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- W1979597029 abstract "To the Editor: Soldier recruits marching toward the enemy feel the uncertainty and fear of the upcoming conflict. However, bolstered by their youthful zeal and patriotism, fortified by their training and conditioning, and mesmerized by their faith and knowledge that others believe in the ultimate truth of their cause, they march into the chaos of war. Watching the recruits marching into the unknown, seasoned veterans of conflicts recognize the sincere optimism those recruits exude and the naiveté in their expectations. A physician's wars are different. One soldier fights the emotional and biological enemies of one person at a time. Once our battle is engaged with the enemy, chaos often ensues. Like a real war, the planning, the terrain, the tactics, the objectives, and the definition of success change as the battle progresses. Knowledge of successful strategies and techniques is very important, but an ability to adapt to the evolving conflict is essential for success. For the physician, care is a continually changing process. Evidence-based medicine, if it were ideal, would make sense of the chaos of our medical conflicts with disease, make our battle plans easier, make success more certain, and greatly lessen the daily stress of our (physicians') lives. Alas, it does not. The physician recruits with their strong beliefs are able to act without doubt. The veterans, battered by years of changing medical opinions and reversals of standard practices, reassess their decisions and problems each time they are encountered, and wonder whether each decision is correct as they decipher hundreds of facts using their years of experience, fitting the details into the case at hand. As a medical war veteran of 30 years, I salute Dr. Tobin's eloquent essay1Tobin MJ Counterpoint: evidence-based medicine lacks a sound scientific base.Chest. 2008; 133: 1071-1074Abstract Full Text Full Text PDF PubMed Scopus (54) Google Scholar on the current set of emperor's clothes that many in the medical community are worshiping. The Chaos of War: ResponseCHESTVol. 134Issue 5PreviewTo the Editor: Full-Text PDF" @default.
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- W1979597029 date "2008-11-01" @default.
- W1979597029 modified "2023-09-27" @default.
- W1979597029 title "The Chaos of War" @default.
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- W1979597029 doi "https://doi.org/10.1378/chest.08-1513" @default.
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