The poison arrow

If you have not heard of poison arrow story- here it is. It basically says when someone is struck with an arrow- will you worry about who did it, what was his caste (that tells you it is a Indian parable) from what distance and so on or find a cure. well, in a way it tells you how Siddhartha was a genius, but today I am going to remind myself what is the lesson from this parable.

When a patient comes with persistent pain- he wants a management of that and if you are just telling how and what and the other neuroscience you learnt- he will think what the duck is wrong with this idiot. As Mr. S or Ramana said first find the answers for the basic question and then you can move on to whether there is heaven, rebirth and other nonsense. 

If you patient feels- these pain science teachings (what a horrendous misnomer)  are mere words- you are not doing what is valuable for them at that point. You are just describing who stuck the arrow- not the treatment for it. In the macro sense- as of everything about EBM starts with Buddha- ask your patient whats the problem for which he needs answers. So dont do useless studies like is IFT better than US or rubbing is better than licking or some other stupid topic you chose for your Phd. Believe me whatever you choose it is mostly just a toilet paper and we dont use toilet paper in India- so it cant even clean shit.

Put simply, much of the BPT syllabus is useless because we mistakenly believe that more knowledge is always better. Subjects like biochemistry, pharmacology, machine physics, and current are included (so we know where to plug in the machines), along with endless amounts of physiology books and trivial questions. Instead, we should focus on practical knowledge that will help us treat wounds. It's frustrating that we lack the courage to prioritize what is truly useful for our education and career, making it difficult to call ourselves doctors or practice in places like Canada.

The modern approach to research prioritizes addressing problems that have a significant impact on a large population, particularly from the patients' perspective rather than solely from a medical standpoint. In other words, focus on treating the injury, not worrying about who caused it with the arrow. It's clear that many of us are not equipped to conduct research. If you need more convincing, perhaps it's time to consider a career as a cowboy.

As a reminder, only about three out of eleven which i published was patient centric , while the others may serve other purposes, such as satisfying the self.  

Mr. S thought me a whole book and endless seminars in a sentence - the man was just a pure genius 

love

Hariohm