Re: ob profession (was postpartum intercourse)

From: rbraun@indyunix.iupui.edu
Mon Jun 30 17:03:09 1997


How about routine preoperative shaving of hair? Multiple RCT's have shown that the lowest infection rate occurs if the hair is left alone and nothing done to it. Seen any cardiac surgeons cut htrough a hair lately?

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R. Daniel Braun, MD FACOG                "Money will buy you a fine dog
Clinical Professor  OB/GYN                but only love will make it
Indiana University School of Medicine     wag its tail"
Indianapolis, IN                                  Richard "Kinky"
OBGYN.net, International Rep. U.S.                        Friedman
                                   Kinky Friedman for President
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On Sat, 28 Jun 1997, Robert J. Woolley wrote:

> In message <33B710EC.2ED3@accessnv.com> writes: > > You missed the point of my comment. The point was: how can one, without > > an RCT, condemn the entire OB-GYN profession using the reasoning that if > > OBs do episiotomies then they are "professionally illiterate." [my > > rhetorical equivalent of your comment] It just seems a great leap in > > reasoning. And using that reasoning, one can condemn any branch of > > medicine, for surely in each one there must be some procedure done on a > > regular basis that is without "scientific justification." > > Of course there are. But I honestly can't think of any good parallels. That is, > are there any which have been shown by multiple RCTs to be ineffective for the > purposes claimed for them, which are still done more than half of the time the > opportunity presents itself? I'd be interested in any examples you can suggest. > > I'm not sure what you mean by "without an RCT." I assume you know that there > have been 5 RCTs of episiotomy. > > --------------------------------------------------------------------------- > > --------------------------------------------------------------------------- > > --------------------------------------------------------------------------- > 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* >





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