Systematic Review and Evidence-Based Medicine
[youtube http://www.youtube.com/watch?v=5Ezs1DPUKXA&fs=1&rel=0]
You’ve probably heard of “evidence-based medicine”. It’s the idea that we practice based on research and data. There’s another way of practicing called “eminence-based medicine”….
[youtube http://www.youtube.com/watch?v=rp0fjSicBCg&fs=1&rel=0]
Peter Diamandis speaking about “Development over 150,00 years…” at Singularity University’s Exponential Medicine Conference.
Video Rating: 4 / 5
Aaron, I have a list of ideas for topics you can discuss.
-Circumcision
-Vegetarianism/Veganism
-What to feed your dogs in terms of people food
Also, 60 seconds? I’ve never been this early.
Dr. Carroll, I’m very curious what you think about the AllTrials campaign.
Granted, they seem to be focusing most of their efforts in Europe, but I’m
glad the issue is getting attention.
Neo-cons have told me for decades that this type of research is poppycock!
Better to just listen to those conservative think-tanks.
Interesting/informative video regarding Gastroesophageal Reflux (GER)
Are Americans really so terrified when infants regurgitate small amounts of
milk? Here in Norway, it’s considered normal, as long as the amount and/or
frequency isn’t extreme.
Thanks for the insight, Doc. This is one of my favorite segments of yours
so far, descriptive of the process, concise and illuminating.
Thanks again.
Systematic Review and Evidence-Based Medicine
I love Healthcare Triage! amazing way to educate the general population!
Thank you Aaron!!
PPIs don’t work on children? So what does? Calcium carbonate? H2
antagonists? It’s important to rule out what doesn’t work, but what’s left
are less desirable or more expensive alternatives.
Well, Pepcid isn’t all that expensive.
I think the many drugs that are advertised should also have to have a
systematic review along with the long list of side effects.
Can you do an episode on self-diagnosis?
Incredible video, I would thumbs it more if I could!!
And the lesson of the day is “babies gonna throw up. deal with it”
Sounds reasonable, as long as you don’t miss studies like in your video
claiming that smoking marijuana is not harmful to your lungs. Since it was
by the same people who did a study that you did cite, I have my doubts that
you saw the study and then rejected it. (and I haven’t seen you correct
your mistake yet)
I have reflux, my mom said I cried all night long due to pain caused by it,
after a while doctors prescribed a (at the time) new drug. I think it was
called losec or something like that. and the nighttime crying stopped. I
still take drugs for reflux every day (although the brand and dosage have
changed). I do not know if losec was of the type of drugs that you where
talking about but for my case it worked (and still does)
When you say placebo controlled test on infants, it makes me thinking: Do
infants shows placebo effects too?
Ypu really must have been a painfully brilliant Student. Love it.
Underestimating the “I need to calm down this obnoxious stressed-out
Parent”
+Cloud Seeker
I seem unable to reply in the other thread anymore, just got back from work
so I can show you what you wanted regarding placebo and allergy treatment.
There’s a scientific journal called Current Allergy and Asthma Reports,
here’s one article from it way back in 2007:
http://link.springer.com/article/10.1007/s11882-007-0006-2
idk if there’s anything more recent, there probably is, I’m too lazy to
look :p
What about other drugs, like ranitidine, for treating GER in infants?
I have GERD. I self-diagnosed myself with it. I’m about 98% sure I have
it. I get persistent heartburn, even as a child. It’s gotten worse as an
adult. I live a fairly normal life as long as I have my PPI.
I take Nexium which is an OTC PPI. I was taking Lansoprazole but my body
became resistant to it’s effects after 3 years of taking it everyday, so
now I’m on Nexium or Eomeprazole or something. Strangely enough Omeprazole
doesn’t work on me or it doesn’t seem to.
I slightly avoid my triggers, which are typically too much chocolate or
tomato. Things that are very acidic will act up my heartburn if I over
consume. I can probably get away with 1-2 times a week, more than that and
even with the PPI, I get bad hearburn.
There isn’t much in the way of treatment for GERD, even surgical solutions
are not guaranteed to work or solve the issue completely. A doctor visit
is just going to result in a RX for a Acid Reducter or PPI as surgical
solutions are very invasive and they are unwilling to do them most of the
time.
I can’t imagine what it is like for an infant that can’t take a PPI.
There is a typo in your “Methods” slide.
So all of these doctors were prescribing medication that didn’t work? Based
on what? If the system works as well as you say, why was a systematic
review necessary to disprove something that had never been proved in the
first place? Surely if there was no evidence to support this medication’s
use, it shouldn’t have been used. Was it used simply because there was no
evidence against it either?
For my daughter’s first two months, she threw up and screamed constantly.
We added the rice cereal and the problem went away.
A three hour grad school lecture minus 2:55:00 of fluff, for free! Thanks
Dr. Carrol!
The essential problem with talks like this is that I always wonder what
they hope to achieve in developing computers that are as powerful as all
human brains combined. I get the feeling this is fundamentally motivated
by the fear of death, because the ultimate goal of Kurzweil et al. seems to
be to achieve some sort of digital immortality through brain uploading.
But they are going about this the wrong way. Instead of trying to become a
cloud computer, ask what it is about the brain that traps us in our limited
view of ourselves, and why it demands that we turn ourselves into machines?
you can’t go wrong selling bullets and beans. Billion people need those.