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Showing posts from November 29, 2020

Fever and Covid 19

Fever I believe could be a savior in COVID-19.  Not all get fever when they get COVID-19. But for those who do what I have written below maybe life-saving. Please read it and if I can help in anyway let me know.  130 years ago doctors got the first pill that gave them power to reduce fever when Bayer of Germany synthesized aspirin in 1890.  Since then all have been treating fever first with aspirin then with Tylenol , ibuprofen etc.  Since the time of Hippocrates it had been widely believed that fever was beneficial. Aspirin was new and it magically relieved fever AND pain. A firm conviction(without any specific research basis) soon took hold in doctors nurses and all humans that fever always needs to be reduced. Tylenol/Crocin also a fever and pain reducer was heavily marketed on TV and added to it.  I have always believed reducing fever in infection routinely at the outset is almost always wrong. See my blog post from 2013 on this topic. Only for those with quite serious heart or lun

Facts vs judgement and empathy in doctors

Med students are made to study facts. .........to regurgitate facts on demand. .........are tested on facts. So that becomes their goal in school. On rounds the one who can regurgitate the most facts is commended. In case discussion conferences fellows and faculty often are expected to do the same. What thay need is to learn, judgement, discrimination, empathy and ethics. That is difficult to teach .......to learn.......to model................to test. So facts is where the focus remains. Unfortunately facts in medicine change regularly, frequently. Current system of medical education and training produces doctors who regurgitate facts on demand, score high on tests of old facts , believe those old facts and act decisively on that knowledge. A focus on judgement is finally possible and very desirable in this era of vast amount of facts avaialable on finger tips. Facts easy with iPads iPhone in hand and all the resources of the largest medical libraries just a tap awa