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Trolls, Malware & Spam
A Tutorial for Oncologists
Matthew Katz, MD
May 2014
Overview
 Trolls
 Definition
 Types
 How to respond
 Malware & Spam
 Definitions
 Magnitude
 How to minimize it
Troll
 Wikipedia: “Creation of any content that
targets anther person.”
 Mostly intentional, but in healthcare there
are new variants that may be unintentional
Who is a troll?
Troublemaking
Ridicules
Objectionable content
Lying
Lead astray
Reality Check
 Trolls are not people who disagree with you
 Expect debate on Twitter
 Be open to being wrong
 When conversations get heated and emotional,
show respect so you aren’t considered the troll
Troll Types in Social Media
 “Calling Out” Troll*
 Taunts you about your achievements, position
 Mainly affects self-promoters
 “Public Shaming” Troll*
 Keeps pestering you, repeated tweets
 May alternate between email, tweet, FB post
 May try to make you look unresponsive
 “Freeloader” Troll*
 People following others to obtain free materials
* Mitch Joel, TwistImage.com, http://bit.ly/1iNVm3C
The 5 R’s of Responding to Trolls
 Read, then walk around the block
 Trolls love emotional reactions
 Respectfully ask for them to clarify
 Give benefit of the doubt since it’s only 140 characters
 Reserve and humility are key
 Neutralize, de-escalate the hostile tone
 Redirect topic after making your point
 Indicate you have moved on
 Reject baiting if troll persists
 Don’t give trolls the attention they crave
“Help Me Doctor”
 Patient/caregiver
 Request for medical advice
 May share symptoms, problems
 May want treatment recommendations
 Complain about actual real-life providers
 Request for medical assistance
 Money for tests, medical procedures or medication
 Public support for raising awareness without full
disclosure, information
“Help Me Doctor”
 Different types
 Honest (unintentional)
 Fake (intentional)
 Don’t believe you can tell the difference!
 Contacting you
 Public tweet or DM
 Email or LinkedIn, Facebook message
Troll or not?
 Reasonable to consider trying to get medical
advice “objectionable”
 Not good medical practice
 Patient/caregiver may not know that, though
 Assume it’s someone truly in need
 Even if it ends up being someone who’s baiting you,
you’ll be judged by how you treat that person
 Empathy and professional
Handling “Help Me Doctor”
 Expressing sympathy is fine
 Identify the boundary
 “Sorry, I can’t address that for you”
 “That sounds like something to discuss with
your doctor”
 If the issue is pertinent to your field:
 “Twitter isn’t the place for direct medical care. Call
my office to make an appointment.”
 Direct to Cancer.net to find doctor near him/her
http://www.cancer.net/find-cancer-doctor
For Persistent Trolls
Block or Report?
 Block is more appropriate for trolls
 Caveat: You won’t see what they say about you
anymore
 Generally recommend ignoring, unfollowing if
applicable
 If it’s on a topic you care about, consider
checking in on them instead
 Don’t follow; lends credence to true trolls
 Report is more for spam
Malware and Spam
 Malware = “malicious software”
 Access private information
 Disrupt computer/website
 Mostly for financial gain
 Spam = unsolicited messages for advertising,
other messages
Source: Wikipedia Malware: http://bit.ly/Sqjlva
Spam: http://bit.ly/1kD6uxe
Malware in 2014
 Breaches and malware may cost $491B from
malware in pirated software alone
 1.2 B hours spent dealing with malware
from pirated software
 On Twitter and other platforms, fraudulent
accounts can be sold to be used for malware
or spam
Source: IDC/NUS, http://bit.ly/RfAXJj
UC Berkeley, http://bit.ly/1mtodNa
Mobile = computers
Source: Cisco Systems, http://bit.ly/1ig9xZp
Forbes.com, http://onforb.es/1msRrY0
Android = 70-97% of malware
Social Spam
 0.5% of all social content is spam
 355% increase in 1st
half of 2013
 Facebook+YouTube for 99% of content
 15% provide link/URL to spam, porn or
malware
Source: Nexgate, http://bit.ly/1msQcbs
Twitter Spam
 May use bit.ly or tinyurl.com shortlinks to
mask the URL
 Twitter banned such links in Direct Messages
(DM) in October 2013
 Social [ro]bots can autoreply to certain tweet
content to share spam with you
A Hint: Account Activity
Source: Nexgate, http://bit.ly/1msQcbs
Beware of friends, too
 Your account, or those of your
friends/followers may be taken over
 Spam may also come from legitimate
accounts
 If you notice it happen, notify the person
with a DM
 If no response, open message in case spammer
has disabled notifications or deleted the DM
Ways to Avoid Malware & Spam
 Strong password
 Follow with care
 No autofollow (using 3rd
party apps)
 Minimize 3rd
party software linked to Twitter
 Don’t share your email on Twitter openly (DM
only)
 Don’t click on links from folks you don’t know
Source: Social Media Examiner, http://bit.ly/1g1E9xU
eHow.com, http://bit.ly/Q4NKgv
For Spammers: Block & Report
Summary
 Trolls will test you
 Medical professionalism = take the high road
 Protect your brand from malware and spam
 Strong password
 Value = quality not number of followers
 Limit 3rd
party apps to essentials
 Look before you click
Questions?
 Contact me
 Twitter @subatomicdoc
 Website http://www.subatomicdoc.com/social-media.html

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Twitter 103 Trolls, Malware and Spam

  • 1. Twitter 103 Trolls, Malware & Spam A Tutorial for Oncologists Matthew Katz, MD May 2014
  • 2. Overview  Trolls  Definition  Types  How to respond  Malware & Spam  Definitions  Magnitude  How to minimize it
  • 3. Troll  Wikipedia: “Creation of any content that targets anther person.”  Mostly intentional, but in healthcare there are new variants that may be unintentional
  • 4. Who is a troll? Troublemaking Ridicules Objectionable content Lying Lead astray
  • 5. Reality Check  Trolls are not people who disagree with you  Expect debate on Twitter  Be open to being wrong  When conversations get heated and emotional, show respect so you aren’t considered the troll
  • 6. Troll Types in Social Media  “Calling Out” Troll*  Taunts you about your achievements, position  Mainly affects self-promoters  “Public Shaming” Troll*  Keeps pestering you, repeated tweets  May alternate between email, tweet, FB post  May try to make you look unresponsive  “Freeloader” Troll*  People following others to obtain free materials * Mitch Joel, TwistImage.com, http://bit.ly/1iNVm3C
  • 7. The 5 R’s of Responding to Trolls  Read, then walk around the block  Trolls love emotional reactions  Respectfully ask for them to clarify  Give benefit of the doubt since it’s only 140 characters  Reserve and humility are key  Neutralize, de-escalate the hostile tone  Redirect topic after making your point  Indicate you have moved on  Reject baiting if troll persists  Don’t give trolls the attention they crave
  • 8. “Help Me Doctor”  Patient/caregiver  Request for medical advice  May share symptoms, problems  May want treatment recommendations  Complain about actual real-life providers  Request for medical assistance  Money for tests, medical procedures or medication  Public support for raising awareness without full disclosure, information
  • 9. “Help Me Doctor”  Different types  Honest (unintentional)  Fake (intentional)  Don’t believe you can tell the difference!  Contacting you  Public tweet or DM  Email or LinkedIn, Facebook message
  • 10. Troll or not?  Reasonable to consider trying to get medical advice “objectionable”  Not good medical practice  Patient/caregiver may not know that, though  Assume it’s someone truly in need  Even if it ends up being someone who’s baiting you, you’ll be judged by how you treat that person  Empathy and professional
  • 11. Handling “Help Me Doctor”  Expressing sympathy is fine  Identify the boundary  “Sorry, I can’t address that for you”  “That sounds like something to discuss with your doctor”  If the issue is pertinent to your field:  “Twitter isn’t the place for direct medical care. Call my office to make an appointment.”  Direct to Cancer.net to find doctor near him/her http://www.cancer.net/find-cancer-doctor
  • 13. Block or Report?  Block is more appropriate for trolls  Caveat: You won’t see what they say about you anymore  Generally recommend ignoring, unfollowing if applicable  If it’s on a topic you care about, consider checking in on them instead  Don’t follow; lends credence to true trolls  Report is more for spam
  • 14. Malware and Spam  Malware = “malicious software”  Access private information  Disrupt computer/website  Mostly for financial gain  Spam = unsolicited messages for advertising, other messages Source: Wikipedia Malware: http://bit.ly/Sqjlva Spam: http://bit.ly/1kD6uxe
  • 15. Malware in 2014  Breaches and malware may cost $491B from malware in pirated software alone  1.2 B hours spent dealing with malware from pirated software  On Twitter and other platforms, fraudulent accounts can be sold to be used for malware or spam Source: IDC/NUS, http://bit.ly/RfAXJj UC Berkeley, http://bit.ly/1mtodNa
  • 16. Mobile = computers Source: Cisco Systems, http://bit.ly/1ig9xZp Forbes.com, http://onforb.es/1msRrY0 Android = 70-97% of malware
  • 17. Social Spam  0.5% of all social content is spam  355% increase in 1st half of 2013  Facebook+YouTube for 99% of content  15% provide link/URL to spam, porn or malware Source: Nexgate, http://bit.ly/1msQcbs
  • 18. Twitter Spam  May use bit.ly or tinyurl.com shortlinks to mask the URL  Twitter banned such links in Direct Messages (DM) in October 2013  Social [ro]bots can autoreply to certain tweet content to share spam with you
  • 19. A Hint: Account Activity Source: Nexgate, http://bit.ly/1msQcbs
  • 20. Beware of friends, too  Your account, or those of your friends/followers may be taken over  Spam may also come from legitimate accounts  If you notice it happen, notify the person with a DM  If no response, open message in case spammer has disabled notifications or deleted the DM
  • 21. Ways to Avoid Malware & Spam  Strong password  Follow with care  No autofollow (using 3rd party apps)  Minimize 3rd party software linked to Twitter  Don’t share your email on Twitter openly (DM only)  Don’t click on links from folks you don’t know Source: Social Media Examiner, http://bit.ly/1g1E9xU eHow.com, http://bit.ly/Q4NKgv
  • 23. Summary  Trolls will test you  Medical professionalism = take the high road  Protect your brand from malware and spam  Strong password  Value = quality not number of followers  Limit 3rd party apps to essentials  Look before you click
  • 24. Questions?  Contact me  Twitter @subatomicdoc  Website http://www.subatomicdoc.com/social-media.html