20/20: PEER REVIEW FAILURE, HEART SURGEON GENIUS!

Karl Dussik karl at anasazi.com
Sun Jun 16 06:35:13 EST 1996


In article <Pine.A32.3.93.960615105858.20101A-100000 at itsa.ucsf.edu> Bert Gold <bgold at itsa.ucsf.edu> writes:
>
>The remarkable story on 20/20 last night concerning the new
>surgical procedure in which enlarged ventricular cavities are
>removed with propitious consequences for most all patients had
>an important take-home lesson in it for peer review:
>
>Not only was the procedure perfected in a small, jungle hospital
>by a capable Brazilian heart surgeon faced with legions of
>parasite infected patients predisposed to the heart enlargement
>condition (necessity being the mother of invention), but,

Well, let's see how this stands up in controlled studies before pronouncing
it a success.  It does look hopeful, though.

>His national televised explanation of 'sneaking in to a cardiovascular
>surgery meeting, after numerous REJECTIONS, and presenting
>a videotape of his surgical technique' to the astonishment, amazement
>and chagrin of the audience there, should give us pause.
>
>It must not be forgotten by those of us in Medicine that
>Paul Simmelweiss, the surgeon who suggested washing between procedures,
>died on the street, a penniless pauper, because the members of his
>profession thought him a fool.

And don't forget what the Australian (I think it was) doctor went though
trying to convince the medical community ulcers were caused by a bacterial
infection and could be cured - not just treated - with antibiotics.

Here's a quote you might like:

    "In the President's original bill (I'm not even sure the President knows
    it, but that black box that sat there for a year, you know) out came a
    proposal, one of the proposals was that the academic hospitals must now
    train 55% of their residents, which is to say doctors in post-graduate
    work, as general practitioners, 45% as specialists.  This reverses the
    current ratio.  This is the kind of social engineering that chills your
    blood.  It has the wherewithal to kill American medical research at this
    great moment of discovery and mixes up two entirely different things.
    General Practitioners are a function of population.  For every 100,000
    people you need about 80 of these creatures.  Specialists are a function
    of science.  Every time some new and incredible breakthrough comes along
    - angioplasty - you have a new specialty.  Genetic medicine is just
    beginning.  If we want to kill this off, this is a great way to do it.
    And one of the curious things, not only do you kill the science, but you
    will mean that the specialists, such as they are, will stay right smack
    in there Manhattan, they'll never get out to Kansas, to Oklahoma, to
    Montana." - Sen. Daniel Patrick Moynihan, D-NY, Chairman of the Finance
    Committee, on Face the Nation, 8/21/94

Karl	| Standard disclaimer: Speaking only for myself.
Dussik	| Due to our unreliable news feed, if you post something you want
	| to make sure I see, please send me a copy via email.  Thank you.
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