Endocrinologist with 23 years of experience - what is evidence-based medicine and how it is applied in practice
The most important definition evidence-based medicine - the doctor should treat patients based on strict medical factswithout deviating from medical prescriptions.
But the truth of life is that medical research, no matter how much there is, is still not enough. They cannot cover all possible variants of diseases and characteristics of the human body.
It is common knowledge that even the most reliable drugs can give a paradoxical reaction in some people. For example, I have a patient who falls into a mild euphoria from the usual aspirin, and from the annual flu shot, she is covered with bliss until the end of the working day. This is how the body is so pleasantly arranged.
Moreover, some of the studies contradict each other to some extent.
Some of the studies generally turn out to be falsified (tweaked) or fabricated (not carried out at all).
There is studythat at least 2% of scientists have done this to one degree or another. These are the ones who were caught. Here, probably, the rule applies - you see one, count ten in your mind.
About a third of scientists do not declare conflicts of interest - for example, that their research was paid for by some interested organization such as a pharmaceutical company.
And it is easy to assume that only certain studies will see the light. And those that give the “wrong” result will be abandoned.
How those who bought a certificate of vaccination harm the vaccine
And then our reality knocks the ground out of evidence-based medicine. I'm talking about vaccination certificates, which were purchased by a large number of compatriots. How can we now be guided by our statistics on the incidence of vaccinated citizens, if none of these people, having got sick, admits that he just bought the certificate? We will have paper splash of sick after vaccination, although in reality this will not happen.
Good doctor must question everything
In general, this is what I'm getting at.
If some method, some medicine does not have a solid evidence base, then there is a possibility that it simply has not been studied properly. There were no interested parties who would have invested money in this. After all, bringing a drug to the market takes tens of millions of dollars and for many years.
But there is also the possibility that this method is no good.
Therefore, a good doctor in my understanding must question everything, even the very doubt. I have an interesting example before my eyes, when several of my patients, on their own initiative, began to use a certain dietary supplement for the joints, which I consider to be absolute nonsense. But their condition improved. How did this happen? Maybe it was the placebo effect that worked. Or maybe we don't fully understand some points.
In medicine, everything cannot be 100 percent standardized, because we are changing and the environment. If we live strictly within the framework of the protocols developed by someone, then how can science develop?
After all, all great breakthroughs happen when someone goes out of line. For example, it pays attention to mold and discovers penicillin.
We must look at science broadly, because many things are not part of evidence-based medicine just because no one else has done it properly.
Your Doctor Pavlova
How are doctors treated?
I lost 67 kilograms in 10 months. The doctor revealed a secret
