 getting the memo?
– Vaccines are the one area where you can’t say it’s done for the money.
– For the most part.
– [Host] For the most part, yeah, yeah.
– In fact they have to have funds to protect the companies who do it so they’ll keep making it, yeah.
– Exactly right, we did a show on the vaccine injury court. We also did a show on the medical device and procedure FDA process, the you know five, 10K process, yeah.
– But for clinicians, I think if, like the reason the vaccine guidelines are so clear is because the science is so clear.
– And I think good guidelines allow you to be firm where you can be firm, be flexible where you can be flexible, and have numbers, data, outcome, that can demonstrate to clinicians who are open minded to change. Like you know, gee, maybe the care of CHF has changed over the past 20 years, and maybe something is different now.
– I think that’s a perfect way to end, because what you’re basically saying in ZDoggish, is optimize 2.0 so we can transcend to 3.0, love and care for your patients, and the way you do that is you do the right thing for them transcendent of ego, and don’t hate the guidelines if they can help. Now do hate cookbook medicine because it’s too extreme.
– And do hate full autonomy because you wouldn’t want your pilot doing barrel rolls while another pilot’s flying by the book.
– A good example would be antibiotic stewardship programs.
– So one area where docs have already been, you know, slapped, and said you are not allowed to prescribe vancomycin unless I say it’s okay.
– But I’ve never seen a Cochrane review that was praising the evidence for its efficacy. I mean they were like falling over themselves saying yes this works. So that would be like an example of where limiting autonomy is not always a bad thing.
– Yeah, and you see, it feels onerous to the docs ’cause you have to call for approval.
– But the truth is that’s the only way, and as a resident, I remember, I’m like, I’m ready to drop the guerrilla-cillin on this guy.
– Crap, I gotta call ID.
– [Bill] Yes, yeah.
– And suddenly you have this conversation where you got served, you got educated, you’re like, gee, I didn’t realize.
– [Host] Yeah, the attending wants it.
– I’m gonna go back there, just yes or no.
– [Host] He’s gonna ream me.
– And then later on you can actually have a clinical discussion.
– [Host] Oh, yeah.
– They’re like, do you know in our hospital, the, I’m like, I don’t know, so.
– [Host] And now I know.
– Yeah, so they were willing to give that up.
– I guess because it’s less threatening, but that was an area, a model of, you know, it doesn’t have to be threatening that some decisions you have to run by people.
– Yeah, yeah, yeah, yeah. I am all into what you’re trying to do, Bill Rifkin, and if you guys want to learn more about what Bill’s doing, what MCG is doing, click the link in the description of the thing. It’s really, you’re a Z-packer too, man.
– Like you watch the show.
– My wife is terrified that I’m going to be singing or something, I said no.
– [Host] Oh, should we do this right now?
– It was bad enough that I was trying to pull off the pink here.
– I think you nailed it.
– I think you nailed it, that’s the only way to come to Vegas.
– What happens here now goes out to everybody.
– Right, everybody knows.
– That’s right. So thanks Bill Rifkin.
– [Bill] Thank you.
– Thanks for coming out to Vegas, and guys, Z-pack, I want you to hit like, I want you to hit share, I want you to tell the world about how we can build 3.0 by optimizing 2.0, and rejecting the worst aspects of 1.0 while preserving the heart of it, which is the human relationship. All right guys, we are out.
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Erik Johnson also lit the lamp for the Avalanche, who improved to 1-1-1 on a four-game road trip. Semyon Varlamov made 26 saves.
Ryan Jones scored the lone goal for the Oilers, who have lost four of five. Devan Dubnyk stopped 20-of-23 shots.
Johnson's one-timer from the right point put Colorado ahead 1-0 with 46.9 seconds left in the first period.
Olver, playing in his first game of the season, lit the lamp at the 3:55 mark of the middle stanza. Ryan O'Reilly, who assisted on all three Colorado goals, made a cross-ice pass to Olver, who guided the puck into the back of the net.
Landeskog scored on the power play at the 9:37 mark to make it a 3-0 game. Paul Stastny controlled the puck along the goal line and fed a pass in front for Landeskog, who chipped the disc past Dubnyk.
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