Dear Julie:
Thank you for that article,."When Evidence Says No, but Doctors Say Yes"
. . .and now, with the present US administration, we are going back to the
days of snake oil being sold because people believe it, while the research
labors to catch up.
There has to be a balance between innovation and safety. A fee for service
system doesn't help, as it drives US physicians to recommend
unnecessary procedures (think cesarean section.) Another factor is that
when people are in crisis, frightened and/or in pain, they want instant
action.
I am grateful that I have enough medical knowledge, and 2 smart daughters,
to research things ourselves.
Here's a story.
My husband was in an ICU, paralyzed by Guillain-Barré Syndrome. At the
time, we didn't know what was happening, as his paralysis advanced. He
finally went to sleep, and woke up because he was uncomfortable and wanted
to change position. He realized that he couldn't move to do so, and fainted
from the shock. (He's prone to vasavagal syncope,and has to lie down when
he has blood drawn.).
Because he was in ICU, his heart was being continually monitored. His
asystole lasted 10 seconds.
The response of the whole medical team was to insist that he have a
pacemaker, despite his complete lack of cardiac symptoms or history. We
refused the surgery, so they put an external pacer on him in the ICU, that
was removed when he transferred to the rehabilitation hospital.
Meanwhile. it is common knowledge (to some) that fainting causes a drop in
blood pressure and heart function...as always, my husband's heart came out
of the shock and he woke up. There is no need for a pacemaker.
Physicians are overwhelmed with an onslaught of evidence and ill-equipped
to think when their medical school training focuses on algorithms and
pathophysiology. I am sure that there are medical schools that don't teach
this way, but they are few.
sigh.
warmly,
--
Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI, ANLC, CKC, RYT
Reviews Editor,* Clinical Lactation*
www.nikkileehealth.com
Pronouns: she/her/hers
*Communications are confidential and meant only for whom they are
addressed.*
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