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Old 12-10-13, 06:53 AM   #1
Looigi
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NYT's: A Doctor’s Formula for Care

In an article about general practitioners' workload, this caught me off guard. Certainly not out of character of what some of the medical profession advocate in terms of prevention which includes anti smoking, gun control, seatbelt usage, etc..

>>>These chronic conditions are likely to take up about 10 hours of a doctor’s workday, experts calculate, and acute problems like injuries and infections will occupy another four hours. Then there is also a growing list of potential problems to investigate: hidden addiction, domestic violence, failure to wear bicycle helmets and many more. Running that complete checklist for each patient consumes an estimated seven hours a day.<<<

http://well.blogs.nytimes.com/2013/1...EXCITE&ei=5043
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Old 12-10-13, 10:26 AM   #2
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The helmet advocates have done a good job in creating the illusion that it's dangerous to ride without a helmet, and it's worked it's way to the medical profession.

A few years back Deb took a solo spill in Cozumel, and broke her pelvis (fully recovered). So the orthopedist comes in to discuss the X-rays and nature of the damage. Just about the first question "were you wearing a helmet?". Deb simply pointed and said "wrong end".
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Old 12-10-13, 04:46 PM   #3
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Isn't there already the everlasting gobstopper helmet thread?

When I show up for a scheduled doctor's visit on my bicycle, I got the asks (plural, believe it or not, helmet, clothing, lights) too.
Oh, and even the dermatologist does the asks, but adds in the question about sunscreen on my rides. (Yes, but not above the eyes.)

Not because cycling is dangerous. But because it's safer. Modern medical practices are very data driven.

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Old 12-10-13, 05:26 PM   #4
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Modern medical practices are very data driven.
Some biomedical research is data driven but, in my experience, clinical practice is often rife with anecdote, superstition, and outright magical thinking.
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Old 12-10-13, 07:49 PM   #5
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The quote only mentions the wearing of bicycle helmets, it doesn't specify when they should be worn. I think the shower is an appropriate venue, although it does make it difficult to shampoo one's hair (less of a worry with each passing day for me)

On a more serious note, these physicians should do another rotation in the ER. The serious head injuries are to motorists, who are not being encouraged to wear the proven head protection available to them. Then they should mosey down to the cardiology department and see the results of a sedentary lifestyle, and then check in on the diabetes clinic and then decide of the depression of ridership that comes from harping on bike helmets is really in the interest of public health. Note: I'm not taking a position on the value of wearing a bike helmet, just the tendency of physicians to nag people about them.
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Old 12-10-13, 08:00 PM   #6
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.....Note: I'm not taking a position on the value of wearing a bike helmet, just the tendency of physicians to nag people about them.
A lot of this kind of nonsense relates to standard checklists sent down from wherever this kind of crap comes from. Somehow the medical community has decided that treating injury and disease has them behind the curve, and is now involved in every facet of our lifestyles.

I have to go through this long list of questions every year or two, even though I'm in good health for my age. It's doubly tough because my BMI doesn't fit the profile (part of that group politely called the fit fat) so I have to listen to long diet lectures even though my body fat is low enough that I can walk across the bottom of a swimming pool.

Welcome to the future!
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Old 12-10-13, 09:37 PM   #7
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Wear a helmet. Simple!
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Old 12-10-13, 09:39 PM   #8
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I have family members who work trauma. They all have experience with cyclists without helmets...and the results were not pretty.
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Old 12-10-13, 09:46 PM   #9
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I have family members who work trauma. They all have experience with cyclists without helmets...and the results were not pretty.
Trauma is never nice. If I spent enough time in an ER, I'd probably never venture out of my padded cell.

Not being facetious, there's nothing nice about bicycle or any accidents, helmets or no.
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Old 12-11-13, 12:16 AM   #10
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Some biomedical research is data driven but, in my experience, clinical practice is often rife with anecdote, superstition, and outright magical thinking.
Drug company methods of influence are a driver too. Don't be surprised if soon everybody will "need" statins to reduce their cholesterol levels, no matter what they are.
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Old 12-11-13, 12:27 AM   #11
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Drug company methods of influence are a driver too. Don't be surprised if soon everybody will "need" statins to reduce their cholesterol levels, no matter what they are.
It's the American way. Live a lousy, unhealthy lifestyle, solve the problems with drugs, then complain about the high cost of health care.

It's a good thing the Limeys discovered how to prevent scurvy while we were still a colony. Otherwise the FDA wouldn't let citrus fruit growers make health claims about vitamin C and we'd all be on some prescription treatment at a cost of $75/month.
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“Never argue with an idiot. He will only bring you down to his level and beat you with experience.”, George Carlin

“One accurate measurement is worth a thousand expert opinions” - Adm Grace Murray Hopper - USN

WARNING, I'm from New York. Thin skinned people should maintain safe distance.
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Old 12-11-13, 02:19 AM   #12
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Drug company methods of influence are a driver too. Don't be surprised if soon everybody will "need" statins to reduce their cholesterol levels, no matter what they are.
Wrong
Time to catch up:
http://www.nbcnews.com/health/know-y...nes-2D11585027
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Old 12-12-13, 10:13 AM   #13
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There is a helmet sticky thread for these discussions. Please use it.

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