Quote:
Originally Posted by golfing eagles
You're right, they ARE anecdotal. And I can share stories across tens of thousands of ER encounters, some not so good, most pretty average, and a lot spectacular, so what. I have a problem with the statement "trust my own experience"---it is limited compared to the thousands of data points that go into the published numbers
Please avoid any physician who states "in my experience", I'm more interested in the evidence based medicine that should be practiced.
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as a pharmacist, I am aware of "evidence based medicine". well, I remember a young cardiology fellow suggested using lasix as an IV infusion back in 1980s and was laughed at. however, he had seen it clinically beneficial during his residency. guess what, it's now an accepted treatment. give me a common sense doctor with a lot of clinical experience and an open mind any day over someone who bases all decisions on numbers. many new practitioners (and I include pharmacists in that) are fixated on "evidence based" medicine and have not a lick of common sense.
one of the finest cardiologists I ever knew told me he listened to everyone....the nurses, the aides, the housekeepers if they had information about his patient. you can combine that with the numbers.
sorry, it's one of the reasons I retired....the lack of common sense was getting to be too much. length of stays determined by "numbers" instead of how the patient actually looked....and the same patient being readmitted in days, polypharmacy because the practitioners don't have time to really look at past records.