Children's evidence medicine in Fantasy clinic. Decisions on treatment on the principles of evidence-based medicine is the Gold Standard of World Treatment

Fantasy – Enforcing Medicine Clinic for Children

To date, evidence-based medicine (evidence-based medicine) is a gold standard worldwide. What is the essence?

A doctor who examines your child must make decisions: will send it to an additional examination (and whether it is necessary at all) what is the diagnosis to assign treatment. And all these decisions doctor takes not only (and not so much) on the basis of its own clinical experience, but also on the basis of the guidelines that are prepared according to the results of large international research.

All doctors Fantasy Clinic are working on the principles of evidence-based medicine.

Where do these recommendations come from and why do they need to trust?

Special authoritative organizations make decisions on the degree of evidence of a method or medication (based on large research conducted on strict rules): World Health Organization, Cochrane Cochrane Collaboration, Society For Critical Care Medicine, Quality Control Office Food and Medicines (FDA). The same expert bodies write recommendations for doctors. They are published in English on special Internet sites for doctors.

All Dr. Fantasy know English and necessarily follow the update of recommendations.

Doctor of evidence medicine: what is it different?

The doctor who adheres to the principles of evidence-based medicine:

• Can always argue appointment. If necessary, he will give you a link to the guidelines and recommendations of international medical communities.
• Does not appoint unnecessary surveys.
• It will not prescribe medicines for which there is no evidence base and the effectiveness of which is not proven in strict research. For example, the simplest thing – in the treatment of ARVI, our doctor will not appoint "farons" and immunomodulators, drugs with dubious effectiveness. The same approach concerns all diseases.
• Does not put a non-existent diagnosis – for example, dysbacteriosis or vegetual-vascular dystonia.
• Will not use outdated treatment protocols, in the presence of modern manuals. General principles of patient management both in Russia and abroad are the same. For example, the appointment of an antibiotic with pneumonia or an angina. However, unfortunately, the Russian protocols of diagnosis and treatment of patients are often outdated in many ways. For example, in many Recommendations for the treatment of ARV, homeopathic preparations or immunostimulants are still indicated. They do not improve the state of health, and often prolong the disease and provoke the development of side effects. Our doctors explain in detail the need and feasibility of receiving a drug, based on world experience.
• The Doctor of Evidence-Based Medicine studies continuously and constantly: he follows new research, travels to medical conferences (including foreign ones), and trains abroad.
• He speaks and reads in English – this is the international language of medicine, without it it is impossible to become a really good doctor today.

What about medical experience? Does he mean nothing?

We do not deny the importance of the doctor's clinical experience. Of course, it helps in making the correct diagnosis and choosing the appropriate treatment. But the subjective experience of any (even the most eminent) doctor will not provide the same knowledge base as the results of a large number of controlled studies.

For three years, the doctor recommended one treatment to us, and a year later, another. What does it mean?

This is a normal situation. Medicine does not stand still, new studies are being carried out on the effectiveness of drugs and methods. The results are updated and sometimes revised. The doctor follows all the latest recommendations on reputable medical resources and adjusts his appointments. But! Provided that in each case the doctor can justify his choice.

Can an Evidence-Based Doctor Prescribe Homeopathy?

No. Absolutely all studies of homeopathic remedies have not proven any effectiveness. If sometime there is a qualitative study proving the opposite, we will definitely reconsider our point of view.

And how do evidence-based doctors feel about vaccinations?

• We declare responsibly: children need to be vaccinated! Mass vaccination of children has already saved humanity from a number of dangerous diseases. Medical statistics around the world confirm that the risk of complications from vaccination of children is minimal.
• The vaccines we use are becoming safer, hypoallergenic and, at the same time, effective every year. At the Fantasy Clinic, we use only the best drugs with minimal risks of side effects. We focus on statistics and recommendations from world experts, and never on cheapness or an advertising campaign.
• All rules for preparing for vaccinations and for vaccinating children are strictly observed. Thus, we are seriously reducing the percentage of children in whom the vaccine causes even a minimal deterioration in their condition. In this section – answers to the most frequent and important questions of parents about vaccinations + answers to the arguments of anti-vaccinators.

If evidence-based medicine is so good, why are there few such clinics in Russia?

This is a very complex issue that requires a separate article. If you answer it schematically, then:

• Russia has a strong tradition of medicine based on the opinion of authorities. “My professor at the institute taught like this – and I will treat according to his recommendations”, “A well-known doctor advises the following – and I will advise patients the same”, “A large pharmaceutical company declared the effectiveness of the drug – I will prescribe it.”Today there are more authoritative sources – medical manuals and standards based on serious studies. But the "traditional", "authoritarian" medicine often ignores them. The experience of a separate doctor is placed above the evidence base.
• Common difficulties with english ownership. To be a good evidence doctor, you need to know English. Today it is the language of international communication of physicians. All results of large quality research are published in English, all the authoritative medical resources are English.
• The doctor must develop, constantly learn. Not all doctors have motivation and opportunities for this.

But we see how the situation changes. Following us, other children's clinics are opening, which also follow the principles of Evidence-Based Medicine.

I want to know more about recent research and recommendations.

It's fine! We are glad if parents will know more about the specific disease and modern methods of treatment. Together we are more efficient and will help you to help your child. Here are useful resources (in English, but you can use Google Translator):