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JAMA January 19 2016 315 No 3 p 249 on the subject lists a paragraph titled Evidence Evaluating the Practice of PAD
What more can the evidence show? The morbidity and mortality of PAD is near 100%. The long term survival near zilch. We might as well be back in the days of ancient Athens when Hippocrates ranted against the charlatans, and the priests jailed him 20 years for defying their political edicts -- defining disease and directing treatments. We espouse an arrogance of modernity while in reality nothing much has changed. The question is, can we as physicians defy political dictates, correctness and greed while sustaining the Asclepian convictions and pledge of our profession. Politicians demanding PAD seems a bit like men defining women's reproductive rights, misdirected social engineering at the least.
What more can the evidence show? The morbidity and mortality of PAD is near 100%. The long term survival near zilch. We might as well be back in the days of ancient Athens when Hippocrates ranted against the charlatans, and the priests jailed him 20 years for defying their political edicts -- defining disease and directing treatments. We espouse an arrogance of modernity while in reality nothing much has changed. The question is, can we as physicians defy political dictates, correctness and greed while sustaining the Asclepian convictions and pledge of our profession. Politicians demanding PAD seems a bit like men defining women's reproductive rights, misdirected social engineering at the least.
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