franky of MO @ Jan 28, 2009 15:16:37 PM

Check out Facebook/Twitter

They posted a Twitter feed on their Facebook page instead. Look for #crhealth, if you use Twitter Search.

Sarah P. of DC @ Jan 28, 2009 14:14:51 PM

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Comarow On Quality

U.S. News's Avery Comarow has been editor of the America's Best Hospitals annual rankings since they first appeared in 1990. His reporting on clinical medicine, from the latest cholesterol guidelines to robotic surgery, has been driven by the question: What does this mean to patients? And that is the perspective he brings to his observations and commentaries on the increasing number of programs by hospitals and other healthcare providers to improve care and patient safety.

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