Update from the Medical Journals
Surgeons in the 21st century need to have different skills than in the past. Laparoscopic surgery requires a different hand/eye coordination that is similar to the equipment maneuvers and screens that kids use in playing video games. Researchers looked at the link between playing video games and surgical skill and suturing. They did an analysis of the performance of surgical residents and attending physicians with past experience with video games and current level of play. They controlled for the number of laparoscopic cases performed , their level of surgical training and the number of years in medical practice.
I have sent a number of patients to the neurosurgeon for epidural steroid injections in the hopes their severe back pain and sciatica would be relieved. So much of what we do is not backed up with evidence.
Giving epidural corticosteroid injections to treat back pain has been an increasingly common practice over the past 50 years. There have not been rigorous studies that prove the effectiveness and safety of this expensive procedure. An analysis of studies that covered 300 patients found that there was no benefit at 24 hours postinjection, at 3-6 months or 1 year later.
I love these maggot reports. Once you get past the "eeew" factor, it makes sense.