tag:blogger.com,1999:blog-6193043695356712843.post6461600244565381708..comments2023-09-02T23:55:45.583+10:00Comments on Doctor Skeptic: The map is not the territoryDr Skeptichttp://www.blogger.com/profile/09376469049519802493noreply@blogger.comBlogger8125tag:blogger.com,1999:blog-6193043695356712843.post-92141741387128912652014-04-26T22:12:27.099+10:002014-04-26T22:12:27.099+10:00We need a list of clinically meaningful treatments...We need a list of clinically meaningful treatments. Then when confronted by a patient we can show if you have "x" there is actually something we can do that will help and not actually make you worse. If you have a condition that will not benefit from medical intervention then it isn't offered and it isn't done.....unless you want to pay for it yourself.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6193043695356712843.post-79471095688886106132013-11-20T21:08:47.932+11:002013-11-20T21:08:47.932+11:00Thanks, and I think you have touched on the crux o...Thanks, and I think you have touched on the crux of the problem: we are more likely to rely on objective, reproducible measures, which is not a bad thing, except when they are inferior surrogates of the real thing.Dr Skeptichttps://www.blogger.com/profile/09376469049519802493noreply@blogger.comtag:blogger.com,1999:blog-6193043695356712843.post-9583156766444046952013-11-20T20:57:31.095+11:002013-11-20T20:57:31.095+11:00Imaging displaces touch as an application of defen...Imaging displaces touch as an application of defensible medicine. The x-ray can be preserved and presented as evidence. Perception based on observation and touch is more difficult to certify. Why is it so difficult to leave good enough alone when we can break it again to make it look better? Rumi Like Thishttps://www.blogger.com/profile/00796672926529269973noreply@blogger.comtag:blogger.com,1999:blog-6193043695356712843.post-88268606817323518872013-11-19T07:09:44.052+11:002013-11-19T07:09:44.052+11:00Thanks. I just briefly looked this up. Some are bl...Thanks. I just briefly looked this up. Some are blaming the Back to Sleep program for cranial deformation. Like so much medicine: high on speculation and low on good science.Dr Skeptichttps://www.blogger.com/profile/09376469049519802493noreply@blogger.comtag:blogger.com,1999:blog-6193043695356712843.post-46121994876659164912013-11-19T07:07:04.559+11:002013-11-19T07:07:04.559+11:00Thanks. I originally included that article, but as...Thanks. I originally included that article, but as it compares plating to other forms of fixation I left it out. There are other similar papers. I think the articles that compare plating to plaster are more revealing: instead of arguing over which form of surgical fixation should be used, we should be asking whether surgery is necessary for many of these fractures.Dr Skeptichttps://www.blogger.com/profile/09376469049519802493noreply@blogger.comtag:blogger.com,1999:blog-6193043695356712843.post-44560203062258938942013-11-19T06:57:58.259+11:002013-11-19T06:57:58.259+11:00This comment has been removed by the author.Dr Skeptichttps://www.blogger.com/profile/09376469049519802493noreply@blogger.comtag:blogger.com,1999:blog-6193043695356712843.post-8269427960268374722013-11-19T05:23:37.268+11:002013-11-19T05:23:37.268+11:00I wish someone would apply the same logical proces...I wish someone would apply the same logical process to the "Back to Sleep" programme wrt infant plagiocephaly.<br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6193043695356712843.post-74859238968175391792013-11-18T23:15:41.232+11:002013-11-18T23:15:41.232+11:00Even in regards to fixation - there is a good rece...Even in regards to fixation - there is a good recent paper to show the type of fixation is less relevant - http://www.ncbi.nlm.nih.gov/pubmed/24088965 - again short term outcomes and xray outcomes are better in the plating group, however return to work and function seem largely unchanged<br />mmvnoreply@blogger.com