A rebuttal to Dr. B. M. Hegdes Article in The Hindu Modern Medicine Has Given Illness Care a Miss, dated February 18th, 2012. Argues on the basis of. Autism is a neurodevelopmental disorder characterized by impaired social interaction, impaired verbal and nonverbal communication, and restricted and repetitive. Dart League Statistics Software'>Dart League Statistics Software. A Legacy of Change Hans P. BinswangerMkhize. In loving memory of Dr. Hans P. BinswangerMkhize, who lived a life of catalyzing essential change in the world. An encryption method is presented with the novel property that publicly revealing an encryption key does not thereby reveal the corresponding decryption key. Original Article. Postoperative Radiotherapy in HighRisk Premenopausal Women with Breast Cancer Who Receive Adjuvant Chemotherapy. Marie Overgaard, M. D., Per S. International Journal of Engineering Research and Applications IJERA is an open access online peer reviewed international journal that publishes research. A Response to Dr. B. M. Hegdes Article in The Hindu. This article is a rebuttal to the article Modern Medicine Has Given Illness Care a Miss by Dr. B. M. Hegde in the Open Page of The Hindu, dated February 1. The piece is in fact recycled from this almost identical piece by him from November 2. Dr. Hegde begins his article with some quotations by famous people, and offers them as evidence that medicine in the past was better than it is today The quote below is one of the many brilliant sayings of that great brain, Sir William Osler. One of the first duties of the physician is to educate the masses not to take medicines. Photo by Seattle Municipal ArchivesFlickr Creative CommonsDr. Steve, Im looking for a Javaprocedure executing host calls on a Unix environment from the Oracleserver. I know the standard way of doing it by means of ProC for. Hegde, I guess you forgot to mention that this was intended for the quacks who call their wares medicine. I challenge you to never take any medicines. Lowes Backpack Tool Bag here. Also, William Osler has also said this The greater the ignorance the greater the dogmatism. In the 2. I could only echo that great sentiment as a truism, despite all the tall talk about the so called evidence based medicine. Napoleon Bonaparte went one step further, but one could argue that he was not a physician. He was at the receiving end of such a medical practice when he died. Medicine is a collection of uncertain prescriptions the results of which, taken collectively, are more fatal than useful to mankind. Napoleon, though, was more accurate scientifically today. The thing to remember is the time when these people made those alleged comments. What was medicine then It was not what we have today There was not much useful or factual there in Medicine in those days. It involved primitive practices like Leeching, Blood letting, Purging, etc. No wonder people tried to come up with all kinds of alternatives. Evidence Based Scientific Medicine EBSM has marched on tremendously in the past 1. If I could point out a proverb in Tamil, Aayiram paerai konnaathaan, ara vaithiyan its only when you kill a thousand people that one can become even half a doctor that was medicine for you in those days. Trial and error no proper scientific methodology. That was the basis of your ancient medicine. The latest science says uncertainty is the only certainty in the world. This is truer in medical science. Really Is there any uncertainty about what causes Malaria Or Tuberculosis Or what is the reason for Downs syndrome or the fact that Rickets is caused by Vitamin D deficiency, or that Nyctalopia Night blindnesss is caused by Vitamin A deficiency I wonder which medical science you are talking about. I am sure you are referring to the medical science of S. C. A. M. s So called Complementary Alternative Medicines and not Evidence Based Scientific Medicine EBSM. A proverb is a short sentence based on a long experience. If that were so, this one from Voltaire would take the cake The art of medicine consists in amusing the patient while nature cures the disease. Again, just imagine what was the level of advancement of medicine during Voltaires times, viz. That would explain why the great man said that. The same Voltaire has also said, A witty saying proves nothing. Time and again, I have written in my articles elsewhere that our evidence base has been built on loose sand. Have you provided any good evidence for this allegation Even assuming it is built on loose sand, that doesnt mean you start questioning its basic principles. Our endeavour must be to strengthen the foundation, to tighten that loose sand. The evidence base is the ONLY way to a better system. And as with everything scientific, the evidence base is not any infallible and unquestionable dogma The quest for betterment is a never ending process that is constantly scrutinized rigorously and in the process ironing out the flaws, accepting newer evidence and discarding proven false or spurious evidence. Perhaps you can read about Barry Marshall to find out how important it is to provide evidence before your hypothesis is taken seriously. Of course, no one seems to take it seriously. Yes sirThey would have, if it had any financial interest behind it. I knew this was coming The present Randomised Controlled Trials and linear relations help generate billions of dollars in chemical therapeutics even if that results in thousands dying of our efforts directly or indirectly. A study by researchers in a respectable U. S. university of the placebo based RCTs did show that the contents of the placebo capsule, which need not legally be made known to the regulating agencies like the FDA, were very potent substances that would show the company drug as very effective in comparison. To cite an example, anti diabetic drugs are usually compared with sugar filled placebo capsules Many such glaring criminal activities have come to light now in the field of Evidence based medicine of todayImage via Flickr user Tulane Public Relations by Creative Commons License. Do you realize what you have just said I hope you are blaming the individual trials and not the method. If its the former, then you are entitled and even upright about it but in case you are trying to deride the method itself then I am afraid that your argument is a weak one. Perhaps you didnt notice this Even this information bringing to light the despicable act of manipulating trials to show the desired end results, was a result of another study which was again scientificI would like to point out once again that SCIENCE IS SELF CORRECTING. There is nothing dogmatic about science. That is the beauty of Evidence Based science. Even the fact that there were some unscrupulous practices going on was found out because of the rigorous, unyielding and unbiased methods of science. Recently, I had a message from one of my students, who is a leading dermatologist in India doing innovative research. I always wondered when I used to listen to you during my student days and respected your views all along. In dermatology evidence is found only in 2. All molecular biology companies come with an offer to give authorship if we buy their equipment for our laboratory Doesnt that mean that most molecular biology studies are prototype and try to find out how what is known fits into their studySo what Really, so what How can that equate to Evidence Based Scientific Medicine is flawed The evidence in this case is bad. And let me reassure you that the inherent, self correcting methods of science will iron out the flaws in due course of time. Havent you heard of drugs being recalled, for exampleThere is a regulatory body, and perhaps there may be evil, corrupt individuals in those. But all of them are accountable and they eventually get found out, sooner rather than later. The foundations of our evidence in modern medicine like the statistical risk calculations, especially the relative risk reductions in place of absolute risk reductions that are sold to gullible doctors in most of the scientific articles without mentioning the NNT figures and, the RCTs, which have no true science base, are very shaky, indeed. Rpcs3 Pkg Download more. Now are you accusing the foundation itself to be flawed I agree that the Big, Evil Pharma companies might indulge in these kinds of shady activities. But have you ever wondered why they still keep talking in terms of RCTs, etc That is because these are the only methods to assess efficacy accurately.