In reply to Tom's comments, we must remember that this is the age of EBM
(probably followed the Age of Aquarius), and the 4S EBM is already here.
That wasn't the case for Atromid-S (still in the Age of Aqarius). I suspect
50% of docs would treat this patient and 50% procrastinate. It does depend
how well she keeps. I saw a 90 year old last week who I would have sworn
was only 72 years, and there are many 72 year olds who live like 60 year
olds. They don't reallly want a CVA in 3 months time. And I am sure their
family wouldn't.
PS: The way health economics is going, the next age is probably going to be
the Age of Self-Care in Old Age.
Jon Wilcox
Auckland
----------
> From: Tom Sargent <[log in to unmask]>
> To: GP-UK <[log in to unmask]>
> Subject: Re: Treating raised lipids
> Date: Sunday, 6 October 1996 08:44
>
> I'm going to stick my head above the parapet to throw a few bricks at
some of
> the tosh which has been written on this subject.
>
> There is NO evidence that expensive ssssnake oil will have any effect
whatsoever
> on this lady's life expectancy.
>
> I'm just long enough in the tooth to recall the wonderful things which
were said
> of atromid and the shambles when some actual EBM appeared. The evidence
*is*
> clear about the benefits of statins in the middle aged. This lady has
shown she
> can live very well with a high cholesterol. How about treating the
patient not
> the cholesterol??
>
> Why are folk so keen to fill her up with expensive unproven stuff (I
emphasise
> unproven at *her* age) . She knows very well how to live with a high
> cholesterol. Why do we wish to give her stuff to take the knots out of
our
> nappies????
>
> Tom (Fx rumble rumble)
> sounds of lid being closed on flame proof ICBM shelter.
>
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