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Medical Forum / Diseases and Disorders / Asthma / September 2003'Quality Gap' Kills 57,000 Annually
An article in the Wall Street Journal last Thursday mentioned this study. I'm not an online subscriber, I get it in print so I can't copy it here, but one of the things the article stated is that it takes much too long for information about the best ways to detect and treat disease to become part of the standard practice of medicine. Here's the link to the article done by those conducting the study: http://www.ncqa.org/Communications/News/sohc2003.htm > An article in the Wall Street Journal last Thursday mentioned this study. I'm > not an online subscriber, I get it in print so I can't copy it here, but one of > the things the article stated is that it takes much too long for information > about the best ways to detect and treat disease to become part of the standard > practice of medicine. I think nearly everyone would agree with this. Once something is firmly established, like giving aspirin and beta blockers to MI patients, it is amazing how slowly it takes for the practice to spread. The levels for these two nearly universally accepted therapies is shockingly low even today. The referenced article specifically comments on how slowly accepted "best practices" are adopted throughout the medical community (i.e. once it is agreed what is best how long it takes everyone to do it). It makes no comment (at least in the part available) on how long it takes new ideas to become considered "best practices", which is what we have been discussing here. -- CBI, MD CBI, Is it possible that you've changed your tune since these grossly misleading and patently false posts of yours back in 2002? http://groups.google.com/groups?hl=en&lr=&ie=UTF-8&oe=UTF-8&threadm=5d5P8.1812%2 4E4.61752%40twister.tampabay.rr.com&rnum=7&prev=/groups%3Fq%3D%2B%252200doc%2Bmi ndspring%2Bcom%2522%2Bgroup:alt.support.asthma%26hl%3Den%26lr%3D%26ie%3DUTF-8%26 oe%3DUTF-8%26selm%3D5d5P8.1812%2524E4.61752%2540twister.tampabay.rr.com%26rnum%3 D7 I'm so happy to see that you are trying hard to find a way to not repeat your past mistakes, and thereby do your own small part to "improve the process" in the medical world. Keep up the good work, and welcome to the "antibiotics for asthma in appropriate cases" club !! Dave >> An article in the Wall Street Journal last Thursday mentioned this study. >I'm [quoted text clipped - 17 lines] >become considered "best practices", which is what we have been discussing >here. > CBI, > Is it possible that you've changed your tune since these grossly > misleading and patently false posts of yours back in 2002? http://groups.google.com/groups?hl=en&lr=&ie=UTF-8&oe=UTF-8&threadm=5d5P8.18 12%24E4.61752%40twister.tampabay.rr.com&rnum=7&prev=/groups%3Fq%3D%2B%252200 doc%2Bmindspring%2Bcom%2522%2Bgroup:alt.support.asthma%26hl%3Den%26lr%3D%26i e%3DUTF-8%26oe%3DUTF-8%26selm%3D5d5P8.1812%2524E4.61752%2540twister.tampabay .rr.com%26rnum%3D7 There is nothing misleading or false about them. The natural course for the infections, in the vast majority of cases, is for them to just get better. I would say that the only change in my tune has been a mild warming of my enthusiasm. > Keep up the good work, and welcome to the "antibiotics for asthma in > appropriate cases" club !! And welcome to the group of people that will try to clarify the situation when they are inappropriately recommended. -- CBI, MD In the case of asthmatics like Jim Q, NSCEO, Joy, and myself, the infections have never gotten better "on their own". It was the antibiotic treatment that made the difference. Welcome aboard !! It's never too late to renounce your past sins. >> CBI, >> Is it possible that you've changed your tune since these grossly [quoted text clipped - 17 lines] >And welcome to the group of people that will try to clarify the situation >when they are inappropriately recommended. > It's never too late to renounce your past sins. In that case, would you please repent from top-posting? Here are some Usenet rules for posting which may be of help in the future, especially if you want to avoid the inevitable chastisement and hazing that accompanies peristent top-posting... http://www.dickalba.demon.co.uk/usenet/guide/faq_topp.html Please see: http://www.jillsjokeline.com/whoopass.shtml TIA Forgive me, Father, for I have sinned. Ooooooooops, forgot again. :) (The rest of my reply is below in the place you obviously prefer it.) > > It's never too late to renounce your past sins. > [quoted text clipped - 8 lines] > > TIA After years of writing mostly "top-posted" e-mails, I'm in the habit of writing most correspondence that way. (I usually find it more natural to read "top-posted" replies, especially when the text to which replying is fairly short.) It appears that I am outnumbered by the Usenet thought police. Here is another perspective: http://www.lionsgrove.com/topposting.html The more I see of Usenet, the more I realize it's a hazardous place (which is why I've avoided it until now). First, you have the pompous interrogator types like CBI who can't tolerate anything unless it's been blessed by the Pope, and FDA-approved to boot. Now, add the Usenet style guide, parts of which I find unnatural and stifling. And I only came here to try to help my fellow asthmatics :( Dave >Forgive me, Father, for I have sinned. Ooooooooops, forgot again. :) >(The rest of my reply is below in the place you obviously prefer it.) You are forgiven. Wise choice, lest you also be turned into a newt, or some other comparable form of lower life... excuse <snipped> >The more I see of Usenet, the more I realize it's a hazardous place >(which is why I've avoided it until now). Gird up your loins then Pilgrim! >First, you have the pompous >interrogator types like CBI who can't tolerate anything unless it's >been blessed by the Pope, and FDA-approved to boot. The Pope does contact CBI from time to time to get_his_ blessing, but unfortunately, the Pope's blessing is woefully inadaquate, based on the current standard of care. >Now, add the >Usenet style guide, parts of which I find unnatural and stifling. Add it all up, and you are in a hazardous place, subject to interrogation, and forced to adhere to unnatural and stifling conventions. Almost sounds like you are married... :) >And I only came here to try to help my fellow asthmatics :( > >Dave ....like CBI who can't tolerate anything unless it's > been blessed by the Pope, and FDA-approved to boot. ......................... Docs have been caught unawares. They did not learn to put things across on the Net 10+ years ago in medical school. CBI betrays what he thinks and how he sometimes gets muddled up and this seems to give confidence. Just what is the soundest opinion you've heard so far on the "Hahn method"? Richard Friedel > Docs have been caught unawares. They did not learn to put things across > on the Net 10+ years ago in medical school. CBI betrays what he thinks > and how he sometimes gets muddled up and this seems to give confidence. > > Just what is the soundest opinion you've heard so far on the "Hahn > method"? Richard Friedel How does CBI getting muddled and totally confused inspire confidence? What's still worse, how is such arrogance helpful to anyone other than possibly himself? I've experienced the "Hahn method" first-hand (albeit not prescribed by Dr. Hahn), and I'm definitely not the first one who has Dr. Hahn to thank for a drastic reduction in asthma symptoms and medication needed. I don't know what you mean by the "soundest opinion". If you're looking for opinions with the most "prestige", then National Jewish might fit the bill: http://www.docguide.com/dg.nsf/PrintPrint/EE5EEFBF0764738385256BD5004853BD The main problem with the studies I've seen published from National Jewish is that it appears they are not using the antibiotics long enough to knock out most chronic lung infections. My understanding is that Dr. Hahn is currently using a 12 week azithromycin regimen for most patients who are likely to benefit. Dave Oshinsky |
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