It’s My Fault, It Has To Be

I’ve spent a good part of this afternoon “chatting”, talking, and inventing new words to help in talking with customer service reps both human and Ai. Ai is starting to be as disappointing as humans. Twice Ai warned me. Once a disclaimer at the bottom of a search result: “Gemini can make mistakes, so double-check it.” The second time, on a phone call it said “You are speaking to an Ai generated agent and my information may not be precise or accurate.” Guess how I responded. There are two unopened bars of 100% pure Ivory Hand soap in my bathroom and if my mom were here…

To be straight, I’ve never used the internet singular for research of importance. Much as I use Amazon as a “shopping idea and reference”, so, too do I use an internet “fact”. It’s a starting point. So imagine when the new, super-charged search engine called Ai warns me they might be wrong, what is the point and who is kidding who about the efficiency of Ai in our future? Oddly, who would I double-check Ai with, anyway? God?

Is the internet good for anything, anymore? Yes. It saves legwork and time. My research finds a starting point and then looks for back-up, confirming, and supportive facts from other sources. Most often, those facts come from BOOKS or writings originating someplace else that wind up in the realm of public knowledge. News “aggregators”, sites that collect news stories the reader might like, are a case in point. The origin of the site’s stories is the most important thing to check in this click bait world. As a journalist by training, I know stories and articles from “legacy” media will not just be some podcaster’s opinion, but a researched, reviewed, edited, and approved work. An organization with some sort of review and edit structure has a better chance of giving us the truth than one, single mouth. I look for the source and hope it is The New York Times, Newsweek, USA Today, even CBS, NBC, and CNN…and Fox.  These organizations’ stories may contain some bias, but it is obvious when it happens. Watch Fox for half an hour and see. If a news article is from The Czech Daily, or John’s Basement Tapes, or an individual mouthpiece like Limbaugh, Bongino*, or Grandmas Knickers, it is more than likely click bait. It’s easier to see this with Medicine where excellent websites are available from The Mayo Clinic, Harvard Medical, Johns Hopkins, and your own local newspaper. As a bonus these types of sites also include patient blogs which can be invaluable for your own unique situation.

The internet is still a wonderful place for pure entertainment. You can not only see a man get hit in his gonads but can also see The Benny Goodman Quartet at New York’s Carnegie Hall in 1938.** But you are all aware of those neat things, already so it’s YOUR fault if you don’t find them and safely enjoy them.

It can be a neat, easy, and productive foray into the the nether world, out there, as long as you know who your guide is, and what they want from you. It isn’t always peace and love.

*Props for Mr. Bongino, the FBI Deputy Director. When asked about his false conspiracy claims from the past he said, truthfully and honestly: “I was paid in the past, Sean, for my opinions. …but that’s not what I’m paid for now.”

**A special performance, The first “mainstream” jazz concert.

Is The Doctor In?

It’s been a wonderful 2 and half years of medical frivolity. Starting in March of 2023, The Calamities have been a wild ride through the Modern American Medical Establishment (MAME), and its partner, the Modern American Insurance Establishment (MAIE). MAME and MAIE were new to me in 2023 since I’d only visited their ancient ancestors in the past for the occasional broken bone, (ahem) UTI, or abscessed tooth when ERs were the only things open 24 hours.

In 2023 I was fortunate to live in an area with 4 major health systems supported by local universities. For those of you who know the meaning of “The Wrong Color Blue**”, I’d selected the University of North Caolina at Chapel Hill (UNCCH) as my medical playground, instead of Duke University (DU), after arriving in NC in 2007. It was not a value choice but a convenience choice. UNCCH had an office close by and driving one mile to UNCCH seemed like a better idea than 6 miles to a DU office. Ah, the mistakes of the young…

When The Calamites hit, the entire UNCCH system came into play and its hospital was ten miles away. (25 miles during rush hour, timewise.) Later research revealed DU is a higher rated system. UNCCH is very good, but DU is better. A small distinction carrying enormous import in medical care.

As I took up residence in the UNCCH system, the internet became the most valuable tool at hand. The internet is a wonderful place for a writer and sportsman, with the entire “Brain” of humanity there for the picking. It soon became a patient’s best friend and “shadow” doctor. There wasn’t a medical adjective, adverb, noun or conjugation (in English or Latin) in my medical reports I did not look up on The Internet. As an added feature, the IT department at UNCCH “dropped” or “posted” test results to my “portal***) account as soon as the test was completed. This allowed me and my internet friend to learn, analyze, and critique test results before a doctor had a chance to explain them. My head usually exploded from the raw data. Then notes were taken, questions formulated, the internet was queried, and answers found…wait…was what my friend, The Internet telling me right? For the record, at least half of it wasn’t. There were many times something on The Internet was not even close to what it should be or was way off the mark of the research question.

In the early days the doctors humored me, but it became obvious when they were frustrated by not just questions, but stupid questions. My goodness, had I become a pain the ass? A know-it-all? Me? How did it happen?

Medical people have a nickname for this patient: Doctor Google. You’d think with the hundreds of dollars they get paid for talking, the real doctors shouldn’t mind. They get paid for listening, too, don’t they?

It took months to realize I was not just wasting my time, but the doc’s too. And, logically, other patients’ time. (Ever have a doc appointment be on time?) That huge internet “Brain” was half full of crap and I did not have enough medical school training (In fact, none) to know the difference.

A valuable option then presented itself: google only respected sites from respected hospital systems and organization. Most of them appeared in the search results, but not always at the top of the list. I looked up government organizations, too, like the NIH, CDC, USDA, and others. My medical questions, now, do not go out to the entire big brain, but to Harvard Medical School, The Mayo Clinic, and MD Anderson, et. al. These sites are filled with peer-reviewed facts, plus curated blogs written by other people like me or you looking not just for answers, but correct answers that fit our own, unique circumstances.

Being a Doctor Google is not a bad thing if you remember you are NOT a doctor.

And if you do careful research from respected, trusted sites, you will someday ask your doctor—or any medical professional—a question they will appreciate. Your care and maybe even someone else’s care will be all the better.

This advice is not just for medical care, but all news and information gathering. Use your Critical Thinking skills to be careful, be diligent, and not be a fool.

** If you want to meet new people, visit the Durham-Chapel Hill area and proclaim yourself a fan of either the dark blue Duke or robins-egg-blue UNC. Someone close by will hate you immediately and let you know why.

*** Computer terms everyone should know and use…but don’t. Ask your healthcare provider.