Friday, July 8, 2011

Where do all of these medical articles come from?

Hi fellow bloggers and hip patients,

Some of my friends who read this blog have asked where these articles come from, especially the medical articles.  No, I don't publish just any old journal article.  This is the process I use:

1.  I choose a subject. As you all know, my current topic of interest is systemic long term effects of metal on metal implants on the organs.

2.  I have two primary sources of research:
  • PubMed is a free database accessing primarily the MEDLINE database of references and abstracts on life sciences and biomedical topics. The United States National Library of Medicine (NLM) at the National Institutes of Health maintains the database as part of the Entrez information retrieval system. PubMed was first released in January 1996.[1  As of 1 July 2011 (2011 -07-01)[update], PubMed has over 21.0 million records going back to 1966, selectively to the year 1865, and very selectively to 1809; about 500,000 new records are added each year. As of 1 July 2011 (2011 -07-01)[update], 11.9 million articles are listed with their abstracts and 3.3 million articles are available full-text for free.

  • Google Scholar is a freely accessible web search engine that indexes the full text of scholarly literature across an array of publishing formats and disciplines. Released in beta in November 2004, the Google Scholar index includes most peer-reviewed online journals of Europe and America's largest scholarly publishers
3.  I research the topic by subject matter or author and find the list of articles related to the subject.

4.  That subject matter is then expanded by doing a related link search or similarity search through Pub Med to see all of the available related  information on the topic.

5.  I often take the articles which I think are most informative and go into Google Scholar and feed in the documents from step 4 to see how frequently and recently the journal article is referenced.  That tells me something about the credibility of the research conducted as often, I am unfamiliar with the subject matter and researchers...or at least I was when I started doing this 8 months ago.

6.  the last step is to publish it on the site.

Most of what I publish contains my commentary. The publication is based on items I need to know for the future of my own health and hope that it will be of interest to others. 

 I try my best not to publish inflammatory documents that have no basis  in fact.  If someone sends me a published document  that says: "50% of the people who have metal on metal implants will require revision surgery", I would not publish that.  There is no basis to that claim.  It is what I would call inflammatory.

I do publish things that are investigatory pieces which may or may not result in a definitive conclusion but are very   important questions from a research perspective.

I have been questioned about the cancer journal articles...."aren't they inflammatory?"  I don't think so because I raise that issue/questions in an investigative sense.

I question everything. 



  1. Connie, when is your revision surgery scheduled?

    Thanks so much for the wonderful information you have provided.

  2. Hi Jeanne,

    I am hoping for an October date. You might wonder given all of the reports I have published why I have not yet scheduled it.

    Two reasons.

    First reason; In light of the information i have recovered on the replacement material, I wanted my surgeon to consult with my main consult in order to get some suggestions on what material should be used. Most surgeons are not up on all of the research surrounding the Metal levels assocated with this. Since my surgeon wanted to (1) stay with Depuy and (2) his first choice was a metal with poly liner (marathon poly) and I had some issues with both of those choices. Personally, I am a big fan of J&J (the parent of depuy) however, I believe that there are some major QA issues there so would prefer to go to another company. Insofar as the metal on poly liner (cross linked poly), they have the highest ware rates so I questioned that as well. His second choice was ceramic and I really wanted a second opinion on that from someone who researches these materials.

    Second reason, I would like to have a few tests done prior to surgery to serve as a baseline for the carcinogenic/ systemic issues. It took me quite a while to identify the testing possiblities. I want a second opinion on those tests as well.

    Everything takes a lot of time with this issue becuase you have to identify the thought leader in order to get the right answers.

    I was hoping for an August date but if I hear back from my surgeon next week, I will book the first available apt and have the tests done in the interium. I believe his next available appointments are end of September as of last week.

    I am uninterested in jumping from the frying pan into the fire. I was not as careful questioning the first time around. I won't make that mistake twice.

    hope that answers your question.