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In response to some medical attacks
It has always been the case where people like to throw stones at conventional
clinical medicine. Claims of over-servicing, over-prescribing and downright
fraudulent practices are thrown about, citing someone whose uncle/friend/mother
(delete that which is inappropriate) suffered at the hands of “bad” doctors.
Now, there are certainly some “bad” doctors out there, just as there are “bad”
lawyers, “bad” real estate agents, “bad” mechanics and just about any profession
you would like to think of. But they’re not all “bad”.
And me? I am a conventionally trained British/Australian style medical
practitioner who has spent a lifetime practicing EBM, otherwise known as
Evidence Based Medicine. Practices that have been proven to work. Call it “good”
medicine, if you like.
I am proud of my training. Six years at an Australian university that had a good
name, and still does, despite undergraduates like me attempting to besmirch it
during the aforementioned six years. I am also proud of my final exams taken in
the Royal Colleges of Physicians and Surgeons in London. I have the honor to
have my name listed in the ‘great book’ with luminaries such as Hunter, Jenner
and Lister. I am also indebted to my tutors during the 12 months of
‘pre-registration’, where you apply your knowledge under the supervision of
accredited specialists. An arduous road, but one that is a safeguard for you,
the general public.
Another safeguard is called ‘peer review’ which medical doctors have to undergo.
The ‘powers that be’ are also ensuring that we keep up to date with a process
called Continuous Medical Education (CME). That medical education continues
through to today, with CME lectures being attended by my hospital’s doctors, and
myself. Fortunately for me, the slides are in English, even though sometimes the
lecture is not.
Those ‘powers that be’ also try to ensure that we prescribe drugs that are
efficacious, that have been tested, and the evidence points to this. It is not
anecdotal evidence, but true scientific evidence shown by research in many
countries, with hundreds of thousands of patients. It is following that type of
evidence, that I can recommend with all good faith, that 100 mg of aspirin a day
is “good” medicine. I also know that if you are prescribed a ‘statin’ drug it
will lower your cholesterol levels. They have been tested. And these days, very
rigorously indeed.
I am also the first to admit that we have sometimes managed to get it wrong. The
Thalidomide story still has living examples of this. However, the medical
world-wide network is cohesive enough to ensure that this drug was withdrawn. It
is the checks and balances system that has kept western medicine afloat. This is
not to be equated with the checks and balances system that has been incorrectly
applied in the banking industry that sees the institutions on the brink of
sinking!
I am often asked my opinion on “alternative” medicine, and all its diverse areas
of ‘specialization’. I try to avoid direct confrontation over this. If devotees
have found that they can diagnose tumors by looking at patient’s auras through
their third eye in the middle of their foreheads, then I am genuinely pleased,
in fact delighted, provided that they have subjected the method to scientific
scrutiny.
If various groups can actually cure cancer, epilepsy, halitosis or lock-jaw by
inserting dandelions into a fundamental orifice, then again I am delighted. This
is a medical break-through, but as such, must be subjected to medical scrutiny.
If the method stands true scientific examination (not to be confused with
anecdotal ‘evidence’) then it will be adopted by everyone, complete with thanks
to those clever people who picked the dandelions in the first place. After all,
penicillin was tripped over, not designed. But it has had a very rigorous
scientific scrutiny since.
As far as the majority of ‘folk’ remedies is concerned, I work on the principle
that if you ‘think’ it is doing you good, then it probably is. But don’t ask me
to endorse something that has not been scientifically tested.
When the ‘alternative’ group spends more time proving their methods, instead of
complaining about non-acceptance, EBM practitioners will give them more
credence.
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