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THE FRAGILITIES &
HAZARDS OF DR GOOGLE
IMAGINE
@pacemakerplus can my pacemaker be hacked? 

should I not have been told about this!!!!
@pacemakerplus what does the pacemaker
hacking scandal mean to us pacers?
BLOG POST
…Please avoid upsetting any exceptional computer
hackers enough that they want to kill you.
Despite this extremely small risk, device companies are
improving their device security.
There have been zero reported cases of death by
pacemaker hacking to date.
Conclusion – no cause for large scale concern.
“So what you are saying is, that it can happen?”
“Still very concerning, going to ask for my wifi to
be switched off.”
“Please avoid upsetting any exceptional computer
hackers enough that they want to kill you. Despite this
extremely small risk, device companies are improving
their device security. There have been zero reported
cases of death by pacemaker hacking to date.
Conclusion – no cause for large scale concern.
By comparison, there have been 24 deaths from
champagne corks in the last 12 months.
“Ah thanks for this it really helped, I knew I was
worrying over nothing”
“Good to hear, you always make things so clear”
“I made an appointment with my pacemaker
department, but now I will cancel it!”
“ ”
WORRY WORRY FREE
fig 1. Holistic model of cardiovascular health (Chapa et al, 2014)
INFO INFLUENCE
GOOGLE
REMEMBER
- Cyberchondria
- Therapy Delay
- Poor Therapy Choice
HAZARDS OF DR GOOGLE
Cyberchondria is estimated to cost the NHS more
than £420 million a year in outpatient appointments
alone, alongside the cost of tests and repeat GP
appointments.
CURRENT ADVICE
“The Royal College of GPs
recommends that people look up their
symptoms online, using reputable
websites.”
VERIFIED UNVERIFIEDVS
UNQUALIFIED
“As I have discussed elsewhere, it is plants
that cure cancer, not chemicals.”
ONLINE
DISINHIBITION
EFFECT
SENSATIONALISM
Afternoons
Babies
Being a Man
Being a Woman
Bras
Being a Southerner
Cooking
Gardens
Flip Flops
Internet
Money
No Tomatoes
Nutella
Retirement
Roast Potatoes
Tomatoes
TV
Working
QUIZ
VERIFIED UNVERIFIEDVS
Time
Number
Google Verified Results
Cyberchondria
Cyberchondria
55% of Visitors Spend Fewer
Than 15 Seconds on Your
Website.
People Already Check for Validity
VERIFIED
- Cyberchondria
- Therapy Delay
- Poor Therapy Choice
NIGHT SWEATS
Me: “Hi Dr Google, thanks for seeing me today,
I know doctors are very busy!”
Dr Google: “You are not wrong, 20 billion
health queries last month. I am working 24/7 just
to keep up. What can I help you with today?”
Me: “Well doctor, as of late I have been
experiencing night sweats, I have woken up a
few times in the last 2 weeks in a cold sweat and
the bed sheets soaking wet.”
Dr Google: “Cancer.”
Me: “Shit really?”
Dr Google: “Probably not. I just wanted to get it
out it out there because Cancer generates the
most interest.”
Me: “Oh right, what else could it be?”
Dr Google: “Anxiety. The Menopause…”
Me: I doubt it is the menopause…”
Dr Google: “I’m not here to discuss
probabilities. You can ask around in the waiting
room and see if anyone there can help you.”
Me: “But I am only young, I don’t have a family
history of Cancer, I’ve been stressed lately, I
thought it might be that…?”
Dr Google: “Well I cannot look at your case
specifically. Cancer, hormones or stress that is
all I can tell you.
Besides, I am not sure why you have come to me
as I am an osteopath. Have a good day.”
Me: “Thanks Dr Google!” - goes home and
reviews life insurance policy.
FREAKED THE
F**K OUT
“If you look up symptoms on the internet...you’ll find that a
whole host of symptoms and diseases are mentioned / .”
“For the person with health anxiety the fact that it’s rare
doesn’t really strike home, they think I’m the one in the
million."
- Professor Peter Tyrer Imperial College London
Neglect of Probability Bias
Response is Influenced by the Size of the Threat and not
the Probability
Neglect of Probability Bias
HUMAN ERROR
I’M ONLY HUMAN
USER ERROR
Design inline with
behavioural science, in
order to achieve a desired
outcome.
CHOICE ARCHITECTURE
MEDICAL CHOICE
ARCHITECTURE
NIGHT SWEATS
1. Environmental
2. Anxiety/Stress
3. Thyroid Issue
5. Cancer
6. Menopause
1. Cancer
2. Anxiety/Stress
3. Hormonal
4. Menopause
- Cyberchondria
- Therapy Delay
- Poor Therapy Choice
HUMAN ERROR
BETTER CHOICE
ARCHITECTURE ONLINE
IMPROVING DR GOOGLE
REDUCING
CYBERCHONDRIA
What Causes Night Sweats
1. Environmental
2. Anxiety/Stress
3. Menopause (Females)
5. Lymphoma
1. Cancer
2. Anxiety/Stress
3. Hormonal
4. Menopause
What Causes Night Sweats
1. Lymphoma
2. Anxiety/Stress
3. Hormonal
4. Menopause
1. Environmental
2. Anxiety/Stress
3. Menopause (Females)
5. Lymphoma
ENVIRONMENTAL ANXIETY
HORMONAL LYMPHOMA
What Causes Night Sweats
Consider what is more likely to happen than
developing ALS before you self-diagnose:
You are about five times more likely to bowl a
perfect 300 in a game of bowling (1 in 11,500).
You’re five times as likely to win an Oscar.
You’re about twice as likely to become a
professional athlete (1 in 22,000).
You’re also four times more likely to hit a hole in
one (1 in 12,500).
95% PERCENT SURVIVAL RATE
THERE IS A 5% MORTALITY RATE
‘DOUBLES YOUR
CANCER RISK’
‘CANCER RISK FROM
0.01% to 0.02%’
KEY
INFORMATION
LIST OF NUMBERS
262
293
178
344
721
493
587
947
LIST OF NUMBERS
262
293
178
343
721
493
597
947
262
293
178
344
721
493
587
947
METAPHOR
THE ELECTIVE
REPLACEMENT INDICATOR
When your battery is
approaching end of life and it
is an appropriate time to
change the battery.
PERSUASION
Join millions of donors
and help SAVE A LIFE.
28 people in Manchester died last year waiting for a transplant.
THE FRAGILITIES &
HAZARDS OF DR GOOGLE
QUICK RECAP
1. The problems with Dr Google.
2. How you can make better healthcare decisions online.
3. How design can improve world health.
Not always enough to create accurate and sensitive
content, you have to take it further.
We are only human after all.
Thank You
END
Questions,

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Dr Google and Behavioural Science in the Battle against Cyberchondria