A person who is interested in health can easily find loads of evidence-based action items, both lifestyle and medication if appropriate. Even in the 1960s the government was teaching elementary school children about the importance of exercise. And I found a book about the harms of smoking in my elementary school library.
Recent research is constantly adding to the health maintenance list. (Such as hearing aids to reduce the risk of dementia.)
Knowing is one thing. Doing is quite different. Each of us is responsible for our own health given the hand we are dealt with all its defects. Of which I have many.
I have a good friend at Starbucks. We hang out in the mornings with a few other guys.
He is now a retired medical equipment sales manager. He had the Northeast territory and made himself millions of dollars.
He used to get angry when I said something he did not know about medicine. I had patience with him. He would tell me I had no “study” to back that up! Whatever it was.
Finally I said I understood he needed his salesforce to have research when entering a doctor’s office or they were breaking the law. That medicine does not actually work that way. That he knows after a while most of the research was not any good and not used. He agreed. He had sent 100s of salespeople into the few doctor’s offices that would take them and their evidence for the product would dry up and blow away later.
adding
Heck further up the conversation is about the calculator stats not fitting with the three of your real life realities. The calculator is theory and stats.
Yes it is! In the true scientific sense of the word…..meaning that the evidence supporting it is so overwhelming that it’s as so close to “carved in stone” (like say the general shape of the Earth, for instance) that it cannot be argued with intelligently. To attempt to do so is an example of the sort of Majestic Stoopid you come across on internet sources devoted to cholesterol denialism etc.
Regarding the mention upstream, though, which is not intended to attempt any such denialism but rather to point out that very occasionally, it’s possible to come across folk who don’t quite fit the full clinical picture that Big Data describes. Folk with relatively small deviations on the Usual Suspects measured in a standard lipid profile, and who demonstrate a level of self care that ought to lead to good cardiovascular health but who find, belatedly, that it did not.
An eye opener to what? So there are failures. Failures are only only found to be failures with further research. Thank goodness for further research, which is eye opening.
WORD!! It deserves to be noted that such “failures” that are found actually wouldn’t be found if everyone followed the notion that research isn’t worth reading because it’s all wrong.
I never said it was not worth pursuing. Just that most of it will continue to be a waste of time and resources…but most of it must be done. We are little more than groping in the dark among the Ph.Ds.
@Volucris We are talking human lives. We are not talking stock investments. People are dying because of faulty research at best. The stakes could not be higher.
Then again, we are about to witness the implosion of the financial system.
Doctors make complex decisions, often disregarding the “research”. The sheer volume of research you might here a doctor say we know a statin will help. But that is in contrast to mountains of disregarded research.