tag:blogger.com,1999:blog-11034229.post111807014716704963..comments2023-07-14T02:53:40.719-07:00Comments on retired doc's thoughts: More coercive guidelines,a surgeon fights back and The Borgjames gaultehttp://www.blogger.com/profile/05537303135780186926noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-11034229.post-1118589679734432822005-06-12T08:21:00.000-07:002005-06-12T08:21:00.000-07:00MEdicine is, in fact, the last cottage industry; i...<I>MEdicine is, in fact, the last cottage industry; it has not evolved as a modern, scientific endeavor.</I><BR/><BR/>LOLOLOLOL.<BR/><BR/>Some guys can always be funny. <BR/><BR/>Even when they don't intend to be.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-11034229.post-1118336708924982392005-06-09T10:05:00.000-07:002005-06-09T10:05:00.000-07:00Anon7:19 was not arguing against the claim: " conf...Anon7:19 was not arguing against the claim: " conformity does not necessarily equal good care and non conformity does not necessarily equal bad care" Of course, complications complicate and render difficult cookbook medicine. <BR/><BR/>Nonetheless, doctors paint themselves into a box when they claim their actions are so unique, so case specific that they elude any standardization. If that's the case, then what they do has nothing do with science, which, as I'm sure you recall from K. Popper, requires reproducibility and falsifiability. If medicine cannot generate rules capable of these things (which you're in fact claiming), it's simply voodoo.<BR/><BR/>Speaking of science, what does the empirical evidence tell you? Does anyone have evidence that standards-based medicine produces worse outcomes in any circumstances? No.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-11034229.post-1118259318139010692005-06-08T12:35:00.000-07:002005-06-08T12:35:00.000-07:00I am a bit surprised that a non-physician would re...I am a bit surprised that a non-physician would read the shotgun rantings of a retired doc let alone take the time to comment.I am not surprised that I have not yet convinced everyone of the argument " conformity does not necessarily equal good care and non conformity does not necessarily equal bad care" I will likely slog on with that effort.james gaultehttps://www.blogger.com/profile/05537303135780186926noreply@blogger.comtag:blogger.com,1999:blog-11034229.post-1118197155488580312005-06-07T19:19:00.000-07:002005-06-07T19:19:00.000-07:00What's the big deal? As I read the article, Flori...What's the big deal? As I read the article, Florida simply required an explanation when a guideline was not followed.<BR/><BR/>Why do doctors want to resist? MEdicine is, in fact, the last cottage industry; it has not evolved as a modern, scientific endeavor. And, given you guys kill between $100-200K a year through your negligence/laziness/indifference, you should want standardization.<BR/><BR/>Bizarre claim? Just look at the atlas of medical procedures that published by that guy from Dartmouth. http://geiger.dartmouth.edu/ReadMe.asp<BR/><BR/><BR/>The regional variations in the type and number of procedures that are performed in this country is astounding. IF medicine is based on science, it should be relatively law-like in its application. Such drastic regional difference suggests that you guys are just practicing quaint local lore--or, at least, not practicing in a way that's best.<BR/><BR/>Ah, and what about the aneasthesiologists? They got sick of being sued and rather than cry to the state legislatures, they adopted standards--and guess what (with a little help from new technology), aneasthesiologists have among the lowest premiums of any doctors. Standardization probably works.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-11034229.post-1118149461769743442005-06-07T06:04:00.000-07:002005-06-07T06:04:00.000-07:00Resistance is futile.Resistance is futile.nickgeneshttps://www.blogger.com/profile/18224252306908317229noreply@blogger.com