02/10/22

What is Evidenced Based Medicine?

Right Care, Right Time, Right Location
Have you ever wondered why Lakeside Pediatrics doesn’t just prescribe antibiotics for your child’s illness or offer cough syrup for your 3 year old’s cough?  Evidence Based Medicine that’s why.

Right Care – Sometimes no medicine is the Right Care.  If you work in healthcare you may have heard the term evidence based medicine.  When you take the word “Evidence” out of that phrase and define it, “Evidence” defined by Merriam-Webster is .  a. an outward sign : indication. b : something that furnishes proof.  When you apply the term “evidence” to medical treatment it becomes clear that treatment should include a robust understanding of the patient’s condition such that the provider of care can use a “proven” standard of care to treat the patient and give advice on how to care for the patient.  We should want our care to be founded in facts, scientific facts.  Lakeside Pediatrics and our providers are diligent about keeping up with the national standards for Pediatric care and treatment.  In this upkeep of knowledge we perform care that is based on proven, scientific treatment and care.  We asked our very own Dr. Sairah Chachad, What is Evidence Based Medicine?  She notes, “Clinical experience, best scientific evidence and patient values are three components of Evidence Based Medicine. Lakeside Pediatrics has integrated these valuable elements into the practice. Our training and professional experience enable us to provide the highest level of knowledge in clinical decision making. Utilizing the best current medical practices, we strive to achieve effective and efficient patient care.”

Right Care is care that is based on evidence.  You don’t put bandaids on your hands to treat a runny nose.  Bandaids are for cuts and scrapes.  Sounds ridiculous right?  But, it is just as inappropriate to treat a viral illness with a medication that has not been developed to treat a viral illness.

Right Time – Using our previous example of why Lakeside Pediatrics doesn’t just provide antibiotics for your child’s illness, scientific evidence has proven giving antibiotics to a child with a viral upper respiratory infection is the wrong treatment path and the child will not be helped by a prescription for antibiotics.  Antibiotics do not correct this underlying medical condition, a viral illness.  In fact for years studies have been conducted across the world, not just the US, on the overuse of antibiotics for treatment in both children and adults.   Use of antibiotics for conditions that the antibiotic does not help to cure actually can harm the patient in the future.  The findings are showing that patients become immune to the antibiotics requiring use of stronger antibiotics for longer periods of time to cure infections that would normally have been cured with a less potent antibiotic in a shorter period of time.  The cost is both financial and physical.  Right Time medical care provides the antibiotics at the point in time where the patient’s condition has proven through physical evidence, clinical knowledge and / or clinical testing to require a specific antibiotic at the lowest possible dose for the right amount of time as is necessary to fight the infection.

Right Location – “Why can’t my 3 year old son get cough medicine to make him feel better?”  It is natural to want to help your child feel better but there are times when it Is the best healthcare advice to have your child wait it out.  The American Academy of Pediatrics’ HealthyChildren.org Pediatrician Contributor, Kristie E. N. Clarke, MD, MSCR, FAAP notes, “I recommend trying home remedies first instead of medicine for kids of any age with a simple cold. Why? Because over-the-counter cold medicines don’t work well, and there are possible side effects. Bottom line—it’s not worth it!”
She goes on also to recommend, keep your child with a common cold at home and use additional home based remedies to help your child with their symptoms.  There is no need with the average common cold to visit an Urgent Care or ER.  You should keep your Pediatrician’s phone number handy to reach out to them if the cold turns into more, like high fever (102 or higher), trouble breathing or swallowing, or your child is asthmatic with night coughs as examples.  Home in the case of common cold is the Right Location and care can be managed effectively from the comfort of your child’s own familiar surroundings.