Dr. Peter J. Jannetta, M.D., FACS

Department of Neurosurgery
Allegheny General Hospital, Pittsburgh PA.

 

Photo Credit: 
Horatio Alger Association
Frequently Asked Questions About Healthcare 

When you go to a doctor, dentist, or other healthcare provider and ask "why do I feel badly?"  you begin a process of informing yourself about health issues.  You might have questions about your medical problem, its diagnosis, the drugs you've been prescribed,  or a surgery you've been advised to undergo.  You might feel that you need to know more about a doctor's training or their past published work pertaining to your particular problem.  If your problem is severe and long lasting, you may want to learn how to obtain Social Security Disability. 

This page provides links to WPAHS and Internet resources that address frequently asked questions about healthcare and its providers.  As you read, we remind you to discuss your conclusions with an appropriately qualified medical professional before you try to diagnose or treat yourself.  Just as the old saying tells us about lawyers, it may be that "only a fool has himself for a physician." 

For each of the questions of this FAQ (Frequently Asked Questions) file, the first person to ask is your personal healthcare provider.  We understand, however, that plhysicians and their office staffs are often extremely busy.    For general research on  health care questions, you may look through the links provided below.  For diseases and disorders specifically supported by this site,  additional information is available via  links in the site index at the bottom of the page.. 

1.  I've been told I have disease or disorder "XYZ".   Where can I learn more about my problem? 

To investigate care available in the West Penn Allegheny Health System,  you may begin at 
 

WPAHS homepage -- http://www.wpahs.org/wpahs.htm. 
 

  An especially helpful resource is "All Health" a search service at at Allegheny General Hospital, affiliated with WPAHS. 
 

  For a list of links to Internet sites of excellence, please visit  the extensive subject index at the WPAHS Health Science Library

To supplement information found online at WPAHS or that your provider offers in person,  there are many medical sites on the Internet.  These resources can help you prepare to participate in decisions concerning your treatment and care. The following are among the most widely used and respected sites.
Healthfinder -- http://www.healthfinder.gov/ -- "a free gateway to reliable consumer health and human services information developed by the U.S. Department of Health and Human Services."

  Health on the Net Foundation --http://www.hon.ch/ --  This resource will  identify Internet healthcare sites that adher to a high standard of attribution and disclosure of  funding, standards of personal privacy and publication professionalism. The HONCODE logo is on each of our pages. 

Lycos Health -- http://webmd.lycos.com/index -- Like other  Web Directories, Lycos offers an alphabetical list of health conditions, as well as search window for keyword search. 

  Medline Plus -- http://www.nlm.nih.gov/medlineplus/ -- Consumer information on hundreds of diseases and disorders.  A service of the National Library of Medicine at NIH. 

PubMed -- http://www.ncbi.nlm.nih.gov/PubMed/ -- A service of the National Medical Library at National Institutes of Health, PubMed provides keyword search for over eight million abstracts on articles published in medical journals. This resource produces abstracts, not full text articles. Each is referenced to a medical journal.

  MEDLINE Journals With Links to Publisher Web Sites --
http://www.ncbi.nlm.nih.gov/PubMed/fulltext.html -- not all of the medical journals indexed by PubMed or Internet Grateful Med are online.  However, this link provides a list journals that are both online and included in the PubMed index. 

  Web Doctor -- http://www.gretmar.com/webdoctor/journals.html -- Online Medical Journals.  These journals provide full text articles. 

Yahoo Health Directory  -- http://dir.yahoo.com/Health/ -- This very wide-ranging directory of health related resources provides over 10,000 links in 50+ categories. 

2.  Where can I get help to understand medical terms?
  Dictionary.com -- a very detailed on line dictionary that includes medical terms. 

  Margaret England's guide to medical terminology --  http://www3.bc.sympatico.ca/me/patientsguide/medterms.htm -- also provides links to medical glossaries. 

  IntelliHealth --http://www.intelihealth.com/ -- Major health information site.  Select "medical dictionary" from top menu, to look up words in the Merriam Webster Medical Dictionary on line.  Definitions tend to be short though helpful as a starting point.

  Online Medical Dictionary  -- http://www.graylab.ac.uk/omd -- Over 65,000 definitions of medical terms.  Searchable.

3.  Where can I learn more about my medications?
Clinical Pharmacology 2000 -- http://cp.gsm.com/ -- a service of Gold Standard Multimedia. This site provides an extensive drug database, patient education materials, and clinical reports.  A useful feature is that search on a disorder by name calls up a list of drugs used to treat the disorder.  Registration is free, and your browser must be set to accept cookies. 

  Drug InfoNet -- http://www.druginfonet.com/index.html -- Extensive drug database, patient information, hospitals on line (list), health organizations.  Searchable"ask the doctor" service with patient questions and answers by healthcare professionals. 

  IntelliHealth --http://www.intelihealth.com/ -- Major health information site.  Select "drug search" from top menu. Site also includes extensive articles on specific health subjects.

  Internet Health Index -- http://www.rxlist.com/cgi/rxlist.cgi -- Rxlist by Health Central

4.  My medication doesn't seem to be helping me. Where can I find out about other drugs,  new drug trials or medical research for my problem?

Note: be especially careful to consult first with your care provider if you are having difficulty with present medications.
Agency for Health Care Research and Quality -- http://www.ahcpr.gov/consumer/ --"AHRQ, a part of the U.S. Department of Health and Human Services, is the lead agency charged with supporting research designed to improve the quality of healthcare, reduce its cost, improve patient safety, decrease medical errors, and broaden access to essential sevices."

Clinical Trials.gov  -- http://clinicaltrials.gov/ct/gui/c/r -- a service of the National Institutes of Health through its National Medical Library.  Supports keyword search as well as browsing by condition or by sponsor. 

  Mulimedia Medical Reference Library  -- http://med-library.com/medlibrary/ -- Select the "Clinical Trials" category.  The site also provides an extensive medical reference library.

5.  Where can I find a doctor?  How can I learn about his or her qualifications?  Can I ask questions of a doctor over the Internet?

Dr. Jannetta may be reached locally in Pittsburgh, PA, at  (412) 359-6200, or toll free at (877) 284-2000. 

  The physician directory for all departments at West Penn may be found at http://www.allhealth.edu/DIR/Directory_Dept.html.   The directory provides a summary of the education, medical practice, and treatment interests of each physician. 

  To learn about other physicians not at WPAHS,  start at AMA Physician Select --http://www.ama-assn.org/aps/amahg.htm.  The site provides  "professional information on virtually every licensed physician in the United States and its possessions, including more than 690,000 doctors of medicine (MD) and doctors of osteopathy or osteopathic medicine (DO)."  You may also search for physicians by specialty and location.

Many very fine physicians do not choose to write for publication or to teach at a hospital.  However,  you can learn a lot about people  who are more prominent among their colleagues.  Begin by searching   PubMed -- http://www.ncbi.nlm.nih.gov/PubMed/ -- for the doctor's last name, first and middle initials in the "author" field.  A review of abstracts can indicate how widely known the physican may be. 

If the physician name is not too common, or if you know where the doctor has worked, you may also look for the name at any of a large number of Internet search engines.  An introduction to searching the net can be found at "Quick Search the Internet" -- http://vos.ucsb.edu/shuttle/lawhern.html -- . Several other online courses on searching are also available at http://vos.ucsb.edu/shuttle/general.html#web-search

The Western Pennsylvania Hospital's "Ask the  Doctor" series, which airs regularly on  KDKA-TV noon news, provides timely  information about a variety of health topics. The series' host, Thomas P. Campbell, MD, is chair of the Department of Emergency Medicine at The Western Pennsylvania Hospital. 

  There are also many "Ask a Doctor" services at other places on  the Internet. One listing of such services is offered via Erols.Com at http://www.looksmart.com/eus1/eus53940/eus264146/r?l&ibd& . Please be aware that response times to inquiries vary from source to source.

6. I want to talk with other people who are dealing with the same problem  I am.  Where can I find a support group?  Are there any  bulletin boards that concentrate on this problem?
IntelliHealth --http://www.intelihealth.com/ -- Major health information site.  Page down to "Communities -- Discussion Boards"

  Neurology Web Forums at Massachusetts General Hospital -- http://neuro-mancer.mgh.harvard.edu/cgi-bin/Ultimate.cgi -- over 170  patient-to-patient bulletin-boards for exchange of concerns and information.

7. I am in financial difficulty.  Can I get help to pay for my medications or care?

If you have healthcare insurance, you ask the office staff of any WPAHS care provider for further information on how to apply for benefits or appropriately challenge a refusal by your insurance plan to pay for medically needed services.  If you do not have insurance and are unable to pay for treatment,  the following link may provide a starting point for getting help. 

Cost Containment Research Institute   -- http://institute-dc.org/ -- Provides four important and inexpensive booklets by mail or on line, which address:
  • Free and Low Cost Prescription Drugs
  • Free and Low Cost Outpatient Care
  • Free and Low Cost Hospital Care
  • Free and Low Cost Nursing Care 
The pamphlets provide addresses and phone numbers throughout the United States.  However, patients should be aware that qualification for many of these programs depends on your meeting very strict income criteria. The site also provides a link to a little-known Federal program called 

  The Hill-Burton Free Care Program 
-- http://www.hrsa.dhhs.gov/osp/dfcr/about/aboutdiv.htm --  The US Department of Health and Human Services notes that this program in two recent years  "has assured an estimated $700 million in free or reduced charge care to approximately 2 million people..." who cannot pay for their care. 


8.  I believe am disabled.  How do I apply to the Social Security Administration for disability?  If they reject my claim, where can I get help to appeal? 

DisAbility.gov  -- http://www.disability.gov/ -- A government sponsored site with information on many aspects of disability.  For information on applying for SSI  or SSDI, select "Income Support" from the main menu. 

National Organization of Social Security Claimants' Representatives -- http://www.nosscr.org/describe.html --  This is an organization of lawyers who specialize in supporting the appeal process for denials of disability. Select the Table of Contents link to review resources of the site.

Reference Note:  There are more than 20,000 health and medical sites on the Internet.  No single site has a monopoly on "the best" resources.  However, several of the links above are found in a compilation by Margaret England, at http://www3.bc.sympatico.ca/me/patientsguide/ -- The Patients' Guide to Healthcare Information on the Internet." , http://www3.bc.sympatico.ca/me/patientsguide/]. Her site is worth browsing for your self-education. 


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DISCLAIMER:
Every effort has been made by the author(s) to provide accurate, up-to-date information. However, the medical knowledge base is dynamic and errors can occur. By using the information contained herein, the viewer willingly assumes all risks in connection with such use.  Neither the author nor WPAHS shall be held  responsible for errors, omissions in information herein nor liable for any special, consequential, or exemplary damages resulting, in whole or in part, from any  viewer(s)' use of or reliance upon, this material. 
 
CLINICAL DISCLAIMER:
Clinical information is provided for educational purposes and not as a medical or professional service. Person(s) who are not medical professionals should have clinical information reviewed and interpreted or applied only by the appropriate health professional(s). 

Site Index
Dr. Jannetta's Homepage * Frequently Asked Questions on Healthcare *
Face Pain Overview  * Trigeminal NeuralgiaHemifacial Spasm  * Meniere's Disease  * Vertigo * Tinitis * Hypertension * Torticalis and Spasmodic Torticalis


For questions or comments, please contact:
aghneuro@wpahs.org * Department of Neurosurgery *
Allegheny General Hospital * 320 East North Ave. *
Pittsburgh, PA 15212 * (412) 359-6200 * 

© 2000 West Penn Allegheny Health System
Last Updated: August 31, 2000
Site Content Developed By; Richard A. "Red" Lawhern, Ph.D.
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