311 W7. Amanda's Response Post

Amanda's response post

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Amanda's response post

Amanda’s post that placed criticized Isaacs and Fitzgerald’s report concerning evidence-based medicine. The report “Seven alternatives to evidence-based medicine” written by Isaacs and Fitzgerald discussed all the possibilities in clinical decision making save evidence-based medicine. One of the seven alternatives put forward by Isaacs and Fitzgerald is Diffidence-based medicine. Amanda, in her post, lacerated all the seven alternatives especially the diffidence-based medicine which explains the attitude of diffident doctor. In addition, the report of Isaacs and Fitzgerald was compared with Dr. Reinfrank’s work and Dr. Reinfrank’s work was declared more rational in the post.

My first reaction to the post that it is hardly possible for any physician to adopt methods for clinical decision to save evidence-based medicine. All the alternatives presented by Isaacs and Fitzgerald sound absurd, however, the alternatives are presented following an extensive study and experimentation, so all the alternatives cannot be ignored outrightly ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"gr6hGD6h","properties":{"formattedCitation":"(Heneghan et al., 2017)","plainCitation":"(Heneghan et al., 2017)","noteIndex":0},"citationItems":[{"id":616,"uris":["http://zotero.org/users/local/jsvqEXt1/items/AV63BKHJ"],"uri":["http://zotero.org/users/local/jsvqEXt1/items/AV63BKHJ"],"itemData":{"id":616,"type":"book","title":"Evidence based medicine manifesto for better healthcare","publisher":"British Medical Journal Publishing Group","source":"Google Scholar","author":[{"family":"Heneghan","given":"Carl"},{"family":"Mahtani","given":"Kamal R."},{"family":"Goldacre","given":"Ben"},{"family":"Godlee","given":"Fiona"},{"family":"Macdonald","given":"Helen"},{"family":"Jarvies","given":"Duncan"}],"issued":{"date-parts":[["2017"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (Heneghan et al., 2017). Further, the argument presented in the post that compared the nursing profession with science sounds rational because the worsening health condition of a patient must be the main concern of physician, surgeons, and nurses ADDIN ZOTERO_ITEM CSL_CITATION {"citationID":"qRtXBOH2","properties":{"formattedCitation":"(Heneghan et al., 2017)","plainCitation":"(Heneghan et al., 2017)","noteIndex":0},"citationItems":[{"id":616,"uris":["http://zotero.org/users/local/jsvqEXt1/items/AV63BKHJ"],"uri":["http://zotero.org/users/local/jsvqEXt1/items/AV63BKHJ"],"itemData":{"id":616,"type":"book","title":"Evidence based medicine manifesto for better healthcare","publisher":"British Medical Journal Publishing Group","source":"Google Scholar","author":[{"family":"Heneghan","given":"Carl"},{"family":"Mahtani","given":"Kamal R."},{"family":"Goldacre","given":"Ben"},{"family":"Godlee","given":"Fiona"},{"family":"Macdonald","given":"Helen"},{"family":"Jarvies","given":"Duncan"}],"issued":{"date-parts":[["2017"]]}}}],"schema":"https://github.com/citation-style-language/schema/raw/master/csl-citation.json"} (Heneghan et al., 2017).

The only word I can write in my reaction to the comparison between Dr. Reinfrank’s work and Isaacs and Fitzgerald’s report is “Biases”. The whole argument built in the post regarding Dr. Reinfrank is biased. It seems the writer is impressed with the personality of Dr. Reinfrank and had never critically analyzed Dr. Reinfrank’s work. Albeit, “good moves” the idea by Dr. Reinfrank sounded really great owing to his choice of words. However, how your words would be perceived depend upon the reader and his thinking patterns and experiences. Your words would neither perceived by others the same way someone else did, nor the thinking patterns of every person are identical.

Rationality must prevail in every profession. Doing nothing is no choice. Seven alternatives given by Isaacs and Fitzgerald are all based upon the human attitude and not on scientific reason. No logical reason was provided by Isaacs and Fitzgerald in their report as to why clinical professionals resort to such methods in the absence of evidence-based medicine.

References

ADDIN ZOTERO_BIBL {"uncited":[],"omitted":[],"custom":[]} CSL_BIBLIOGRAPHY Heneghan, C., Mahtani, K. R., Goldacre, B., Godlee, F., Macdonald, H., & Jarvies, D. (2017). Evidence based medicine manifesto for better healthcare. British Medical Journal Publishing Group.