Two major organizations duke it out regarding routine EKGs for kids taking ADHD medication.
There is no doubt that the AHA’s guideline will win out. Given the choice between testing and not, the decision to test will always win in court and with the public. Especially with the clout of the AHA behind it.
btw – I like how Dr. Farrago calls the ubiquitous Steven Nissen the “Britney Spears” of medicine.
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- Can the American Medical Association still be an influential voice in health reform?
- Avandia and heart attacks
- A psychiatrist analyzes Britney Spears
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We are supposed to be scientists and base our practice on the evidence, and then instruct the courts and the public accordingly. Not just wimp out and start right off pandering to the fears of the ignorant.
At this stage, the discussion should not be about who recommends what, but about what is the evidence.
The AHA, as far as I can tell, don’t have the facts on their side. I will not be wasting my patients money to address my anxieties about unfounded treatment guidelines from a self-protective guild that can’t justify it on the basis of patient benefit.
this will undoubtedly morph into recommendations for cardiology referral & echocardiogram eventually, courtesy of self-serving groups like the AHA.
Specialty groups would love to see the death of primary care, including pediatrics. As mid-levels take over primary care, and every bruise/rash is referred to dermatology, specialists will be laughing all the way to the bank.
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