Randomized control trials (RCTs) have long been considered the gold standard for determining the effectiveness of a drug, surgery, or other medical intervention. But observational studies, although long regarded as second-rate compared to RCTs, have contributed invaluable information to the medical sciences. Indeed, analyses of RCTs compared to observational studies have concluded that well-run observational studies are comparable. I will explain RCTs and observational studies later in this post, but first, I want to tell the story of John Snow and how he used his powers of observation to lower worldwide death rates, perhaps more than anyone in history.
Read MoreThe law of the instrument, otherwise known as Maslow’s hammer, whereby he states that I suppose it is tempting, if the only tool you have is a hammer, to treat everything as if it were a nail. Likewise, if the only tool you have is a scalpel, I also suppose it is tempting to treat everyone as a surgical candidate. A few years ago, I had a procedure recommended to me, and when I asked the doctor to justify why I should receive it, he stated,” anyone in my profession would recommended it.” In other words, “because I said so!” I did my own research and had the procedure.
But recently, A surgeon took one look at my MRI and concluded I needed surgery right away. He never bothered to ask my thoughts on the matter. I am now involved in a process cultivating me for the knife. In the meanwhile, I have been doing my homework. I am not surprised that the procedures they recommend have similar outcomes to non-surgical approaches. This post is designed to teach you how to do your own research, how to receive REAL informed consent (not the rushed one they do a foot from the operating table), and decide for yourself what is best for YOU. I will also talk about spinal health since the recommended surgery involves my cervical spine.
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