When I wrote the last post regarding my phone conversation with Dr. Rutledge, I said that I would be posting my own opinion in a separate post. I waited a while to do so, because I wanted some time to pass between the hype of the moment … and I also wanted to have time to mull it all over again before giving my own impression.
The entire situation has left me with a very bad taste in my mouth … and among other things, has taught me that whatever is hidden in the fine print is what you want to read first … before you read the stuff that seems too good to be true (and most like is.)
Now that it’s over, I can say that I found Dr. Rutledge to be an intelligent and solicitous individual. He sounded quite genuine in his dismay at what was happening, and I do believe that the distress was not feigned. He tried very hard to explain his own personal position, and I felt as if we both had an excellent opportunity to express ourselves without holding back.
My own impression … I believe him when he says that he never set out to deceive anyone, or with the idea of selling Wellsphere. He also insisted that the entire Wellsphere company felt the same way. I believe that he might not have had those intentions himself … although I’m not quite as charitable when I think of other people in the company. On this score, I give Dr. Rutledge a “maybe” … I do believe him when he tells me about his own personal intentions, but when it comes to a blanket explanation for the entire group at Wellshere … then no, I don’t believe it.
When pressed on whether they had removed all of the material they were asked to removed, I was confused, because his initial response sounded disingenuous. He said that the material had been removed from their server … and it could well be that it was - however, Bongi mentioned that his information was still there, although he’d made the same request as the rest of us. Also, the careful wording made me wonder if he could be “Jesuitizing” … perhaps the material was removed from the server, but there might be backups someplace? Else, why would he have said that whatever someone did at a later time, without his knowledge or consent, would be out of his control? When pressed further, he told me that there were “no copies”. Could be true … at least as far he knows, and might not be, too. Sites like that generally back things up quite often. Again, on this subject, I give Dr. Rutledge a “maybe”.
Although I stressed that as long as he was associated with the people at Wellsphere, his reputation would suffer the same damage overall, he still continued to defend his own, and their, position.
I also encouraged him several times to give the public an explanation - like he was giving me over the phone, but I got the impression that they were not going to do so. That left me feeling frustrated, because all of the angry/distraught/upset ex-Wellsphere people deserve an explanation … a public explanation. Those who are still with Wellsphere deserve one too. It made me feel as if either the head honcho thought he was so clever he could just pull it off without a word, without an explanation, without an apology … but I don’t think that’s going to happen. The situation might have toned down to a general roar, but the Medical Blogosphere has a long memory … and it’s not going to completely go away. A public word could have helped in that department, depending on what was said.
Finally, my own gripe was not quite the same as most other people’s. The sale of Wellsphere and all of the angry Twitters gave me the courage to speak up. The problem is still an issue with me. As far as I can tell from a casual visit, Wellsphere is still encouraging “Mavens” to “help” people with their health questions. What is a Maven? As far as I could tell, anyone in the Medical Blogosphere whose blog they liked, and who wasn’t practicing professional medicine (not nurses, doctors, etc.)
When I joined, I was encouraged to answer questions in the “general health” community. I tried replying to things that I knew from personal experience, but my conscience bothered because I know full well that my own experience may not be another person’s … and I could do a tremendous amount of damage. Unlike WebMD, there was practically - as far as I was able to tell, no oversight of the responses Mavens were giving the public. More questions went unanswered than were dealt with by Mavens, and far fewer were fielded by physicians. And even then … practicing medicine online is a very dangerous thing to do, no matter who or what you are.
Had I followed the request I got each time a Wellshere email appeared, I would have been pushing … trying to accumulate enough “answers” (dangerous or not) to hit the magic number of 50 … at which time would be transformed into a “Top Maven”. Yet more reason for the poor ignorants who came looking for medical advice to think that I was a safe person to give it to them!
The entire scene was competitive … the more you did, the more you advanced. This is not an environment that promotes “health” … far less common sense.
Dr. Rutledge told me that it was expected that no one would do more than they were qualified to do where questions are concerned … however, when I asked him about the oversight for all of the questions, he didn’t have an answer.
I think I can guess the answer … there just weren’t enough people dealing with the situation, and at the very least, things got badly out of control. Inviting people to ask questions of the Mavens in different communities (Chronic Conditions, Mental Health, Men’s Health, Digestive System … about 25 in all in the Health section) and then not providing oversight … or direction … or review by someone in medicine … was not only dangerous, it was also criminal. Making it competitive by promotions in rank was an exacerbation of the existing condition.
And so … my take: Dr. Rutledge appears to be a very nice person to speak with over the phone. I believe him when he says that he, personally, had no intentions of ever providing more than a good, helpful site for people to frequent, but I’m not sure I believe that he really thought that all of the “Mavens” were not overstepping their bounds.
That’s a lot of trust … if it were safe to do that, then since I’m in ESRD, I should be able to give medical advice in my nephrologists’ stead, eh?
Imagine the medmal lawyers rubbing their hands together in glee!
To sum up … I don’t think this is going to go away. We may not be Twittering about it all the time anymore, but it was a painful lesson in trust for all of us. We’ve been through a lot as a community … from the injustice done to Dr. Flea, all the way to pulling together after an impostor broke our communal sense of trust. We’ve seen blog scraping, trolling by rabid, cynical medmal lawyers (anyone remember Matt? *cough) … and we’ve survived all and continued to grow.
We’re not finished yet … and we’re wiser than we were.
What doesn’t kill you — makes you stronger.
Nietzsche
The Best Laid Plans ...:
Sneeze/Nausea Connection - March 2007 Update:
Backing Out ... "Gracefully":