AJM: The Case for Being a Medical Conservative...

[drusso]

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https://www.amjmed.com/article/S0002-9343(19)30167-6/pdf

"In the end, the medical conservative stands in awe of the human body. We recognize that our knowledge and best models only rarely predict the success of a new intervention. We see true medical progress as slow and hard in large part because nature has provided the human body inherent healing properties."

@SSdoc33 @Ducttape

 

[lonelobo]

Doesn't sound they they would support Stem Cell for pain?

 

[drusso]

Doesn't sound they they would support Stem Cell for pain?

What's the alternative?

 

[lonelobo]

"The medical conservative adopts new therapies when the benefit is clear and the evidence strong and unbiased."

"The medical conservative, however, recognizes that many developments promoted as medical advances offer, at best, marginal benefits"

"This desire for better decision quality drives the medical conservative to care about the growing commercialization of medicine. When money is at stake, the risk of hype increases. Not only does hype propagate low-value care, but it also erodes the public’s trust in medical science. Medical conservatives vigorously oppose hype in all its forms."

 

[hyperalgesia]

What's the alternative?

Return to the food chain?

 

[Ducttape]

I repeat - show me the data.

Not the money, because from certain ppl (centeno) that’s what we are seeing. Show me the data...

 

[drusso]

I repeat - show me the data.

Not the money, because from certain ppl (centeno) that’s what we are seeing. Show me the data...

 

[lobelsteve]

Looks same to me

 

[SSdoc33]

I got an ice cream headache reading that article

 

[drusso]

Looks same to me

My mother says my outcomes are slightly above average...

 

[Orin]

You want data? I got your data right here.

Honestly, I see this same stuff from a lot of company that shows off how good their product does with your patients. I assume they're doing it similarly to another big company where they're calling and asking folks for you to simplify your life. I assume they don't stress all the drop outs and people that refuse to answer the calls anymore. They're probably fine and just don't want to be bothered right? Do they record the calls so you can hear the scripts and realize the patients aren't coached into an answer?

This is just crappy data masquerading as "real world outcomes" so we feel justified in doing stuff. If it keeps them off narcotics and functional, I'm all for it though, but I'm realizing more and more there are a lot of patients just trying to please their doctors or the very polite device/company reps, but are happy to tel me about how that last injection or device didn't really work. The placebo response is strong.

 

[drusso]

Honestly, I see this same stuff from a lot of company that shows off how good their product does with your patients. I assume they're doing it similarly to another big company where they're calling and asking folks for you to simplify your life. I assume they don't stress all the drop outs and people that refuse to answer the calls anymore. They're probably fine and just don't want to be bothered right? Do they record the calls so you can hear the scripts and realize the patients aren't coached into an answer?

This is just crappy data masquerading as "real world outcomes" so we feel justified in doing stuff. If it keeps them off narcotics and functional, I'm all for it though, but I'm realizing more and more there are a lot of patients just trying to please their doctors or the very polite device/company reps, but are happy to tel me about how that last injection or device didn't really work. The placebo response is strong.

It's limited in its utility. But, I feel better that I'm collecting data when other people aren't. They're just counting their RVU's.

 

[nvrsumr]

I get alot of patient questions on what my outcomes are for regen med. Smart that you are tracking. I would like to do the same but when I previously looked at doing for other procedures was a pretty big pain in the ..

Anyone have a cheap and easy outcome measure they use? Not for research just for practice improvement.

 

[Ducttape]

I cant see the dots, because that big REGENEX imprint is blocking my view.

 

[lonelobo]

I cant see the dots, because that big REGENEX imprint is blocking my view.

lol

 

[drusso]

I cant see the dots, because that big REGENEX imprint is blocking my view.

Squint.

 

[lonelobo]

Squint.

Do you inject eyes as well?

 

[drusso]

Do you inject eyes as well?

No, but the optometrist down the street uses autologous tears for Sicca syndrome...