Tag Archive: evidence based medicine

Bad Medicine

Bad Medicine: Is Evidence What We Think It Is?

Medicine’s House of Cards – What Happens When We’ve Got It All Wrong I have to admit, the randomized, double-blind, placebo-controlled trial still holds a special place in my heart even after I have spent the past half-decade immersed in the shortcomings of our current data collection model. As I now understand, the role of industry bias in publication of studies, the design limitations of randomized trials in accounting for biochemical individuality, and the many permissible aspects of randomized trials that allow for skewed outcomes (placebo washout, breaking blind with inert placebo, allowance of sedatives, etc.). I now understand that health is about so much more than is factored into these trials. I have observed that patients can seem “just fine” on a basic lab screen and physical exam, and be anything but, if you know how to scratch beneath the surface.