Ha Ha- I knew if I shook his cage hard enough. Interesting to note your view point on evidence based medicine.
Wading through all the personal abuse, it'd be interesting if Mac could source his assertions.
Ear specialists tend to disagree with this philosophy and promote efforts to distinguish between viral and bacterial infection, so as to optimize treatment results by giving antibiotics only for bacterial infection.
You see this is exactly the meaningless nonsense offered by "experts," who are often a little divorced from reality. I prefer facts myself, if your interested Mac, see Sharland
et al eBMJ 20 June 2005 for a starting point.
If you know of a reliable and valid tool to distinguish viral from bacterial OM you'd be more than welcome to spend a day in my practice demonstrating it's use.
Twenty years experience doesn't count for much in my eye, 'specially if you've been doing it wrong each year, for all of those twenty years.
