Can Medical Professionals Participate in Online Forums like Fluther?

Online forums such as Fluther have long been places where individuals seek guidance and information on a wide range of topics. However, the role of medical professionals in these spaces is often a subject of debate. While few physicians have the time or inclination to engage in medical QA forums, some patient advocates, like myself, can provide valuable insights while upholding professional standards and ethical considerations.

The Role of Patient Advocates

I have been a patient advocate for over 23 years, specifically focusing on the needs of individuals living with chronic pain. My advocacy work is complemented by nearly three decades of experience in the field, including the publication of 75 papers on the public policy of opioid pain relievers. As a dedicated patient advocate, I recognize the importance of balancing the desire for accessible medical information with the need for professional oversight and personalization.

Professional Hesitance and Ethical Considerations

Medical professionals are often hesitant to provide blanket answers based on online forum discussions due to the limitations of remote assessments. Unlike in-person consultations, anything posted online can lack critical contextual and personal information necessary for accurate and safe medical advice. This is why many medical professionals, including myself, feel more comfortable offering general principles or directing individuals to consult their healthcare providers.

Guiding Principles and Responsible Advocacy

When I do engage in these forums, my primary goal is to offer guidance that is both informed and responsible. I strive to base my responses on published medical literature and to explain underlying principles in a way that is accessible to laypersons. I also maintain transparency by clearly stating the absence of my medical degree and the importance of seeking in-person evaluations for significant health concerns.

Building Trust and Credibility

The trust and credibility that come with a long legacy in the field have allowed me to collaborate with medical professionals on several research projects. I have co-authored multiple papers with physicians and, starting in January 2020, I will join the editorial board of Practical Pain Management as their first non-professional patient advocate. This role affords me a unique opportunity to contribute to the medical community while maintaining my position as a patient advocate.

It is important to note that while I can contribute valuable insights, my role is distinct from that of a medical professional. Readers should always seek the verified expertise of qualified healthcare providers for sustained medical care and advice.

Avoiding Self-Treatment Missteps

In my experience, occasional online inquiries may indicate a desire to self-treat significant medical issues or mental health concerns. For such cases, it is crucial to guide individuals towards professional care rather than relying on self-diagnoses or remote advice. I have a policy of deferring to more formally qualified medical professionals when necessary and deferring to them for critical health issues.

In conclusion, while medical professionals may be hesitant to participate actively in online forums, patient advocates can play a valuable role in providing accessible, informed, and responsible guidance. This role is best balanced with a clear understanding of the limitations and reliance on professional oversight for critical health issues.