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Re: ob profession (was postpartum intercourse) From: rbraun@indyunix.iupui.edu Mon Jun 30 16:40:15 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: rbraun@indyunix.iupui.edu: "Re: A Proposal for the Dissolution of the Specialty of Obstetrics and" Previous message: Jose C. Ferreira: "Re: Rhogam" In reply to: Robert J. Woolley: "Re: ob profession (was postpartum intercourse)" Next in thread: dahmd: "Re: ob profession (was postpartum intercourse)" I am one of the 450 who bought a copy. I learned a lot from it, however I do not worship at its altar. I am not a fanatic about evidence based care. Why? Because it is what is best for the majority. There are always exceptions to the rule which has been proven by EBP (evidence based practice). Nothing works 100% of the time and sometimes things that work less often, may be best f9or this individual patient. Were this not true we could let our computers go to clinic and we could stain our offices and spend all day on this list talking to each other about it. While we are on that issue would you like to comment about the diference in a study which has a p value (read "pee value") of 0.05 vs one with a p value of 0.06. As Arthur Free pointedd out, in our specialty so many women are normal that it is extremely dificult to prove that something is beneficial. -- @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ 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 @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ On Fri, 27 Jun 1997, Robert J. Woolley wrote: > In message <yKxgedAMwAtzEwb2@mgriff22.demon.co.uk> writes: > > > > Yes but it was superceded by the comments in the preface to "Effective > > care in prgnancy ... " when it was pointed out that the Cochrane > > collaboration had completely turned things round and maternity care was > > now a leader in seeking and obtaining evidence on which to base our > > practice. > > Yes, absolutely, a major notch in the belt of obstetrics. Now if we could only > get the bulk of the specialty to think it's important to read and apply its > findings. Sadly, only 450 copies of this critical text had been sold in the US > by April 1991. (It was published in 1989.) [Sisk, JE. "Improving the use of > research-based evidence in policy making: effective care in pregnancy and > childbirth in the United States." Milbank Quarterly 1993; 71:477-96. As cited in > Ian Graham, *Episiotomy: Challenging Obstetric Interventions* (Blackwell, 1997), > p. 143.] Tells you how unimportant obstetricians (at least in the US) think > that the scientific evidence is. > > --------------------------------------------------------------------------- > > --------------------------------------------------------------------------- > > --------------------------------------------------------------------------- > 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: rbraun@indyunix.iupui.edu: "Re: A Proposal for the Dissolution of the Specialty of Obstetrics and" Previous message: Jose C. Ferreira: "Re: Rhogam" In reply to: Robert J. Woolley: "Re: ob profession (was postpartum intercourse)" Next in thread: dahmd: "Re: ob profession (was postpartum intercourse)"

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