All so true. Not sure what those who do not have someone with medical
knowledge to advocate for them do. Thought of that many times when my
father ended up in the hospital multiple times in his final years with us.
It is so complicated (and SO expensive). Working in a trauma and cardiac
hospital, I do very much respect the hard work and knowledge of physicians,
but having a family member or close friend with some knowledge and an
understanding of the patient can be so important. Thank you for sharing.
Sharon Knorr, Breastfeeding Counselor, BfUSA
On Tue, Sep 1, 2020 at 7:09 AM Nikki Lee <[log in to unmask]> wrote:
> 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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