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Let us practice Science and NOT STUPIDITY in Ayurveda

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Let us practice Science and NOT STUPIDITY in Ayurveda

  1. 1. Let us practice Science and NOT STUPIDITY in Ayurveda Dr.Remya Krishnan
  2. 2. How do Ayurveda docs make clinical decisions?  Toss coins  Guess  My “ yukti” – what is that Yukti??!  Ask colleagues  Text books- Exclusively for exams  Browse journals –charts and graphs of efficacy  Surrendering to senior Vaidyas- “Experience”(of what?) matters
  3. 3. Clinicians really need to learn and understand shasthraarthas If learning and understanding in right direction:  that will reflect in our clinical decisions  but we do not know what is “right” direction – “my textbooks are full of complexity and sutelity – “my time for learning is less- I have to attend many OPDs a day ” – “library who wants after degree ??? Life is to enjoy !”
  4. 4. How many minutes a week did we spend last week reading and working out on our patients?  Medical students- Working out?! We observe what others do  Interns – We practice what our seniors command  Medical Officers- We practice what we think as right and what our colleagues do  Faculties- We teach Medicine based practice and practice medicine based trial and error  Consultants- We hardly think what we do ! We are busy in meeting two ends in living !
  5. 5. How many minutes a week did you spend last week working out based on samhithas?  Medical students- We are too young to do that  ! We learn shlokas often  Interns- for entrance to MD  Medical officers – Joking? We attend 100 Opds a day, no time  Faculties- We teach but working out???? Why? teach and forget  Consultants- does that make
  6. 6. The inevitable consequence The translation of samhithas into practice guidelines for clinical situations of physicians NEVER HAPPENS in clinical practice and teaching
  7. 7. Three solutions Clinical performance can keep up to date: 1. by learning how to practice evidence- based medicine which is primarily science based . 2. by seeking and applying evidence-based tools and techniques developed from shasthra which is already existing in SBEBA resources . 3. by knowing, understanding and translating shasthraarthas into variable clinical situations
  8. 8. What Is Science Based Evidence Based Medicine? The conscientious, explicit, and judicious use of best standardised shasthrik evidence in three different levels in making decisions about the care of individual patients in accordance to their unique cause and circumstances
  9. 9. What Is Evidence Based Medicine? The practice of EBM requires the indepth accurate knowledge of shasthraarthas with the appropriate Tools and techniques for their translation into appropriate situations NOBODY TEACH US THIS IN COLLEGES OR SEMINARS .
  10. 10. WHAT ARE THE IMPORTANT ELEMENTS OF EBM? ‘SBEBA begins and ends with patient’ 1) Appraise and know patient situation based on intended shasthraarthas 2) Work out on intended shasthraarthas 3) Write down what you understood and your conclusive judgement. 4) Translate judgement into clinical situation. 5) Evaluate your performance based on shasthrik standards .
  11. 11. Practical SBEBA 1. Understanding situation based shasthraarthas 2. Working out in shasthraarthas 3. Deriving conclusive judgement 4. Translating judgement into clinical practice 5. Evaluating results based on inbuilt scientific standards
  12. 12. Scenario 1  In the middle of the night you are called to see a screaming, febrile 3 years with acute shooting pain in ear. How are you going to proceed in  Reducing pain? – Controlling fever? – Preventing complications? – Assuring parents? – Or Refer the case to an Allopath?
  13. 13. The one and only way to become a PHYSICIAN is UNLEARNING STUPIDITY AND LEARNING SCIENTIFICITY THANK YOU
  14. 14. Scenario 2 You get a patient aged 7 years with fever, breathing discomfort and absence of general wellbeing. On auscultation bilateral rales and rhonchi present . What is your Ayurvedic diagnosis and how will you manage by Evidence Based Ayurveda?

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