Dr. Hanna Saadeh
Levels of Medical Evidence
Doubting Confirmed Truths
It is the duty of science to periodically doubt its own confirmed truths and to subject them to re-examination whenever new data conflicts with old findings. As a result of this periodic self-monitoring, old truths continue to become refined over time.
Indeed, newer studies have now confirmed that lowering cholesterol protects against heart attacks mainly if the lowering affects the LDL (Low Density Lipoprotein) cholesterol fraction. If the lowering affects the HDL (High Density Lipoprotein) cholesterol fraction, it may indeed encourage heart attacks. Moreover, the same degree of lowering, when achieved by different types of medications, does not provide the same degree of protection, which means that the choice of medicine is as important as is the degree of lowering.
Levels of Medical Evidence
Retrospective, Observational Studies
These begin by observing a recognizable pattern of disease behavior such as—people with high blood pressures have more strokes, those with high cholesterols have more heart attacks, and those with more stress have more bleeding ulcers. These observations provoke hypotheses or theories that attempt to explain the observed phenomena. Observers might theorize that:
a) high blood pressure—by weakening the arteries—causes strokes,
b) high cholesterol—by dirtying the arteries—causes heart attacks, and
c) stress—by increasing stomach acid—causes bleeding ulcers.
More Articles...
- Hanna Saadah
- Shortness of Breath or ‘Dyspnea’: Dyspnea is always serious, especially if it gets worse with time
- Celiac Disease: Is an iceberg where only the tip reveals itself whereas the rest of it hides under water
- Arthritis: The more we age, the faster we ache and the slower we move.
- Antibiotic Overuse & Abuse
- Chronic Cough: It is imperative to rule out serious diseases & make specific diagnoses in all cases of chronic cough
- Chest Pain: Common, frightening, but uncommonly cardiac
- Sleep Apnea
- Chronic Backache
- Acute Back Ache
- Osteoporosis
- Heart Burn
- High Blood Pressure
- Diabetes
- Thyroid Disorders
- Hormone Replacement Therapy (HRT) for Women and Men
- Prostate Disorders and Infections
- Female Urinary Bladder Infections
- Understanding Cholesterol
- Measuring Depression
- The Physical Masques Of Depression
- Anxiety and Panic
- Failure of preventive medicine is the cause of great human misery
- Failure of preventive medicine is the cause of great human misery
- The Journey of Truth From Myth to Science
- Headache Disorders: by Dr. Hanna Saadah
- Thyroid Disorders
- Fear in Medicine: by Dr. Hanna Saadah
- The Psychology of Addiction
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Dr Saadeh Recent Articles
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Levels of Medical Evidence Doubting Confirmed Truths It is the duty of science to periodically doubt its own confirmed truths and to subject them to re-examination whenever new data conflicts with old findings. As a result...
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Levels of Medical Evidence Retrospective, Observational Studies These begin by observing a recognizable pattern of disease behavior such as—people with high blood pressures have more strokes, those with high cholesterols have...
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Shortness of Breath or ‘Dyspnea’: Dyspnea is always serious, especially if it gets worse with time Dr. Hanna Saadah The word dyspnea or shortness of breath comes to us from the compound Greek word ‘duspnoia’ where ‘dus’ means difficult and ‘pnoē’ means breathing. It is one of the...
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Celiac Disease: Is an iceberg where only the tip reveals itself whereas the rest of it hides under water Celiac Disease is the iceberg of abdominal and intestinal disorders because for every diagnosed case (tip of the iceberg) seven remain undiagnosed. The disease is common, affecting about 1% of earth’s...
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Arthritis: The more we age, the faster we ache and the slower we move. The word Arthritis has come to mean any joint ache or deformity. Medically, however, arthritis means a red, hot, swollen, and painful joint or else a joint with specific x-ray signs of bone deformity...
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Antibiotic Overuse & Abuse Is prevalent especially during the season of acute respiratory infections and may have dangerous consequences. Ever since their inception in the early part of the last century, antibiotics have been overused...
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Chronic Cough: It is imperative to rule out serious diseases & make specific diagnoses in all cases of chronic cough Cough means that something is irritating the lung, airways, voice box, esophagus, or back of the throat. When cough is sudden in onset and of short duration, it is usually caused by a recent illness...
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Chest Pain: Common, frightening, but uncommonly cardiac Chest pain is a very common symptom that often frightens us into seeking cardiac evaluations. But since the overwhelming majority of chest pains are not caused by heart diseases, it also follows that...
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Hanna Saadah Hanna Saadah was born in Lebanon in 1946, received his medical degree from the American University of Beirut in 1971, and then came to the University of Oklahoma Health Sciences Center for further specialization. ...
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Sleep Apnea عربي Understanding the many facets of fatigue Fatigue is the commonest complaint in medicine. It is the end result of all diseases and the least specific of all symptoms. Its presence means...
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