Quote:
Originally Posted by Tyrone Slothrop
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Apropos of this whole discussion, this is a
very good op-ed in the WaPo from this morning reminding providers to go back to evidence based medicine in the ICU setting. In this particular case, they're talking about the
A2F Security Bundle, but the below quote applies across the board.
Quote:
Covid-19 is "the story of dissemination of anecdotal medicine in a disease you don't know, and the walk away from evidence-based medicine," Christopher Thomas, a critical care physician at Louisiana State University Health Sciences Center in Baton Rouge, told us. "And it's driven by fear and anxiety."
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My father is a critical care pulmonologist who would have been on the front lines of this thing had this happened ten years ago. He ran the ICUs in his hospital and has gotten more people off of vents than anyone in the Texas Medical Center. His 80 11/12th old lungs are's safely ensconced on a 500 acre ranch two miles from the closest house. I run shit by him about this bug and the treatment of it before going to anyone else, including the very smart* people who work for my employer. He thinks these guys are probably right on the proper way of managing patients, but on the broader scope, we definitely need to be looking at the basics and what we KNOW about medicine. Which is quite a lot.
*Sometimes too smart. Keeps for a very busy practice on my part.