Good point.
Now if your message got accidentally forwarded to EBH-UK there would be a
bit of foaming at the mouth from the EBM gurus.
JW
Dr Jon Wilcox
General Medicine, Paediatrics and Obstetrics,
Glenfield Medical Centre,
452 Glenfield Road,
Auckland 1310, New Zealand
Phone or Fax +649-444-7656
e-mail [log in to unmask]
-----Original Message-----
From: Stephen Miell <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: Thursday, April 02, 1998 9:50 AM
Subject: Re: Diarrhoea treatment for kids
>If I hear anyone else mention evidence based medicine as some sacred cow
>that daren't be challenged I think I'll scream and scream and scream until
>I'm sick!
>
>Or have diarrhoea.
>
>Seriously, has anyone out there looked at some of the rather exclusive
>criteria which our hallowed colleagues in the sphere of research apply for
>inclusion in the double blind controlled trials upon which we are supposed
>to base our clinical practice in the REAL world of General Practice.
>
>For example a well known trial of anticoagulation in AF excluded the vast
>majority of subjects on the basis that they rather inconveniently couldn't
>be relied upon to take their pills regularly, drank too much, fell over,
>were deaf, or generally were far too unpredictable to be included in such a
>"proper" study of scientific significance.
>
>In other words normal punters excluded, and then next thing you know we are
>all supposed to be anticoagulating everyone who's ever had a few atrial
>ectopics!
>
>There I feel better now.
>
>Stephen Miell
>Email: [log in to unmask]
>Tel & Fax: 01626 332752
>
>
>
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