mattamx said...
No one is stopping him from participating on the board. I think most members would welcome him back. It’s his choice.
You are correct, sir. Probably most of you know that I could come up with some negatives regarding that person(and I might well be wrong and might be the person who was in the wrong), and he could supply many negatives for me. Probably deserved. And I also have a bias in that situation.
But Todd is right, and we all knew that was the potential loss as he was about
to leave and withdraw his input from the brothers here. However, he chose to do so, and that is it. Someone already here, or maybe someone about
to join, will need to fill the gap.
JMadrid said...
there were occasions when he acted much like a big name doctor in his office
True that. I have oft said something similar. But what every one here tended to forget(sometimes even he seemed to forget), even though his signature clearly stated this fact, is that he was NOT a doctor! We all have doctors that give us the final info that we end up having to decide on. And most of us are perfectly willing to get second opinions from different docs and different types of docs, are we not? What is it that seemed to make folks want to - sometimes even blindly - trust this non-phyician, who did not have years of education and even more years of daily practical experience in this specialty of PC? In the end, what we often ended up with was the opinion of doc A vs Doc B and C and finally also one of our members who was not a doc.
Certainly, he did a wonderful job of presenting data to support his bias. But was he really, truly a better source of info for me than 1st my local urologist, then the guy he referred me to, Joseph Smith Chairman of Vanderbilt's(Nashville) urology department? Who has 30+ years of experience dealing with PC, and has published hundreds of times on that general subject, both books and journal articles? As well as the RT guys in Atlanta that I also consulted with? In the end, when TA might give me advice that differed from Smith at Vandy, and for that matter the RT guys in Atlanta, then my choice is TA( NOT a doctor) vs my guys. Are you guys certain that TA actually knew better than these guys who were actually dealing with PC all day long, year after year? In the end, in case of a conflict, who 'Ya going to go with?
In the end, he was just one more source of data among which we had to choose to make our decisions. And he was a source that did not have to deal with actual patients. Wouldn't it be sort of like when I was in my 36th year of anesthesia practice, with 20K-40K administered anesthetics to base my experience on- and you showed up in the OR and told me "Hey BillyBob, would you mind using a Laryngeal Mask Airway(LMA) for this case, rather than that Endo-tracheal tube(ET) you seem to be about
to use? Because I've been reading stuff on the internet from some guy- admittedly he is not an actual anesthetist but boybis he smart- but in his opinion- and he has some studies to back him up- an LMA is superior to an ET tube by a hazard ratio of .7, at least in the surgery I am about
to have. And while you are at it, would you mind using some etomidate rather than propofol, because he has a poor opinion of propofol also, according to the studies he has shown me".
In the end, bottom line, it was sort of like that. We can get advice and also 2nd opinions from the people who are actually going to do the work, but then we can add to that something strictly from the ivory tower, studies being provided by, well, by who really? You know, these docs we pay also read studies. In fact, you should attend a continuing education conference some day and watch them argue on stage about
the merits, or lack thereof, of new studies. The fellow who took his studies elsewhere is one more source of studies.
With all that said, he was a great source for studies, and often tose studies were great food for thought and discussion, whether we agreed or not. But you know what? Every study he ever decided was worth showing us is also available to any one of you who searches for it. It is called PumMed. Heck, while I was on a phone consult with one of the RT docs over in Atlanta, he took the time to show me how to do the same ting he does on PubMed, how to use the advanced search and plug in various key words. Or heck, just google it, and learn which source is a legitimate research and not just some guy on the internet with his opinion and bias.
I realize most are not going to want to do that, especially new guys showing up here in a state of shock. So, one of you guys is going to have to step up and become an expert researcher. So hurry up, get with it.
Post Edited (BillyBob@388) : 9/19/2018 10:29:48 AM (GMT-6)