Posted in bio ethics, Ethics in Medicine, evidence based cardiology, Medcal research, Medical education, Medical ethics, medical quotes, medical satistics, Two line sermons in cardiology, tagged evidence based falsehoods, evidence based lies, evidence based medicine, evidence based nonsense, experience based truths, principles of medicine on October 3, 2021|
Is there a solution?
As I understand, we don’t have any. Maybe, we can try this. No way, I can prevent it from appearing ridiculous for the mainstream scientists.
Truths often lie silently buried deep (many times intentionally). They definitely deserve an intellectual resuscitation beyond the dirty world of data and evidence. Further, why should experience be considered as enemy of evidence ?
Posted in bio ethics, medical quotes, Two line sermons in cardiology, tagged brainy quotes, cardiology ethics, evidence based medicine, great medical quotes, mahatma gandhi quotes, medical quotes, medical violence, principles of medicine, science quotes, sensible medical practice on November 1, 2014| Leave a Comment »
Mohandas Karam Chand Gandhi , father of my country , India , made these observations in year 1925 about the fundamental constituents of violence in society . These words of monumental wisdom came when he was addressing young Indians in a country- side rally .
Note, his finger points to , what exactly is relevant to our profession ! He emphasized this nearly 100 years ago, when medical science was at its infancy .One can only guess what would be Mahatma’s comment about our profession in it’s current form !
Should we include moral, behavioral and ethical classes right from the first year of medical school along with Anatomy , physiology and bio chemistry.Medical council of India obviously need to burn more mid night oil , I wish it happens in my life time. !
Posted in bio ethics, Cardiology Risk assesment, medical quotes, Social medicine, Two line sermons in cardiology, Venkat quotes, tagged cardiology ethics, ethics in medicine, hippocrates, intentional harm, principles of medicine, risk benfiet ratio, unintentional benefit, unintentional harm on November 16, 2013| 1 Comment »
Posted in bio ethics, cardiology journal club, Cardiology quotes, tagged ethics in cardiology, ethics in medicine, evidence based cardiology, guidelines in cardiology, guidelines in medicine, principles of medicine on October 20, 2013| Leave a Comment »
The current fad called EBM has lots of lacunae. Though evidence based approach is considered the ultimate journey towards truth ,lot of non academic factors contaminate it .In it’s current form , it is difficult to comprehend it.
This is an attempt to decode the mystery of EBM expressed in a simplified lay person’s term .They are the ones from whom we learn medicine. They are our teachers in the true sense.
By the way ,it is also my approach to EBM .Sorry , if this post sounds arrogant ! It is not the intention .Truths often times appear brutal .
And . . . the Genius approach to EBM for comparison
Posted in bio ethics, cardiology-ethics, Clinical cardiology, general medicine, tagged cardiologist cartoon, cardiology cartoons, cardiology consultations, cardiology medical consultations, cartoon medical, clopidogrel, doctor patient relationship, ethics, humour based cardiology, humour in medicine, principles of medicine on July 31, 2013| 1 Comment »
One of my otherwise well behaving patient , suddenly asked me this question , before leaving my clinic after a 15 minute consult .
Doctor . . . I am taking the clopidgrel and aspirin for 5 years like a vitamin tablet . . . is that all right doctor ?
I just got curious, I checked the prescription again . Yeh , he was right !
I have been mechanically writing Tablet Clopitab A since 2008 !
For what ?
Some sort of CAD ! Was it for ACS ? No , it was for chronic stable angina . No PCI, . . . no DES !
Why the hell he is taking dual anti-platelet therapy for 5 years ?
Some body , some where , has prescribed it . This man is taking it for years together with absolute sanctity.
I was amused . . . it is also my mistake . Why it never struck me to scrutinize the prescription ?
I thanked him . I removed clopidogrel from the list , and asked him to continue tablet Ecosprin 150mg for some time .
( And now I had a genuine doubt ! Does he have CAD at all ! I browsed his file , I couldn’t find a true documentation for CAD as I feared !)
I asked him to get back with an exercise test , . . . if it comes negative i can even stop the aspirin as well I explained him ! (Now he got amused !)
Final message
Who wants Knowledge ?
It is dumped every where , free of cost . . . both in real and cyber world .Applying it requires more sense . and my patient taught me that !
Patients not only help us earn our bread and butter , they do enrich our brain as well ! Never get humiliated when a patient teaches you a lesson in medicine !
Dr.S.Venkatesan MD 