It just seems strange that when I look at Alexa, the visitors from this site are mostly American and Indian, but when I look at patient submitted cases, there are a considerable patient submitted cases from places like Turkey.
Perhaps they are encouraged to by their clinics? (ie. monetary incentive, etc.). Similar to businesses here that doing that here. For example, my dentist has a raffle every month for patients that submit Yelp reviews. Perhaps there is a similar phenomenon there.