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Editorials: POINT/COUNTERPOINT EDITORIALS |

Rebuttal from Dr Park et al

Pauline K. Park, MD; Heidi J. Dalton, MD; Robert H. Bartlett, MD, FCCP
Author and Funding Information

From the University of Michigan Health System (Drs Park and Bartlett), and the Phoenix Children’s Hospital (Dr Dalton).

Correspondence to: Pauline K. Park, MD, Surgery, 1C340B-UH/SPC 5033, 1500 E Medical Center Dr, Ann Arbor, MI 48109-5033; e-mail: parkpk@umich.edu


Financial/nonfinancial disclosures: The authors have reported to CHEST the following conflicts of interest: Dr Bartlett is part owner of Michigan Critical Care Consultants, Inc, serves as a consultant for Cytosorbents, Inc, and has in the past served as a consultant to many granting agencies and companies that manufacture life support drugs or devices. Drs Park and Dalton have reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (http://www.chestpubs.org/site/misc/reprints.xhtml).


© 2010 American College of Chest Physicians


Chest. 2010;138(4):782. doi:10.1378/chest.10-1788
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Extract

The counterpoint by Morris et al2 is a scholarly description of scientific inquiry and a paean to its virtues. There is no disagreement from us regarding its posits of credible evidence and the careful development of trial data. But the challenge lies in applying our existing knowledge to the exigencies of real life. What treatment should physicians offer once conventional measures are judged unsuccessful? Should nothing further be done, or, should alternative treatments with plausible benefit be administered? By steadfastly refusing to consider alternatives to dated studies, their essay fails to offer credible solutions for an evolving pandemic.

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