Are We There Yet?
The Search for Online Medical Information

It's an old truism, but it's still, well, true. Sometimes too much of something good can be a bad thing. The genuine mountain of medical information and data waiting for you on the Internet is a perfect example of this principle. Although it is comforting to know that the answers to your questions are likely hidden somewhere in the digital thicket, the daunting task of untangling the various strands and links to find what you're looking for can be overwhelming. Where do you start when trying to match a symptom set to its contributing disease' Which site represents your best chance at finding information on possible side effects from the new medication your doctor is considering prescribing for you? These questions can be answered quickly and accurately if you know where to look. This article will focus on three areas: all-in-one, general health care websites, educational sites sponsored by pharmaceutical companies, and government health care sites. Hopefully, we'll help you uncover some quick and easy ways to find the reliable, up-to-date health information you need.

One-Stop Health Info Shops

Some of the most valuable sites on the Internet are those that act as a clearinghouse for health care information. These sprawling online destinations offer comprehensive and extensive collections of content, the depths of which are matched only by their breadth. For many patients and health care consumers, these sites represent the best starting point when looking for health care information on the Internet. Not only are you likely to find at least some information on all but the most obscure health-related queries, but these sites also often feature links to other, more specialized resources, and also strive to take full advantage of the unique educational potential afforded by the Internet by incorporating multimedia content, animations, inter-active chat and question forums, and other enhanced learning tools. Plus, everything is written with the patient in mind, so content is easily understood and many of your most likely questions and concerns have been anticipated and incor-porated (after all, there are many others who are going through the same experiences as you). These sites usually organize their content by disease state to further speed your searching, and the universal “Search” function offered by all allows you to find exactly what you want without clicking through section after section.

Two great options are WebMD.com and Intelihealth.com. WebMD (http://my.webmd.com/webmdtoday/home/ default.htm) offers literally thousands of pages of detailed information on virtually every condition, health concern, and treatment. Patients can also find information on secondary health concerns, such as advice on nutrition management, pregnancy, and other lifestyle issues, keep track of important information via an online health record, locate a specialist with the “Doctor Finder,” and stay up-to-date on the changing world of health insurance. These resources, plus all manner of quizzes and calculators, drug info, in-depth health care news, and other features, cement WebMD’s status as one of the most trusted and popular online health care destinations. Intelihealth (www.intelihealth.com) offers daily news updates, in-depth information on diseases and conditions, an online medical dictionary, and sections on addiction, weight management, workplace health, complementary medicine, nutrition, gender- and age- specific information, medical procedures and tests, prescription and over-the-counter medications. Discussion boards and moderated chat forums, an impressive collection of interactive tools, and dental health information round out the site’s resources.

Other reliable and useful sites include FamilyDoctor.org (www.familydoctor.org), which provides information on a wide range of diseases and medical topics, all written and reviewed by members of the American Academy of Family Physicians, and DiscoveryHealth.com (http://health.discovery.com), which offers a Drug Reference Center, Disease and Conditions Topics A-to-Z, expert opinion, and some of the best interactive and multimedia content to be found on the medical Internet.

Yahoo! Health (http://health.yahoo.com) is, like its parent search portal, a great way to quickly refine your search. Its Health Encyclopedia provides thorough definitions for thousands of medical terms and phrases, covering everything from Aarskog Syndrome (an inherited disease characterized by short stature, facial abnormalities, musculoskeletal, and genital anomalies) to milia (superficial inclusion cysts in the skin or mucous membranes) to Zollinger-Ellison Syndrome (caused by gastrin-secreting tumors of the pancreas that causes severe irritation and ulceration of the upper gastrointestinal tract). Yahoo! Health also offers an alphabetized drug index, an opportunity to “Ask the Doctor” questions about medicine, and information on clinical trials, bioterrorism, and nutrition and fitness. Healthology (www.healthology.com), through its Health Information Library, has fully embraced the multimedia aspect of the Internet by hosting dozens of video webcasts covering all manner of health-related topics. Currently showing broadcasts include “Treatment of CML: State of the Art and Beyond,” “Discussing Sleep Problems With Your Doctor,” “The Basics of Allergy,” and “Why Do Some MS Drugs Lose Effectiveness?” Each program comes complete with a transcript and brief synopsis; links to related webcasts are also provided.

Pharmaceutical Companies

Predictably, considering all the research that goes into creating and manufacturing prescription medications, pharmaceutical companies have amassed a lot of data on the illnesses and conditions their products are designed to treat. In addition to the websites they create that provide information on the individual drugs themselves, many pharmaceutical companies also offer educational websites featuring information and other resources on a broad range of medical conditions. A good rule of thumb is if a company makes a medication to treat a given illness or disease, it likely also produces an educational companion website. The variety and quality of these online resources is rather amazing. All offer details about symptoms and treatment; many go an extra step and provide “Ask the Expert” features, coping advice, lists of questions to ask your doctor, tips on making lifestyle and dietary changes that can lessen a disease’s impact, and more. The sites represented on the chart below are just the tip of the iceberg.

Government Sites

The government sponsors dozens of websites devoted to dispensing information on every health care-related topic under the sun. These sites are well designed, easily navigated, and informative. Best of all, much of the content links to other government sites, enabling further research. Many of the sites sponsored by the US Department of Health and Human Services, while extensive, do at least concentrate on one particular area of health care (and sometimes on one individual disease). Even so, these sites’ thoroughness makes navigating around them and finding what you’re looking for seem like a daunting task. It needn’t be; remember: the Search function is your friend. Usually a few simple queries will produce a bounty of reliable information. Also aiding you in your quest is the fact that often these sites have their content organized into logical subgroups and sections. For example, the National Heart, Lung, and Blood Institute’s main age offers information divided into, “Health Information,” “Scientific Resources,” “News and Press Releases,” “Studies Seeking Patients,” and other helpful categories.

Health Care News
Medical Care At Home
Medical Glossaries and Dictionaries
Other Useful Government Sites

Health.gov (www.health.gov) is an excellent jumping off point for your forays into the world of federally provided Internet health care information. From this one page, you can link to the site of the US Department of Health and Human Services (HHS), the main sites of the various agencies that make up HHS, including the Centers for Disease Control and Prevention (www.cdc.gov), the Health Resources and Services Administration (www.hrsa.gov), the Substance Abuse and Mental Health Services Administration (www.samhsa.gov), and the Food and Drug Administration (www.fda.gov), and the Federal Health Information Centers and Clearinghouses (www.health.gov/nhic/Pubs/clearinghouses.htm). That last site offers contact information for, and a synopsis of the missions of, dozens of federal departments, from the National Adoption Center to the US Federal Consumer Information Center.

Your next online visit with the feds should be MEDLINEplus (http://medlineplus.gov). This site is a service of the US National Library of Medicine (www.nlm.nih.gov) and the National Institutes of Health (more on them in a bit) and is basically a government version of the all-in-one health care sites described earlier. Visitors can select from among more than 600 health topics on disorders and conditions organized according to afflicted body location or system, demographic group affected, and most frequently searched-for topics. Each of the health topics is further divided into dozens of subsections (the “Cancers” topic includes information on more than 60 types of cancer and cancer-related issues). The actual information to be found is of the highest quality and includes general information and overviews of the subject matter, clinical trial info, data on diagnosis and symptoms, prevention and treatment, statistics, and more. The source of the information provided by each data link is clearly marked (the American Cancer Society, American Academy of Family Physicians, and other trusted groups), allowing for further research. Other available content

can include, but is not limited to, interactive tutorials, dictionaries and medical glossaries, prescription and OTC drug medication, the latest research news, and more.

The National Institutes of Health (www.nih.gov), or NIH, is actually composed of 27 member agencies and centers; go to this site (www.nih.gov/icd) for brief descriptions of each NIH component and a link to its main website. Each NIH agency focuses on a specific area of health care; many of the names of the individual institutes are probably already familiar:

Each site offers detailed, necessary, and comprehensive information on all diseases and related issues that fall within their purview. FMNG