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That some people are sensitive to chlorine should then be scientifically studied, to expand the knowledge on that topic. Counting on individual practitioners to

by rscho 5y ago

That some people are sensitive to chlorine should then be scientifically studied, to expand the knowledge on that topic. Counting on individual practitioners to cook up artisanal individualized treatment on their own is both unscientific and the antithesis of what you (and everyone) want.

tricky777 5y ago
Evidence is king. But hyphoteticaly... if I'm an outlier, and blind test is made on only me, and reveals that I am sensitive to chlorated water. ...I would count that as evidence based.
tomohawk 5y ago
Where did I say a practitioner should "cook up artisanal treatments"? That's a strawman, for sure. Doctors have a lot of education, and gain a lot of experience over time. What I pointed out is that the studies are not enough. Where they leave off is where a doctor needs to be able to apply their education, experience, and knowledge of the case to make progress. Doctors are trained to apply scientific approaches to bridge the gap between the broad science and the individual patient. The big health co's do not like doctors doing this because it takes time and is expensive. So, they tie their hands because they only want the doctors to focus on the easiest fixes that solve the most problems.
- rscho 5y ago
  I am a doctor. That's not a strawman at all. >Doctors are trained to apply scientific approaches to bridge the gap between the broad science and the individual patient. No. Really, I mean it. Doctors are trained in textbook approaches, not in the scientific method. The less creative, the better the doctor. That's precisely what evidence-based medicine is, and it's what allowed us to leave the Dark Ages of paternalistic medicine. > The big health co's do not like doctors doing this because it takes time and is expensive. So, they tie their hands because they only want the doctors to focus on the easiest fixes that solve the most problems. We tie our own hands. With guidelines. Yes, the system is tuned to a limited investment of time and money in each patient for distributive justice reasons, but guidelines are (mostly) there to discourage crackpot medicine.

by rscho 5y ago

tricky777 5y ago

Evidence is king. But hyphoteticaly... if I'm an outlier, and blind test is made on only me, and reveals that I am sensitive to chlorated water. ...I would count that as evidence based.

tomohawk 5y ago

Where did I say a practitioner should "cook up artisanal treatments"? That's a strawman, for sure. Doctors have a lot of education, and gain a lot of experience over time. What I pointed out is that the studies are not enough. Where they leave off is where a doctor needs to be able to apply their education, experience, and knowledge of the case to make progress. Doctors are trained to apply scientific approaches to bridge the gap between the broad science and the individual patient. The big health co's do not like doctors doing this because it takes time and is expensive. So, they tie their hands because they only want the doctors to focus on the easiest fixes that solve the most problems.

rscho 5y ago
I am a doctor. That's not a strawman at all. >Doctors are trained to apply scientific approaches to bridge the gap between the broad science and the individual patient. No. Really, I mean it. Doctors are trained in textbook approaches, not in the scientific method. The less creative, the better the doctor. That's precisely what evidence-based medicine is, and it's what allowed us to leave the Dark Ages of paternalistic medicine. > The big health co's do not like doctors doing this because it takes time and is expensive. So, they tie their hands because they only want the doctors to focus on the easiest fixes that solve the most problems. We tie our own hands. With guidelines. Yes, the system is tuned to a limited investment of time and money in each patient for distributive justice reasons, but guidelines are (mostly) there to discourage crackpot medicine.