Let's talk about "evidence" in Evidence Based Medicine #MedTwitter
We have Levels of evidence
Sources regarded as strong evidence include clinical practice guidelines, systematic reviews with meta-analyses, systematic reviews alone, individual randomized controlled trials (RCT)
and well-designed non-randomized control studies. The hierarchy of evidence for treatment questions is based on the notion of causation and the need to control bias.
see figure below
Although each level may contribute to the total body of knowledge, "...not all levels are equally useful for making patient care decisions."
I saw this discussion going on yesterday
Wasn't able to comment for various reasons
There is a lot to unpack here so let's take a step back & look at this objectively & subjectively.
Objectively - the original person is upset because of the way her doctor treated her. She is well within her right to complain & seek alternative options. The person QTing her commented with some friend's comment (hearsay) there by steering the narrative to where she wanted it
Everything else and I mean EVERYTHING else is subjective. If you agree with me till this point then we can carry on. Else I'm afraid you are wasting your time reading on
So let's look at this subjectively. This is where I feel the core of most of the disagreements yesterday were
Classic case of generalizing based on anecdotal evidence
There are Christians who believe they shouldn't eat food which is blessed in another religion & there are those who don't care just like there are Hindus who eat beef & there are Hindus who don't
To each their own🤷♂️
I will never understand this obsession by certain folks about what is on their neighbour's plates. Why does it matter to you? Like seriously i just don't get it.
just as in any religion
you have extremist fanatical followers on one end & liberal laissez faire followers on the other
I have eaten Sabarimala Aravana from colleagues who have climbed up the mountain, and have seen other colleagues who have refused. Why take it personally?
What is sexual consent?
Sexual consent is where a person has the freedom to agree to sexual activity. It is vital the person instigating sex makes sure their partner is participating freely and readily.
To have sex without consent is to commit rape.
Responsibility for rape rests solely with the perpetrator. The below attributes do not automatically mean consent to sex.
1. Dating, flirting, kissing or being friendly or intimate does not mean consent
Got on WhatsApp
Removed number because I will NOT promote this
20 duties 10 hours each for ₹25k/month
Literally works out to ₹125 an hour
Tell me any other job you know pays less than ₹125 an hour?
Remind me how doctors can be called greedy when this is the pay offered 😞
You may have seen some super famous doctors driving around in big fancy expensive luxury vehicles. Those are the exceptions rather than the norm. Most of them were already from affluent backgrounds. Find me a doctor who made it that big starting from nothing at all. 🤷♂️😔
Government doesn't pay for healthcare. Salaries are low. Doctors forced to go for private hospitals. Private hospitals will milk the doctors dry with long hours & ridiculously low pay. The private hospitals will charge exorbitant amounts from patients to meet their profit targets
US-based Freedom House, a non-profit organisation which conducts research on political freedom and human rights, added that the number of countries designated as "not free" was at its highest level since 2006.
It added that India's "fall from the upper ranks of free nations" could have a more damaging effect on the world's democratic standards.