Numbers needed to heal, numbers needed to harm, numbers needed to kill; reflections on opioid therapy and primary duty of medicine

Rajesh Munglani

Abstract


I sometimes think that, having been called to practice in the Healing Arts, and in particular the Noble Art of Medicine, I feel like part of a wandering tribe in the desert.

Nothing ever seems to stay the same. Whilst the human body and mind is probably more or less now what it was a few thousand years ago (perhaps a bit fatter from too much cereal consumption and soda pop and resulting in little more type 2 diabetes and cardiovascular disease – but that is another story), everything else to do with caring for the human condition changes at a frightening pace.


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