I enjoy your columns very much. As a retired NP, I can sometimes muddle thru the citations and see the EBM, but more often than not, I find myself just skimming thru them and simply going w the posters thoughts.
In what has become a nightmare world of dishonest studies (by drug developers) or unproved conclusions by the same, an attitude of $$ can buy anything and anyone and does, and Private licensing organizations and Federal Agencies bought by pharma, it has become difficult to feel like I have placed MY health in the best hands. Hospital Bemoths control doctors prescription freedom, advice freedom, and interfere with the trust once common between patient and doc.
I’m having trouble seeing a way to recover trust. Medical freedom is slipping away. 😰
The types of biases in association guidelines outlined by your article in the Journal of the Royal College of Physicians seems pertinent to the difference in guidelines recently developed by the American College of Physicians as contrasted with the guidelines of the American College of Clinical Endocrinologists. As you know, the ACP recommends A1C control of 7.0-8.0 for most diabetic patients while the ACCE continues to support 7.0 or less for most patients. Big pharma and diabetic supply manufacturers have a great deal at stake if the ACP guidelines become widely adopted. Do you have any comment on this matter?
Former triathlete ,100 triathlons . Developed AFIB . Having Afib is so mentally Depressing for an athlete . Took meds for paroxysmal Afib . After one year got an Ablation .No more Afib. Also is it true that the longer you have Afib due to the reconfiguring of your heart the less likely the ablation will work ?
I hope you have some oncologist talking about prostate cancer
John
Your questioning and analysis is educational. Are you able to incorporate your information into the Healthcare education of future Practitioners?
I enjoy your columns very much. As a retired NP, I can sometimes muddle thru the citations and see the EBM, but more often than not, I find myself just skimming thru them and simply going w the posters thoughts.
In what has become a nightmare world of dishonest studies (by drug developers) or unproved conclusions by the same, an attitude of $$ can buy anything and anyone and does, and Private licensing organizations and Federal Agencies bought by pharma, it has become difficult to feel like I have placed MY health in the best hands. Hospital Bemoths control doctors prescription freedom, advice freedom, and interfere with the trust once common between patient and doc.
I’m having trouble seeing a way to recover trust. Medical freedom is slipping away. 😰
The types of biases in association guidelines outlined by your article in the Journal of the Royal College of Physicians seems pertinent to the difference in guidelines recently developed by the American College of Physicians as contrasted with the guidelines of the American College of Clinical Endocrinologists. As you know, the ACP recommends A1C control of 7.0-8.0 for most diabetic patients while the ACCE continues to support 7.0 or less for most patients. Big pharma and diabetic supply manufacturers have a great deal at stake if the ACP guidelines become widely adopted. Do you have any comment on this matter?
Former triathlete ,100 triathlons . Developed AFIB . Having Afib is so mentally Depressing for an athlete . Took meds for paroxysmal Afib . After one year got an Ablation .No more Afib. Also is it true that the longer you have Afib due to the reconfiguring of your heart the less likely the ablation will work ?
THANKS as always John for you Pearls of Wisdom — which are unique and exceptional! — :) Ken Grauer, MD