Everything that is not right with Evidence Based Medicine (EBM).

Evidenced Based medicine is the hep term with practitioners of biomedical model of medicine  all over the world ... modern medical thought or philosophy has its origin in Rene Descartes idea of mind and matter being two separate entities which work in different zones and have no role or interactions with one another and matter , here body ,was compared to a clock and functioning of clock depended on working of its parts each working separately independently of one another ...this thought was taken forward by Newton , but these two were actually following the trials of Galileo galilei , who had  proposed that the way to develop science was to look at all matter around the scientist as if it had no life or consciousness ...that was his way of bringing objectivity to the whole concept of scientific observations ...  of course modern quantum physics proved this thought experiment as bogus since it became very clear from early quantum physics experiments on nature of light , where observer was part of what was observed , light behaved the way observer wanted it to behave , particle or wave . light per se did not have any specific nature of its own .. it took the color of the observer's thought and behaved accordingly . That's when Einstein screamed at Max Born, one of the founding fathers of Quantum mechanics  ..God does not play dice with the universe ... Now modern physics since then has changed its tracks and Boot -strap theory String theory are all outcomes of this change ...but the damage  to medicine was already done ..which is still far from any repair ... medicine continued to grow in the same mechanistic reductionist manner of Newton and Descartes .. of course it has led to great innovations and depths of knowledge at microscopic molecular levels ...we have understood a lot about how body functions  but it has taken us away from why ... why does it happen the way it does ... we know the how ...we still don't know why so well ... why some of us remain healthy and some fall sick .. our investigation into why is also more of the nature of how ...

human mind and medical science is stuck with how ... that's where we keep creating evidence after evidence ... how to do this how to do that ... how this works how that works .. how they all can be compared ... bring statistics into all this ... humans patients are now numbers and data ... that's so much for evidence ... 

The evidence based approach seems to be having major effects on our attitude towards our patients  ... we connect with our patients through the lens of hypothesis and data ... our focus is more on the outcome than the process and patterns ... it is a quantitative approach instead of qualitative one.... any doctor who has observed her patients carefully and worked closely with them knows for sure that each patient is different and every patient responds differently to a given form of treatment and requires customised treatment plan , humans  are not made in a factory for heaven's sake ... she knows through her innate knowledge that nature heals , doctor is merely a facilitator , towards healthy life of the patient .... its how she forms a relationship with her patient that eventually  heals or not heals her patient ...

How do i see all this ...

first of all , all this knowledge , this technology supporting the knowledge , has taken us far far away from natures ways ... we are totally lost in our own web of too much information that we have created ...

secondly ... it has made us humongously arrogant ... we have actually started believing of ourselves as god ... we feel we can fix anything ... well almost anything ... but then latest pandemic is a good wakeup call for all ... where we are seeing paradoxical data around ... the street dwellers survive and the one living in developed world with all amenities at disposal perish ... Nothing is greater and beyond nature .

So with this pandemic i have come to realize ... what really matters is how i relate to my patients and my colleagues and rest of the humanity ... EBM by the way does not allow me to get closer to my colleagues as well or trust them too ,because everyone is a competition and life is a race ...

But then my time on this planet is limited and i have only X hours or days or whatever with me ... what is my choice ... to compete ? to live in anxiety that my next promotion wont come through if i don't publish ? to treat my patient as a data which i can then make it a part of literature ? or will it be to connect more deeply each moment ... with our patients ... take some time off to talk to them ... look into their eyes ...we can't take away their troubles for them but by connecting through compassion we can surely ease it for sometime ...show that we care ... talk freely and bond deeply with your co workers and share your thoughts ... make deep long friendships ... in the end all that will truly matter is how deeply we lived . ... that's true evidence of a life well lived and job well done .