Does Twitter Work?

I keep on hearing about Twitter being the social media format of choice and that it is a great way to spread the word about your product or service via online marketing.  I have a Twitter account set up - www.twitter.com/criticalillness.  I have been following other Twitter users and they  immediately follow me which shows that there is clearly some etiquette in place.  There seems to be a lot of Twitter users who have hundreds if not thousands of followers and they in turn are following equal amounts of users. 

When I check my page there is a steady stream of updates that come through and if I am honest more than I can follow up.  I am only following 29 accounts so how do you manage when over a thousand accounts are sending updates through?

I am sceptical about the whole process and wonder if it is just a case of firing messages off into cyberspace that no one will ever see.  Is it a case of trying to have as many followers as possible which then makes you look ‘popular?’  I want to join in on the experiment and see what happens.

Can anyone tell me if they have had good results from Twitter that can be directly attributed to Twitter?

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