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[Dysphagia] Re: Terms of reference - some thoughts
There are few things as disturbing to a scientist as to have a logical, cogent, well-founded position opposed by nothing but belief. Belief without proof is the definition of faith. While faith may have an important part to play in one's personal life, it has no place in medical science. Do you really think that I have no appreciation or understanding of "real life" in hospitals and nursing homes? It is exactly because I have extensive experience and understanding of the situation as it is and, unfortunately has become, that I have a position from which to speak. The reason I have consistently refused full time academic positions is because such situations tend to remove one from just that- understanding of how things really happen. None of this takes the place of a firm understanding of the full patient situation and the underlying physiology and pathophysiology that should guide actions.
I am constantly dismayed by comments about the fact that "I have a life too " and "don't have time to read". Anyone who claims to be a professional must recognize that much of one "own" time MUST be spent reading and evaluating. How would you feel if your physician said that he/she didn't have the time to read and keep up with the literature?
Ignorance is not bliss - it is dangerous.
Barbara Cole <bkcole@erols.com> wrote:
Jai makes some valid points. Life "in the real world" is just not as cut
and dried and absolutely "factual " (nor article laden) as some would have
us believe. I applaud her response.
Barbara
----- Original Message -----
From: "Jai Gupta"
To: "Irene Campbell-Taylor" ;
Sent: Wednesday, March 16, 2005 6:47 PM
Subject: RE: [Dysphagia] Re: Terms of reference - some thoughts
When I said " I would not agree less with you" I was just polite and trying
to highlight the point it is not only with Asp Pneu but every diagnosis in
medicine we can have debate ... name anyone diagnosis one is confident and I
will give differential diagnosis that needs to be made...I was not trying to
be nasty but trying to put things in perspective.
In this forum I think we should avoid...this type of free mentorship
advocated....I think we should have mutual respect for our work.....nature
of work .....and stress we work under, limited resources we work with ....we
should value each others opinion as long as there is evidence to support
and not quackery...and it is democracy ..everyone is entitled for a free
opinion...and exchange ideas....and reader have choice to ..not to read it
...or read and respond ..or just read and reflect.......if someone is keen
to have only scientific discussion ..that is giving others opinion and with
a reference, they can start another group...as far as this forum goes ...
My impression is it is primarily for Speech Pathologists and they are the
centre of the world here and other are auxiliary .....SLP is still a very
young profession as compared to Medicine and we are very hard on ourself as
compared to what medicine was at the same age.....I remember in 1998 when I
was sharing a panel seat at the 2nd Australasian Dysphagia Conference.
Melbourne with Dr J Logemman ..I raised this issue with her and she agreed
"yes we are" and she added, this will only make us have a strong base and
measure our outcomes better.......we value others "specialists" opinion but
make our own decisions .....and I don't like others forcing there ideas as
the only idea in the world that will save the world from dehydration ..or
...pneumonias.....we should value what happens in the real world.....
I did not ask for what I should read and not ...and what makes people think
we don't read....I have done enough reading and still do lot of reading that
is besides my job.....I am a Speech Pathologist, a senior clinician, a
Manager, I work full time...and I have a life outside too...I do not deal
with dysphagia only ...if give examples of Dyslexias, Dysphasias,
Dysgraphias, Dyspraxias, Dysphonias etc. ...that I have been in the
profession for 25 yrs now and alway in acute medical setting ..most of the
people out side the SLP profession will go bongkers "crazy" what all we
do.......I pretty well know how medical diagnosis is made by consultants
.....You can read any medical book if you have with you and see the section
on differential diagnosis...if you don't have let me know I will send you
some interesting papers and discussions, and opinion based on clinical facts
are scientific fact.. ..I don't think I should show-off my resources and
knowledge by always quoting refs .. I don't have time ..when there is
request I do dig up the ref in time....at this point I would request the
list owner to circulate the terms of reference or aim of his listserve...
Jai Gupta. M.Sc.(S.H.) CPSP MSPA
Manager, Speech Pathology Services.
The Sutherland Hospital
* Locked Bag 21, Taren Point NSW 2229
* 9540 7111 page 594 or Direct 9540 7558
* 9540 7717 *0401 373 324
email: guptaJ@sesahs.nsw.gov.au
Weblink: ozspeech
Webmaster: Evidence Based Practice in Speech Pathology
-----Original Message-----
From: Irene Campbell-Taylor [mailto:eripley@yahoo.com]
Sent: Wednesday, 16 March 2005 1:29 PM
To: Jai Gupta; Dysphagia@b9.com
Subject: RE: [Dysphagia] Re: how much water?
Jai Gupta wrote:
I would not agree less with you.
*** It would be more persuasive if you could quote evidence on your side.
without that, there is no scientific argument. This is not an exchange of
opinions - I hope - but a scientific discussion. Please read Franquet et al
as well as Cassiere.
.
Dr I Campbell-Taylor
Clinical Neuroscientist
Exclusive Distributor:
www.interactivetherapy.com
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