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Re: birth plans From: Robert J. Woolley (wooll005@gold.tc.umn.edu) Sat Jun 28 23:04:29 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Robert J. Woolley: "Re: ob profession (was postpartum intercourse)" Previous message: Robert J. Woolley: "Re: ob profession (was postpartum intercourse)" Maybe in reply to: David Hunter: "birth plans" Next in thread: DoctorJoe@aol.com: "Re: birth plans" In message <199706290205.WAA05467@society.massmed.org> writes: > >"The practice of medicine is an art......", Osler. > > An other quote "Ours is an art that is best learned by its practice and > use." Sydneham Shall we have a battle of quotations? The trouble with people is not that they donÕt know but that they know so much that ainÕt so. ÑJosh Billings (Applicable on multiple levels here. Obstetricians like to believe they can predict which patients are going to have a bad tear and therefore "need" an epis, despite lack of evidence of such skill, and, in fact, in light of good evidence to the contrary. More generally, they think they "know" that episiotomies prevent 3rd-degree tears (when they actually cause them), etc.) Nothing is so firmly believed as that which we least know. ÑMichel de Montaigne (Same as above.) If a study of the history of medicine reveals anything, it reveals that clinical judgment without the check of scientific controls is a highly fallible compass. ÑArthur Schafer There are in fact two things, science and opinion; the former begets knowledge, the latter ignorance. --Hippocrates (Application obvious, I trust.) > > I modiify what have have learned by keeping yup with the journals etc. > and trying to practice evidenced bases medicince. BUT THEIR COMES A TIME > THAT YOU GUT TELL YOU THE RIGHT THING TO DO. YOU ALL KNOW IT AND HAVE > DOINE IT. If your gut tells you to do something that is contrary to the evidence accumulated from 5 RCTs, then you need to take an antacid. --------------------------------------------------------------------------- --------------------------------------------------------------------------- Bob Woolley -- --------------------------------------------------------------------------- St. Paul, Minnesota "Words never fail. We hear them, we read them; they enter into our mind and become part of us as long as we shall live. Who speaks reason to his fellow men bestows it upon them. Who mouths inanity disorders thought for all who listen. There must be some minimum allowable dose of inanity beyond which the mind cannot remain reasonable. Irrationality, like buried chemical waste, sooner or later must seep into the tissues of thought." -- Richard Mitchell in *Less Than Words Can Say* Next message: Robert J. Woolley: "Re: ob profession (was postpartum intercourse)" Previous message: Robert J. Woolley: "Re: ob profession (was postpartum intercourse)" Maybe in reply to: David Hunter: "birth plans" Next in thread: DoctorJoe@aol.com: "Re: birth plans"

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