Evidence based medicine? Is there another kind? In response to Vinay Prasad's "Evidence based medicine: misunderstood and in decline" ...

Heard of evidence based aeronautics or electronics?

As an outsider to medicine, one of the most shocking discoveries for me was how little of medical practice is based on understanding disease mechanisms.

Medical researchers squandered billions and decades on research but admit they are still completely ignorant about the root cause of asthma, autism, autoimmunity, allergies or even COVID severity. One of the reasons is them ignoring mechanistic studies and focusing almost completely on association/correlation based epidemiological studies. One of the explanations offered is that the human body is complex. But the problem is researchers have been ignoring mechanisms that have been known for 50-100 years. Applying those mechanisms, determining root cause of asthma, autism, autoimmunity, allergies or even COVID severity is easy.

Vinay Prasad wrote:

Evidence based medicine: misunderstood and in decline

Prasad writes:

if RCTs are available, EBM will prioritize those results

Randomized Controlled Trials (RCT) are used in “Evidence based medicine (EBM)”. RCTs do not require the investigators to understand drug/disease mechanisms.

It is very easy to fool RCT enthusiasts like Vinay Prasad who BLINDLY trust RCTs. Bill Gates and Pharma corrupted researchers have repeatedly demonstrated that with ivermectin and hydroxychloroquine (HCQ) studies. In HCQ trials, they used near fatal HCQ doses to kill seriously ill patients in the trial. This made HCQ look dangerous/ineffective. For ivermectin, they delayed the medicine until a median of 5 days after symptom onset thus defeating the idea of early treatment.

Table.1

Pfizer’s fraudulent mRNA vaccine RCT is in court.

In all cases, they successfully fooled Vinay Prasad and most others.

even smart doctors can be mislead by lower levels of evidence.

Describes himself.

‘cuz physics.’

Prasad needs to understand that physics is more important than RCTs. Very difficult to cook physics. Easy to cook RCTs as repeatedly demonstrated.

With the 737 MAX, Boeing and the FAA tried to cook physics. They were quickly caught as they killed 346 people.

A new generation of doctors has entered the scene, and they have hopelessly confused advocacy and evidence. Huge belief structures in their mind know the ‘right’ thing to do, even when there is no evidence at all.

Quacks.

The battles over masking

Physics dictates that masks can help a little. They can filter large particles/droplets. But mainly they impede free airflow. So even CO2 accumulates behind a mask. If it can impede CO2 flow, it can impede viruses, aerosols. But Prasad cites RCTs to claim masks are useless. None of these RCTs required eye protection. So even if the masks worked 100%, people can get infected through their eyes. This is like concluding front door locks do not prevent burglaries because the back doors were left open in the RCT.

So masks+eye protection, used VOLUNTARILY (ABSOLUTELY NO MANDATES), for short periods of time (while say caring for the infected), may offer protection. Long term use is unhealthy due to CO2 accumulation as Del Bigtree demonstrated.

Physics beats RCT.

So EBM has nothing to do with real evidence and is just more Pharma, Bill Gates corrupted tobacco science that maims and kills.