<a href=showthread.php?s=&postid=7902707#post7902707 target=_blank>Originally posted</a> by HippieSmell
Well, wlagarde, my girlfriend is in her 3rd year of med school, and you got her riled up with your comments. So, this is her comment to you:
wlagarde-
I would like to address your example of double-blinded clinical trials as a real science and that, by your argument, other forms of science are “junk science.†The purpose of double-blinded clinical trials is to answer the question “is a form of treatment effective for a given population?†in a yes or no fashion. They are not, however, a perfect science and give no information as to the physiology of a particular drug or treatment. How many of your patients were on Vioxx? How many of your patients were on hormone replacement therapy? Both of these drugs were proven to be effective through clinical trials, were widely used by the medical community, and were subsequently found to have dangerous side effects. How did this happen? It happened because the clinical trials told us nothing about HOW these drugs worked. Even the most elegant of clinical trials cannot PROVE that ‘a’ CAUSES ‘b’ or tell us HOW the two are connected. They simply tell us IF the two are connected or not. Clinical trials should not be blindly followed as the final word in medical science.
Furthermore, only a portion of medical knowledge comes from clinical trials. A substantial portion of our knowledge comes from case studies that do not have defined controls. Is your own knowledge, that which you rely upon everyday, junk science? As to your objection of not having a control to test global warming theory, the use of models is sufficient. Medical sciences also use models to learn about human biology and the etiology of disease. Would you throw out research on Alzheimer’s and diabetes because the subjects were mice? Would you rather we experiment on humans for greater control?
As a physician, you are an expert in the field of medicine, but you are not an expert in all fields of science. I suggest that you educate yourself as to the methods used to control for error in fields of ecology and climatology, because these methods do exist. As for calling them “junk science,†the greater scientific community, and the majority of people with more experience in general science than you, disagree. Oh yes, I forgot, physicians are the most objective of all scientists by your estimation and everyone else in the scientific community is biased. Tell me then, when was the last time you received a free lunch, pen, pad of paper, or samples from a drug rep?
Our chosen profession is based on both objectivity and compassion. Based on your disregard for other sciences, you seem to be lacking in objectivity. Based on your condescending tone towards others in this forum, you seem to be lacking in compassion. It is these kinds of actions that perpetuate the stereotype of the arrogant physician.
The truth is clinical trials are not perfect science, and you too rely on information that is “junk science†by your definition. You cannot, therefore, use this analysis to discredit that which is painfully clear.