Choice

The straightforward and the not so straightforward

BMJ 1999; 319 doi: https://doi.org/10.1136/bmj.319.7214.0 (Published 02 October 1999) Cite this as: BMJ 1999;319:0

The old fashioned idea of doctors reading medical journals is that their practice changes immediately in response to what the journals contain. In reality, many factors (many of them irrational) are needed for doctors to change their practice, but it's fun with this issue to think in the old fashioned way.

Firstly, he (because this fantasy belongs to a time when most doctors were men) will start to treat patients who have had carpal tunnel syndrome for more than three months with an injection of methylprednisolone proximal to the carpal …

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