In this era of synthesized evidence base, one of my intellectually aberrant student asked How can we indulge in a popular coronary procedure with class 1 indication backed by level C evidence ? (As defined by the seemingly invincible guideline committee of various International cardiology organizations .)
I told him ,
- Institutional protocols are to be followed
- Guidelines are to be respected
- Recommendations are to be considered
- Please be reminded all of the above can be rejected outright !
Finally , realise Individual decisions based on sound scientific understanding with zero non academic intrusions will be revered forever !
*Caution : If you think you haven’t yet reached that the level of individuality , come what may , you are expected follow these advisories which are primarily aimed at providing quality care and you will be pardoned of any adversaries as well !
Dr.S.Venkatesan MD 