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"One day when I was a junior medical student, a very important Boston surgeon visited the school and delivered a great treatise on a large number of patients wh
by Saaster 9y ago
"One day when I was a junior medical student, a very important Boston surgeon visited the school and delivered a great treatise on a large number of patients who had undergone successful operations for vascular reconstruction. At the end of the lecture, a young student at the back of the room timidly asked, “Do you have any controls?” Well, the great surgeon drew himself up to his full height, hit the desk, and said, “Do you mean did I not operate on half of the patients?” The hall grew very quiet then. The voice at the back of the room very hesitantly replied, “Yes, that’s what I had in mind.” Then the visitor’s fist really came down as he thundered, “Of course not. That would have doomed half of them to their death.” God, it was quiet then, and one could scarcely hear the small voice ask, “Which half?”
—Dr. E. E. Peacock, Jr., University of Arizona College of Medicine;
- Jwarder 9y agoI've seen this come up in EMS. There is the question for certain types of patients if it better for the EMTs to provide care on scene or just get the patient to the hospital soonest. To help determine what's better they pick days of the week where EMTs provide minimum care. It's rough to do this to patients and EMTs, but it's also important to know what truly affects patients' outcomes.