Clinical experience is evidence. Evidence-based medicine is not just
empiricism. RCTs, case control studies, surveys and anecdote all have their
hazards and all are based at some point on judgement calls. Hence the renewed
interest in Bayes theorem. When some much illness is self-limiting, pure
opinion like pure theory is the danger. However it is the starting point for
most research not based on serendipidy.
However I accept that the search for best clinical action must go on. No
one has the monopoly on truth but we have a duty to try to argue each other
using the best possible current evidence over what we believe will be most
helpful to our patients. What persuaded you to employ any one of your regular
clinical practices today?
Paul Galloway wrote:
> So in essence an "in your opinion" rather than EBM :-)
>
> So Grace may be right trying for monotherapy, you have a greater tolerance
> of polypharmacy.
>
> Probably best neither of you change your working practice until there is
> clear sign of an advantage to one method or other.
>
> Paul Galloway
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|