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Some years ago I read a letter in the British Medical Journal from James Michelson – Professor of orthopaedic surgery based at George Washington University in Washington in the US which should remind us all of why evidence-based medicine should not be the only evidence in town. It highlights why common sense has a role in medicine too. Here is an extract from that letter.
In the course of practice in orthopaedic surgery (although not documented in the literature), it has been my experience (those of you who adhere to the EBM doctines [sic] hopefully will excuse this phraseology) that when I hit my finger with a hammer (or mallet, for that matter), my finger hurts. It is even worse if I use a power tool (like drilling through the finger). My question: how many times do I have to do this before I can say that I have sufficient evidence to potentially causally link the hammer blow to my finger hurting? And what do I use as the control?
One of my teachers in medical school once noted that fields such as Orthopaedic Surgery were very difficult for some physicians to master because they required the exercise of “common sense”.
Evidence-based medicine, (EBM), is a term generally used to describe medicine based on solid research. This seems to explain why most GI docs are so dysfunctional when trying to treat patients with food sensitivities.
Love,
Tex
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
Occupational therapy started out on the creative common sense road, looking at the whole picture including the psychosocial environment. Then was hijacked by the solid science mode. For years it has been trying to combine the 2 effectively. Not easy!
Like we needed proof that the GI Specialists are dysfunctional....
just look at experiences of 75% of the people in this family!
The oral surgeon i had, he appeared really good about IBD's, and the bodies reaction to infection and inflammation. The part that most of them fail is the belief that if it isnt going into your mouth and then to your stomach you will be AOK. Meds that are used at the infection site, and injected will not cause digestion issues.
IMO anything that comes into or in contact with your body (via skin, blood, mouth, ears,) can have impact on the digeston system, especially when your immune system and digestion are a few sausages short on the barbie and unable to figure out good from bad.
Gabes Ryan
"Anything that contradicts experience and logic should be abandoned"
Dalai Lama
One of my teachers in medical school once noted that fields such as Orthopaedic Surgery were very difficult for some physicians to master because they required the exercise of “common sense”.
I really like the common sense thing. It is the same with that "research based evidence" that you sometimes read something what a researcher has discovered (quite often in the social/psycholical field) they come up with conclusion, after survey this, investigation that, research blabla it is found, like "a fish can only survive in the water not out", but translated to humans with things, that you and I would say, well I could have told you before. It's exactly like as described here, when I hit myself with a hammer it hurts!!! Experienced based evidence.
"As the sense of identity shifts from the imaginary person to your real being as presence awareness, the life of suffering dissolves like mist before the rising sun"
Gabes wrote:especially when your immune system and digestion are a few sausages short on the barbie and unable to figure out good from bad
I believe that's the first time I've ever heard a corrupt immune system described that way. Aussies always seem to have a way to take the boredom out of common language.
Tex
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
If you want to quote someone's entire post, just click on the "quote" button in their post. You can edit the quote before you submit your post, if you wish.
Another way to do it is to copy and paste whatever you want to quote, into your own message window, and then highlight the text that you want to quote, and click on the quote button just above your message-composing window.
In most correctly-performing browsers, all you have to do is to click on the smiley you want, and the correct code, (known as bulletin board code - BB Code), will be automatically transferred into your post, at the end of your text message. If you want to move it to some other location, you can cut and paste it wherever you want, including in the subject line. Just be sure to include the colons, (because they are a vital part of the code), and be sure that you leave a blank space before the first colon, so that the browser can interpret the code correctly.
Tex
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
That won't work, because that gives you the name of the smiley, not the code that defines it. For example, this one, is defined by the code colonlolcolon, where colon is replaced by the symbol ":". IOW, it looks like this, without the spaces
: lol :
Unless you know the code, you have to let the system place the smiley code for you, and the way to do that is to click on the smiley, whenever you get to the place where you want it to end up, in your message.
Tex
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
I know. I don't do it with smileys. I copy and paste with quotes, but I don't know why I can't make it appear the way you do, nor why I can't use smileys. If I click on post reply instead of using the quick reply, would it work?
It shouldn't matter - I always use the quick reply window. The basic differences between the quick reply box and the standard reply function, is the ability to post images, and/or save a post to draft, instead of posting it.
Tex
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
I have the smileys and HTML in the reply window, but not in the quick reply. Don't know about quote yet. Haven't tried it.
In the quick reply I can't do this.
Visit the Microscopic Colitis Foundation Website
It shouldn't matter - I always use the quick reply window. The basic differences between the quick reply box and the standard reply function, is the ability to post images, and/or save a post to draft, instead of posting it.