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familiar song/dance

Sohail Muzammil sohailmuzammil at hotmail.com
Sat Apr 15 22:15:52 BST 2006


I was always taught that a difference of opinion is resolved by argument,
not by heaping abuse and disdain. I am sure Dr. Rick Fry is a heck of a
surgeon however most other correspondents on this list are not exactly
spring chickens. His residents may have to tolerate his harangues, thankfuly
those on the list are under no such obligation.

S Muzammil, FRCS
----- Original Message ----- 
From: <joe.nemeth at staff.mcgill.ca>
To: <trauma-list at trauma.org>
Sent: Saturday, April 15, 2006 8:27 AM
Subject: familiar song/dance

> The below exchange occured very recently on this "station"...
> It has become all too familiar:
> Dr.X posts a valid question/remark
> Dr. ERF replies with his God-given wisdom (most of the time) PLUS
> sarcasm and disrespect (most of the time)...
> this then degenerates into what some would call an elementary school
> exchange (which no one really cares for)
> Solution:
> Dr.X stops asking questions/posting remarks OR
> Dr. ERF becomes more repectful with fellow colleagues
> I'll take the latter,
> joe
> -- 
> Dr. Joe Nemeth
> Assistant Professor
> Emergency Medicine
> Montreal General Hospital
> Montreal Children's Hospital
> McGill University Health Center
> -----------------------------------
> Dr. Rick,
> The text is 1996, so it is a decade old. I'm very sorry to quote from
> the archives. It sounds like you are saying that in order to prove
> benifit, we need a controlled longitudinal clinical study of
> significant power. I agree with you, but doing the study? In Wayne
> County (and elsewhere), let's say you don't give A/Bs and patient gets
> septic and dies. Somewhere there is a retired surgeon with an
> impressive CV (before he began drinking and developed his gambling
> problem) that will testify to a jury of 6 laypersons (not peers) that
> the patient would have lived if A/Bs were given, facilitating a
> judgement against he physician. Again, you may be right in saying that
> simply because someone says this is so does not constitute evidence of
> benefit, but citing this text to the jury is enough for them. Proving
> that giving prophylactic A/Bs actually harms the patient, well, that's
> another story. We never used to give A/Bs for puncture wounds of the
> feet, but a generous award to a patient who d
> eveloped osteomyelitis changed that...
> One may ask why we rarely see rheumatic heart disease in this country.
> To prove the impact of the routine administration of antibiotics for
> otitis, pharyngitis, and URI to our children (which are most often
> viral) on the incidence of this disease would be impossible. Yet, this
> begs the question as to why RHD remains relatively uncommon.
> One last note: It is obvious that you are very bright and experienced,
> and no doubt your brilliance exceeds that of the common physician. Your
> words will have far more meaning if you avoid the arrogant adjectives
> which permeate your text. Truly, if you work in a teaching environment,
> compassion and tolerance of ignorance will make you a far better
> teacher, rather than someone whom the residents will try to avoid
> because of the likelihood of being humiliated by your dissertations. I
> mean no disrespect, as your knowledge and skill as a thinker is
> unimpeachable; but your crude and condescending comments mitigate
> against meaningful discussion. That is, of course, this is what you
> desire.
> "I play with microbes. There are, of course, many rules in this
> play...but when you have acquired knowledge and experience it is very
> pleasant to break the rules and to be able to find something that no
> one has thought of...." Alexander Flemming, 1945.
> DB
> This list is really not a place to give a primer in the basics of the
> scientific method, which you apparently have no appreciation whatever
> of--it took me several years to understand it, you must just at this
> point realize how much you do not know and go from there to try to learn

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