December 26, 2011|By Cory Franklin
Chicago tribune
The tragic tale of Flight 447 should not only be a case study in aviation but also in medicine. Medicine is becoming less of a hands-on science and more dependent on sophisticated tests and high-tech scans. As in aviation, there is an overall benefit; diagnosis and treatment are better than ever. But the same problem bedevils medicine, perhaps more commonly — in difficult situations, inexperienced doctors are often uncertain of how to interpret sophisticated information presented to them, resulting in incorrect diagnoses or inappropriate treatment.
An example of this was recently demonstrated by Dr. James Andrews, one of the country’s leading orthopedic surgeons, who has operated on many of the country’s top professional athletes. He and some colleagues believe the MRI, a staple of orthopedic evaluation, is becoming overused. The test is extremely sensitive and sometimes indicates abnormalities that are not actually a source of problems.
Andrews proceeded to obtain MRIs on 31 professional baseball pitchers, none of whom was injured or had pain. The MRIs showed abnormal shoulder cartilage in 90 percent and abnormal rotator cuff tendons in 87 percent. Andrews’ blunt conclusion, “If you want an excuse to operate on a pitcher’s throwing shoulder, just get an MRI.”
In the context of experience and technology, prominent surgeons like Atul Gawande have promoted operating-room checklists and better communication to assure medical personnel adhere to certain standards, paralleling the experience in aviation. Without question, this process-oriented approach is a positive development that eliminates mistakes and saves lives.
However, the analogy is simplistic and does not extend to every facet of medicine, since medicine involves far more human judgment. In general, aviation operates according to certain predictable rules of engineering and physics. The limited number of variables in a routine flight can generally be anticipated. In contrast, medicine operates according to many poorly understood and less predictable rules of biology and physiology. Where pilots can sometimes elect to cancel a flight or avoid dangerous weather, doctors cannot avoid many unpredictable emergencies in sick patients.
Dr. Richard Karl, the former health chair of surgery at the University of South Florida and a licensed pilot for more than four decades, has long advocated medicine adopt routine safety techniques, training, evaluation and continuing education from the aviation industry to enhance physician experience and minimize the chances of catastrophic disasters. But he candidly acknowledges, “Without intending to diminish either glorious profession, as a pilot type-rated in the Boeing 737 and as a surgical oncologist, I can say unequivocally that surgery is much harder than flying.”
The takeaway is the essential value of human experience — we can never have too many Capt. Sullenbergers, in aviation or medicine. Dr. Cory Franklin lives in Wilmette.
It used to be the doctor would start the diagnostic process by talking to the patient, discussing lifestyle, habits and symptoms and manually checking the patient. In many cases that was enough for correct diagnose.
“Nicely explained the relationship between aviation and medicine. Your comment is truer in Western nations where doctors do not have adequate clinical knowledge, as they totally depend on the sophisticated tests for diagnosis, unlike in developing countries, where doctors has to depend on clinical knowledge.” Health guy…
My mom was brought to the hospital with the pain in the spine. Young “doctors” obviously trained in technology started with multiple tests, sticking tubes and needles all over. My mom was 89 years old. Why did these “doctors” did the test? I don’t know. I wonder if the new. My mom passed away next day. I still think because of all the tests.
It is time for doctors to become doctors again. Not technicians.

January 21, 2012 
























Nutritional supplements
Herbal Skin Care
Herbal warmers. Specialty socks
Mall without Walls