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(cyberdroid)From: Terrence.Jones@ncal.kaiperm.orgWed Nov 26 14:56:22 1997
Oh "HAL". Please send mssg to Dr. Pevoto's hard drive: Cannot find REALITY.SYS Universe halted. Joe (el Hombre), before criticizing someone, you might jus' try and walk a mile in his shoes... then... ...after about a mile -- GO AHEAD! -- criticize away! Heck, they're too far away to hear Ya', and even if they did... ...You got THEIR SHOES! -- they'll never catch You. Haveta' agree with Dr. Hunter, there are probably individuals that benefit from tocolytic Rx despite the limitations of RCT's to identify the subpopulation variables involved. As Gary mentioned - 'practice parameters & regimented protocols' can be restrictive. ("Don't FORCE it, get a BIGGER hammer...") Some of these we in OB have not yet investigated. F'rinstance, the mention in Oct's Lancet (week of 10/3/97) of variable desensitization to beta-adrenergics in asthma pts based on a homozygous Arg substitution of the 16th amino acid in the b-receptor molecule. Therapeutic nihilism is jus' Joe's stomach talking -- He's dreading that Cajun turkey and countin' his zantac... It's like waiting at a red light - it's SAFER to wait 'till it's green most of the time, but there are circumstances in which it doesn't matter (no traffic) or in which remaining at the curb could be dangerous - say Bob W's comin' after you with some scientology literature (NOW I'm in tttrouble!). The people randomizing you to cross at the green or red may not know... Speaking about the Oct. Lancet, anyone have any thoughts on the 10/10/97 article on MRI for Dx. DVT (less morbidity, less ion. rad., etc)? tj.
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