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!
Now, now. You're beginning to sound like a certain young lady from Just
William. She used to SCWEEM, and SCWEEM and SCWEEM, until she was SWICK
Dr G Mark Trowell
Highbridge Medical Centre
Pepperall Road
Highbridge
Somerset
TA9 3YA
Highbridge: A cemetery with lights
01278 783220
01278 795486 (Fax)
[log in to unmask]
Member of Sedgemoor Primary Care Group Project Group (SPCGPG)
SPCGPG representative to Somerset Health Authority
(Journalists: These are my personal views. As such they may not represent
the views of SPCGPG)
-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On
Behalf Of Stephen Miell
Sent: 01 April 1998 22:51
To: [log in to unmask]
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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