Real evidence based medicine

Trish Greenhalgh and Neal Maskrey

Trish Greenhalg is Professor of Primary Care Health Sciences and Fellow of Green Templeton College at the University of Oxford. She has twice won the Royal College of General Practitioners Research Paper of the Year Award and in 2001 received an OBE for services to Evidence Based Medicine.

Neal Maskrey is an Honorary Professor of Evidence-informed decision making at Keele University and consultant clinical adviser in the Medicines and Prescribing Centre, National Institute for Health and  Care Excellence, UK.

In this video, these experts explain the concept of real evidence based medicine (EBM) as it should be applied to real patients.

Note particularly 6.30 to 7.47

. . . if you look at the research literature on expert judgement you will find  that experts . . . don’t mechanically follow rules. They do something much more intuitive and much more rapid and what they then do is they come to a rapid decision and then they go back and unpack why they got to that decision and they justify it by using the evidence  . . . one of the things that clinicians say again and again is “I don’t want to be tyrannised by these guidelines. I don’t want my patients to be tyrannised by these guidelines.” And it seems that their clinical judgement is being challenged by these guidelines and what we want is for the clinical judgement to be supported by the guidelines so EBM will be delivered in a much more nuanced and granular way than people sometimes assume it should be.

Also 7.57 to 8.30

There are, of course, in every consultation two people involved in making the decision. The clinician has their own expertise and the patient has their own expertise.

How sad that, while the rest of the world is reassessing the concept of Evidence Based Medicine, Singapore is taking the backwards step of applying the guidelines in exactly the mechanical way that these experts feel should be avoided!


Our Holy Miracle of the Infallible TSH Test

A beautiful video which sums up the ‘approved’ approach to thyroid treatment.

The Ministry Of Health insists that the Thyroid Stimulating Hormone (TSH) test is the be all and end all and punishes those doctors who question it. Meanwhile, many patients with normal TSH levels continue to feel unwell.


Managing Your Thyroid and Adrenal Glands

Dr. Frank Shallenberger a graduate of the University Of Maryland School Of Medicine, and received his post graduate training at Mt. Zion Hospital in San Francisco. He is board certified by the American Board of Anti-Aging Medicine. He has been practicing medicine for over 35 years.

Dr. Shallenberger is the founder and director of the Nevada Center for Complementary Medicine and is a past Clinical Instructor of Family Medicine at the U.C. Davis School of Medicine. He is a past president of the Nevada State Homeopathic and Integrative Medicine Association, and was appointed by the governor of Nevada to serve on the Nevada State Board of Homeopathic Medical Examiners. Dr. Shallenberger is a member of the American College for the Advancement of Medicine, The American Preventive Medical Association, and the American Academy of Anti-Aging Medicine.

BioIdentical Hormone Replacement Expert Speaks Out

Eldred B. Taylor M.D., aka “The Hormone Doctor”, is a well-known speaker on Functional and Anti-Aging Medicine. He is a co-founder of American Functional Medicine Association (AFMA).

Dr. Ava Bell-Taylor specializes in functional medicine and bio-identical hormone replacement with special emphasis on how the hormone disorders, nutritional deficiencies and environmental toxins contribute to psychiatric disorders. Dr. Bell-Taylor is the co-founder and director of American Functional Medicine Association, Maximum Health Enterprises, and Creative Medical Solutions.

They co-authored “Are Your Hormones Making You Sick?” and “The Stress Connection”.

Bio-identical Hormone Therapy – Dr Frank Shallenberger

Dr Frank Shallenberger of the Nevada Centre of Alternative and Anti-Aging Medicine has been practicing medicine since 1973 and has been a pioneer in alternative/integrative medicine since 1978. He is one of only 16 physicians in Nevada that are licensed both in conventional medicine as well as alternative and homeopathic medicine. This allows him to integrate the best of both approaches for optimal results.