From the looks of twitter this week, I am not the only person who was devastated by the loss of Lady Sybil on Downton Abbey. She died of Eclampsia shortly after giving birth to her daughter. In my house, there was complete silence while we watched Sybil convulsing and struggling to breathe. After she died, our horror and sadness quickly turned to anger. There were two doctors in the room (one of whom made the correct diagnosis)- how could this happen?
As I contemplated this question, I was fascinated to see how this story line impacted the public health messaging that started appearing on twitter. I recognized a few trends:
Making the connection to current women's health issues and debates
There has been much concern about men making decisions about women's healthcare- for example, the comments in 2012 about the definition of rape and the ongoing abortion debate. Since Sybil's death was largely the result of poor decisions about her health (made by her father and the fancy male doctor consulting on her case), I saw the following post on this topic over and over again:
Identifying a Teachable Moment: Preeclampsia and Eclampsia Specifically
Like many organizations, the American Public Health Association (APHA) followed up on Monday with this message:
Identifying a Teachable Moment: Maternal Mortality and Maternal Health Broadly
I saw many links to organizations such as Every Mother Counts, which focuses on global maternal health advocacy:
In addition to the discussion on social media, many news outlets and foundations also took the opportunity to post information on their websites about the condition that killed Sybil. For example, ABCNews wrote, "Eclampsia Death in 'Downton Abbey' Highlights Pregnancy's No. 1 Killer".
I would love to see some evaluation data to follow this teachable moment. Some questions that I have:
- How many people searched for Preeclampsia and Eclampsia following the episode? (As a side note, this episode aired months ago in the UK- was there a similar searching pattern?)
- How many physicians/midwives/clinicians received inquiries from patients following the episode?
- Beyond knowledge- did this episode change any clinician behaviors? Did they go back and review a suspicious case after seeing a reminder of the severity of this condition? Did they perform a more comprehensive screening?
What do you think?
What other evaluation questions should we be asking?
What other trends did you see in the discussion on social media (or in person) following this episode?