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Jul 13

Choosing the Best Therapy

dr. christian birkedalWhy do doctors choose the drugs they prescribe or the procedures they use (like laparoscopic surgery)? Why do you sometimes hear that medical experts have changed their minds about a therapy?

You may have heard that a new review suggests that risk of a brain bleed outweighs any heart benefit that a daily low-dose aspirin might bring you. Besides being good for aches and pains, aspirin is also a blood thinner. However, the American College of Cardiology (ACC) and the American Heart Association (AHA) now say the risk is not worth it for most people. Only patients at high risk for heart attack and stroke should continue this therapy. Of course, you should talk to your doctor before changing any drug regimen.

Sometimes a story like this can cause people to doubt all medical advice, but it should not. Changes like these indicate medical science is reviewing its own practices, always wanting to be sure that current thinking is based on the latest facts. If new evidence shows that a change is needed, good doctors adopt it. This is what we call “Evidence-Based Medicine” and you can learn more about it.

Another example of evidence-based medicine is the growing acceptance of weight loss surgery as a treatment for obesity, even a cure for some metabolic diseases like type-2 diabetes. Both academic medicine and the health insurance industry are coming to realize that bariatric surgery should be an option. If you have struggled with obesity, unable to find an answer, you owe it to yourself to investigate weight loss surgery as a possibility.

If you have any question about bariatric surgery, please contact our office. You may use Contact Dr Birkedal or phone us at 386-210-9794. Our offices, located in Daytona, New Smyrna and Palm coast are all part of the Florida Hospital Network.

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