Podríaparecer una locura lo queestoya punto de decir A menudo,menos es más y puedeser lo mejor Haypruebas, tratamientos yprocedimientos que no necesitas Algunos son muyútiles, pero otros es mejor evitarlos
[Estribillo:] Ahoraestamos eligiendosabiamente Los chequeos anualespueden hacer más mal que bien Estamos eligiendosabiamente Las pruebas de imágenes en problemas de poca importanciapueden no decirnos la verdad Estamos eligiendosabiamente Los antibióticos para elresfriado no cambiarán nada y solo harán que te sientas enfermo Estamos eligiendosabiamente Una examen de rutina para todo es un exceso
[Verso2:] Me cuentas que estáspreocupado porque tienesesto y lo otro, Bueno,realmenteme importas, así que no lo reprimas Pero, por loque veo,estarás bien, sí, Nonecesitasesas pruebas,no perdamosel tiempo He aquí por qué
[Estribillo:] Ahoraestamos eligiendosabiamente Los chequeos anualespueden hacer más mal que bien Estamos eligiendosabiamente Las pruebas de imágenes en problemas de poca importanciapueden no decirnos la verdad Estamos eligiendosabiamente Los antibióticos para elresfriado no cambiarán nada y solo harán que te sientas enfermo Estamos eligiendosabiamente Una examen de rutina para todo es un exceso [Puente:] Queremos(sabiamente) mantenerte- fuera de peligro y libre de daños El resultado de esas pruebas(sabiamente) pueden alarmarte Ese tratamiento(sabiamente) puede hacer quete sientas agotado Ese medicamento(sabiamente) puede hacer que tu cabeza dé vueltas y vueltas Te dije(que quieromantenerte) (Sabiamente, con prudencia,prudencia) - fuera de peligro (Prudencia, prudencia,prudencia) Paraeste procedimiento- vas a tener que llevar- una bata de hospital No hacer nada(sabiamente) puede ser tu-amuleto de la suerte he dicho [Chorus 2x]
Oye, vamos decide ser más activo en lugar de tomar pastillas para dormir La lumbalgia mejora sin necesidad de tantas pruebas de imágenes No necesitas tantas pruebas cardíacas todos los años
Mantente activo
Come sano y no demasiado
No fumes
Disfruta de la vida De eso se trata (sabiamente) Librede cualquier daño...haz lo correcto...(sabiamente) Librede cualquier daño...esa dosises demasiado alta...(sabiamente) Librede cualquier daño...usa el sentido común...(sabiamente) Librede todo daño, le dije(déjame decirte ahora)
IMAGES
Almost all images were purchased from shutterstock.com
CHOOSING WISELY
It might seem crazy what I'm about to say
Less is more can often be the best way
There are tests, treatments and procedures you don't really need
While some are very useful, some at best mislead
[Chorus:]
Now we're choosing wisely
Body scans annual exams can do more harm than good
We're choosing wisely
Imaging for minor things may not give you the truth
We're choosing wisely
Antibiotics for a cold will do nothing but make you ill
We're choosing wisely
A routine screen for many things is often overkill
[Verse 2:]
You tell me you're worried you've got this and that, yeah,
Well, I truly care so don't hold it back, yeah,
But, from what I can see you'll be just fine, yeah,
You don't need that test, let's not waste our time
Here's why
[Chorus]
[Bridge:]
We want to (wisely) keep you - free from harm
That test result (wisely) can - cause alarm
That treatment (wisely) can make you - feel run-down
That drug (wisely) could spin your head - round and round
I said (I want to keep you) (Wisely, wisely, wisely) - free from harm
(Wisely, wisely, wisely)
For that procedure you'll have to wear a - hospital gown
Doing nothing (wisely) can be your - lucky charm
I said
[Chorus 2x]
Hey, come on
(wisely)
Free from harm ... do the right thing ... (wisely)
Free from harm ... that dose is too high ... (wisely)
Free from harm ... use common sense ... (wisely)
Free from harm, I said (let me tell you now)
[Chorus 2x]
Copyright Issues
1. The original song is Happy by Pharrell Williams - one of the catchiest songs ever
2.
In Canada we have a law that states the use of copyrighted material as
part of "Fair dealing for the purpose of research, private study,
education, parody or satire does not infringe copyright"
3. The use is solely for non-commercial purposes
4.
The use is solely for the purposes of education - promoting the
concepts of evidence-based medicine, shared decision making and common
sense to healthcare providers and patients
5. It is parody as it
equates the original context of the song - happy - to the concept of
choosing wisely when it comes to health care decisions
6. Written permission from the Karaoke (the background music) people to use their content was obtained http://www.karaoke-version.com
7. Substantive transformative changes have been made - new lyrics and vocals
8. Where needed/possible (paid or free) copyright for the images used has been obtained - shutter stock.com
9.This mash-up video used less than 0.3% of the video content at 24hoursofhappy.com
LYRICS Is this my real life? Is
this my destiny? I've been caught in a landslide, Must escape
polypharmacy.
¿Es esta mi vida real?
Es este mi destino? He estado atrapado en un deslizamiento de
tierra, Debo escapar de la polifarmacia.
I've opened my eyes, Looked
up to the skies now I see, If I'm not a sick boy, I need no
remedy, But I trusted you, you should know You started high,
never low, Many guidelines are opinions so they may not apply to
me, to me.
He abierto los ojos,
Miré hacia arriba al cielo y ahora puedo ver, Si no soy un
muchacho enfermo, no necesito ningún remedio, Pero yo confiaba
en ti, debería saberlo Empezaste alto, nunca con lo minimo,
Muchas guías son opiniones, por lo que muchas pueden no
aplicarse a mí, a mí.
Medications, can kill a
man, Like a gun against his head, Used too many, now he's
dead. Medications, can also help, So no don't go and throw them
all away.
Los
medicamentos, pueden matar a un hombre, Como un arma contra su
cabeza, Utilizó demasiados, ahora está muerto. Los
medicamentos también pueden ayudar, Así que no vayas y tires a
todos por la borda.
Medications, ooh, I'll
give them a try, But if I've not improved at all by this time
tomorrow, I won't carry on, carry on unless I'm feeling better.
Medicamentos, ooh,
Voy a intentar con ellos, Pero si no he mejorado para mañana
a esta hora, No voy a seguir adelante, a menos que me sienta
mejor.
Too late, this drug I'm on, Made
mincemeat of my mind, Body's aching all the time. Come on some
drugs have got to go, Gotta leave these all behind and find what
works.
Demasiado tarde, ya
estoy econ el fármaco, Hizo carne picada de mi mente, El
cuerpo me duele en todo momento. Vamos, algunos medicamentos
deben irse, Hay que dejar todos y encontrar lo que funciona.
Medications, ooh (is this
helping who knows), I don't wanna try, Unless you tell me the
benefits and harms for all.
Medicamentos, ooh
(será de ayuda? quién sabe) No quiero intentarlo, A menos
que me cuenten todos los beneficios y los daños.
Drugs
can make a little silhouetto of a man, Where's the proof, where's
the proof, do you have at least one study? Randomised and
blinded, Really enlightening me. (Cochrane library) Cochrane
library. (Cochrane library) Cochrane library, Cochrane library.
Did you know? Magnifico.
Los medicamentos
pueden empequeñecer al hombre, ¿Dónde está la prueba, ¿dónde
está la prueba, ¿tiene al menos un estudio? Aleatorizado y
ciego, Realmente me ilumina. (Cochrane Library) Biblioteca
Cochrane. (Cochrane Library) Biblioteca Cochrane, Biblioteca
Cochrane. Sabías? Magnifico.
I'm not a slow boy, inform me
well I may agree He's not a slow boy please listen to his
plea, Spare him his life from polypharmacy.
No soy un chico
lento, si me informan bien, pudiera aceptar Él no es un chico
lento, por favor escuchen su plegaria, Aparten la polifarmacia de
su vida Easy come, easy go, will you start it
low? Specialist! No, we will not start it low. (Start it low!)
Specialist! We will not start it low. (Start it low!) Specialist!
We will not start it low. (Start it low) Will not start it
low. (Start it low) Will not start it low. Ah. No, no, no, no,
no, no, no. Medications, medications, medications, start them
low. We've got to find the right dose that will work for me, for
me, for me.
Fácil viene, fácil
se va, vas a iniciarlo con lo mínimo? Especialistas No, no vamos
a iniciarlo con lo mínimo. (comienza lentamente !) Especialistas
No vamos a iniciarlo con lo mínimo. (comienza lentamente !)
Especialistas No vamos a iniciarlo con lo mínimo. (comienza
lentamente) No empieces lentamente . (comienza lentamente) No
empieces lentamente . Ah. No, no, no, no, no, no, no.
medicamentos, medicamentos, medicamentos, comienza con ellos con lo
minimo. Tenemos que encontrar la dosis correcta que funcione para
mí, para mí, para mí.
So you think you can test me and
not tell me why? So you think you can drug me and leave me to
die? Oh, baby, can't do this to me, baby, Just gotta get out,
just gotta get right outta here.
(Oh, yeah, oh yeah)
¿Así
que crees que puedes probar fármacos conmigo y no decirme por qué?
Así que piensas que puedes “drogar” y dejarme morir? Oh,
cariño, no me puedes hacer esto, cariño, Simplemente tengo que
salir, sólo tengo que salir de aquí.
(Oh, sí, oh sí)
Stopping medications, Anyone can see, Stopping
medications, Can really make a difference to me.
Suspender los
medicamentos, Cualquiera lo puede ver, Suspender los
medicamentos, Puede realmente hacer la diferencia para mí. Is
this helping, who knows?
¿Esto ayuda,
quién sabe?
créditos
LYRICS AND VIDEO PRODUCTION
James McCormack - with lyric help from David Scotten and creative input from Pete McCormack
Also thanks to those of you who provided some editing comments - you know who you are and thanks for your ideas!!
IMAGES
Almost all images were purchased from shutterstock.com
Copyright Issues
1. The original song is Bohemian Rhapsody by Queen - a classic song
2.
In Canada we have a law that states the use of copyrighted material as
part of "Fair dealing for the purpose of research, private study,
education, parody or satire does not infringe copyright"
3. The use is solely for non-commercial purposes
4.
The use is solely for the purposes of education - promoting the
concepts of evidence-based medicine to healthcare providers and patients
5.
It is parody as it equates the original context of the song - about
relationships - to the love/hate benefit/harm relationships we have with
medications
6. Written permission from the Karaoke (the background music) people to use their content was obtained http://www.karaoke-version.com
7. Substantive transformative changes have been made - new lyrics and vocals
8. Where needed/possible (paid or free) copyright for the images and videos used has been obtained
Viva La Evidence -- a parody of
Coldplay's Viva La Vida - a song all about evidence based healthcare --
a little bit about the history of evidence and then the key principles.
Hope you like it.
CREDITS
LYRICS AND VIDEO PRODUCTION BY: James McCormack
GREAT
VOCALS BY: Shae Scotten and Liam Styles Chang -- 2 guys from a great
band called Aivia from Victoria, BC - THANKS GUYS -- check them out at http://www.youtube.com/user/weareaivia
LYRICS:
I used to view the world
As a place where I gave the word
It had the feeling of eminence
But then along came evidence
I used to give advice
See disarray in my patient's eyes
I listened to the companies sing
"Now the old drug is dead! We got a new thing!"
One minute I held the key
Next the walls were closed on me
And I discovered that my practice stands
Upon pillars of salt and pillars of sand
I hear the evidence bells a ringing
Systematic reviews are singing
Clinical evidence is the maxim
NNTs are now my passion
For some reason I can't explain
Clinical studies are in my brain
Always an honest word
Now it's how I view the world
The beauty of forest plots
Who knew they were more than dots
Confidence intervals show the light
I can figure out wrong from right
Relative numbers they can wait
I want absolute numbers on my plate
Values and preference
Really make all the difference
I hear the evidence bells a ringing
Systematic reviews are singing
Clinical evidence is the maxim
NNTs are now my passion
For some reason I can't explain
Clinical studies are in my brain
Always an honest word
Now it's how I view the world
I hear the evidence bells a ringing
Systematic reviews are singing
Clinical evidence is the maxim
NNTs are now my passion
For some reason I can't explain
Clinical studies are in my brain
Always an honest word
Now it's how I view the world
Copyright Issues
1. The original song is Viva La Vida by Coldplay -- great song
2.
In Canada we have a law that states the use of copyrighted material as
part of "Fair dealing for the purpose of research, private study,
education, parody or satire does not infringe copyright"
3. The use is solely for non-commercial purposes
4.
The use is solely for the purposes of education - promoting the
concepts of evidence-based medicine to healthcare providers and patients
5. It is parody as it equates the original "religiousness" of the song to medications and evidence in medical practice
6. Written permission from the Karaoke (the background music) people to use their content was obtained http://www.karaoke-version.com/custom...
7. Substantive transformative changes have been made - new lyrics and vocals
8. Where needed/possible (paid or free) copyright for the images and videos used has been obtained
LYRICS -- if anybody wants the evidence/studies referred to in this video please email me at james.mccormack@ubc.ca
Guidelines made me feel so happy I could die
I told my patients it was good enough
To lower glucose make them unconscious
I put my 95 year-olds on a statin
I should have known all along that this was wrong
100 over 60 made them fall, they really fall
Stopping salt and fat did not make sense
I really should have looked at evidence
I didn't know that half of guidelines were just opinion
You say I need an RCT
One that actually shows a difference in a real outcome
I'm supposed to know the NNT, and discuss it with my patients
Are you kidding me?
Don't know what a p-value is
You say I need a Cochrane review to help me find some numbers
I hear some surrogates were wrong
And now I need some studies I'm supposed to quote
Now I need some studies I'm supposed to quote
Now I need some studies I'm supposed to quote
Now and then I think of all the things you had me measure
You had me thinking there was always something that was wrong
All that fibre was an adventure
Now I'm passing wicker furniture Beta-blockers made me feel real slow
And now you telling me about some studies that you need to quote
But now I'm reading RCTs
You get a 1% reduction from a low dose statin
I know now that an A1C of less than 8 is good enough as long as you don't pee
Forget about your CRP
Just don't eat like a great fat pig and go get some activity
I think that I can help you now
I finally have some studies that I like to quote
Some studies
(That I like to quote)
Some studies
(Now I have some studies that I like to quote)
Some studies
(That I like to quote)
Some studies
(Now I have some studies that I like to quote)
(That I like to quote)
(That I like to quote)
(That I like to quote)
(Some studies)
For a spanish translation of the lyrics go to http://rafabravo.wordpress.com/2013/0...
Thanks to Rafael Bravo for doing this. - See more at:
http://medicina-general-familiar.blogspot.com.ar/search/label/James%20McCormack#sthash.7TkFPnv9.dpuf
LYRICS -- if anybody wants the evidence/studies referred to in this video please email me at james.mccormack@ubc.ca
Guidelines made me feel so happy I could die
I told my patients it was good enough
To lower glucose make them unconscious
I put my 95 year-olds on a statin
I should have known all along that this was wrong
100 over 60 made them fall, they really fall
Stopping salt and fat did not make sense
I really should have looked at evidence
I didn't know that half of guidelines were just opinion
You say I need an RCT
One that actually shows a difference in a real outcome
I'm supposed to know the NNT, and discuss it with my patients
Are you kidding me?
Don't know what a p-value is
You say I need a Cochrane review to help me find some numbers
I hear some surrogates were wrong
And now I need some studies I'm supposed to quote
Now I need some studies I'm supposed to quote
Now I need some studies I'm supposed to quote
Now and then I think of all the things you had me measure
You had me thinking there was always something that was wrong
All that fibre was an adventure
Now I'm passing wicker furniture Beta-blockers made me feel real slow
And now you telling me about some studies that you need to quote
But now I'm reading RCTs
You get a 1% reduction from a low dose statin
I know now that an A1C of less than 8 is good enough as long as you don't pee
Forget about your CRP
Just don't eat like a great fat pig and go get some activity
I think that I can help you now
I finally have some studies that I like to quote
Some studies
(That I like to quote)
Some studies
(Now I have some studies that I like to quote)
Some studies
(That I like to quote)
Some studies
(Now I have some studies that I like to quote)
(That I like to quote)
(That I like to quote)
(That I like to quote)
(Some studies)
For a spanish translation of the lyrics go to http://rafabravo.wordpress.com/2013/0...
Thanks to Rafael Bravo for doing this. - See more at:
http://medicina-general-familiar.blogspot.com.ar/search/label/James%20McCormack#sthash.7TkFPnv9.dpuf
LYRICS -- if anybody wants the evidence/studies referred to in this video please email me at james.mccormack@ubc.ca
Guidelines made me feel so happy I could die
I told my patients it was good enough
To lower glucose make them unconscious
I put my 95 year-olds on a statin
I should have known all along that this was wrong
100 over 60 made them fall, they really fall
Stopping salt and fat did not make sense
I really should have looked at evidence
I didn't know that half of guidelines were just opinion
You say I need an RCT
One that actually shows a difference in a real outcome
I'm supposed to know the NNT, and discuss it with my patients
Are you kidding me?
Don't know what a p-value is
You say I need a Cochrane review to help me find some numbers
I hear some surrogates were wrong
And now I need some studies I'm supposed to quote
Now I need some studies I'm supposed to quote
Now I need some studies I'm supposed to quote
Now and then I think of all the things you had me measure
You had me thinking there was always something that was wrong
All that fibre was an adventure
Now I'm passing wicker furniture Beta-blockers made me feel real slow
And now you telling me about some studies that you need to quote
But now I'm reading RCTs
You get a 1% reduction from a low dose statin
I know now that an A1C of less than 8 is good enough as long as you don't pee
Forget about your CRP
Just don't eat like a great fat pig and go get some activity
I think that I can help you now
I finally have some studies that I like to quote
Some studies
(That I like to quote)
Some studies
(Now I have some studies that I like to quote)
Some studies
(That I like to quote)
Some studies
(Now I have some studies that I like to quote)
(That I like to quote)
(That I like to quote)
(That I like to quote)
(Some studies)
For a spanish translation of the lyrics go to http://rafabravo.wordpress.com/2013/0...
Thanks to Rafael Bravo for doing this. - See more at:
http://medicina-general-familiar.blogspot.com.ar/search/label/James%20McCormack#sthash.7TkFPnv9.dpuf
LYRICS -- if anybody wants the evidence/studies referred to in this video please email me at james.mccormack@ubc.ca
Guidelines made me feel so happy I could die
I told my patients it was good enough
To lower glucose make them unconscious
I put my 95 year-olds on a statin
I should have known all along that this was wrong
100 over 60 made them fall, they really fall
Stopping salt and fat did not make sense
I really should have looked at evidence
I didn't know that half of guidelines were just opinion
You say I need an RCT
One that actually shows a difference in a real outcome
I'm supposed to know the NNT, and discuss it with my patients
Are you kidding me?
Don't know what a p-value is
You say I need a Cochrane review to help me find some numbers
I hear some surrogates were wrong
And now I need some studies I'm supposed to quote
Now I need some studies I'm supposed to quote
Now I need some studies I'm supposed to quote
Now and then I think of all the things you had me measure
You had me thinking there was always something that was wrong
All that fibre was an adventure
Now I'm passing wicker furniture Beta-blockers made me feel real slow
And now you telling me about some studies that you need to quote
But now I'm reading RCTs
You get a 1% reduction from a low dose statin
I know now that an A1C of less than 8 is good enough as long as you don't pee
Forget about your CRP
Just don't eat like a great fat pig and go get some activity
I think that I can help you now
I finally have some studies that I like to quote
Some studies
(That I like to quote)
Some studies
(Now I have some studies that I like to quote)
Some studies
(That I like to quote)
Some studies
(Now I have some studies that I like to quote)
(That I like to quote)
(That I like to quote)
(That I like to quote)
(Some studies)
For a spanish translation of the lyrics go to http://rafabravo.wordpress.com/2013/0...
Thanks to Rafael Bravo for doing this. - See more at:
http://medicina-general-familiar.blogspot.com.ar/search/label/James%20McCormack#sthash.7TkFPnv9.dpuf
Yes I know this is the "1,432nd parody" of a song called "Somebody That I Used To Know" by Gotye.
CREDITS
LYRICS AND VIDEO PRODUCTION BY: James McCormack
GREAT
VOCALS BY: Shae Scotten and Liam Styles Chang -- 2 guys from a great
band called Aivia from Victoria, BC - THANKS GUYS -- check them out at http://www.youtube.com/user/weareaivia
LYRICS -- if anybody wants the evidence/studies referred to in this video please email me at james.mccormack@ubc.ca
Guidelines made me feel so happy I could die
I told my patients it was good enough
To lower glucose make them unconscious
I put my 95 year-olds on a statin
I should have known all along that this was wrong
100 over 60 made them fall, they really fall
Stopping salt and fat did not make sense
I really should have looked at evidence
I didn't know that half of guidelines were just opinion
You say I need an RCT
One that actually shows a difference in a real outcome
I'm supposed to know the NNT, and discuss it with my patients
Are you kidding me?
Don't know what a p-value is
You say I need a Cochrane review to help me find some numbers
I hear some surrogates were wrong
And now I need some studies I'm supposed to quote
Now I need some studies I'm supposed to quote
Now I need some studies I'm supposed to quote
Now and then I think of all the things you had me measure
You had me thinking there was always something that was wrong
All that fibre was an adventure
Now I'm passing wicker furniture
Beta-blockers made me feel real slow
And now you telling me about some studies that you need to quote
But now I'm reading RCTs
You get a 1% reduction from a low dose statin
I know now that an A1C of less than 8 is good enough as long as you don't pee
Forget about your CRP
Just don't eat like a great fat pig and go get some activity
I think that I can help you now
I finally have some studies that I like to quote
Some studies
(That I like to quote)
Some studies
(Now I have some studies that I like to quote)
Some studies
(That I like to quote)
Some studies
(Now I have some studies that I like to quote)
(That I like to quote)
(That I like to quote)
(That I like to quote)
(Some studies)
LYRICS -- if anybody wants the evidence/studies referred to in this video please email me at james.mccormack@ubc.ca
Guidelines made me feel so happy I could die
I told my patients it was good enough
To lower glucose make them unconscious
I put my 95 year-olds on a statin
I should have known all along that this was wrong
100 over 60 made them fall, they really fall
Stopping salt and fat did not make sense
I really should have looked at evidence
I didn't know that half of guidelines were just opinion
You say I need an RCT
One that actually shows a difference in a real outcome
I'm supposed to know the NNT, and discuss it with my patients
Are you kidding me?
Don't know what a p-value is
You say I need a Cochrane review to help me find some numbers
I hear some surrogates were wrong
And now I need some studies I'm supposed to quote
Now I need some studies I'm supposed to quote
Now I need some studies I'm supposed to quote
Now and then I think of all the things you had me measure
You had me thinking there was always something that was wrong
All that fibre was an adventure
Now I'm passing wicker furniture Beta-blockers made me feel real slow
And now you telling me about some studies that you need to quote
But now I'm reading RCTs
You get a 1% reduction from a low dose statin
I know now that an A1C of less than 8 is good enough as long as you don't pee
Forget about your CRP
Just don't eat like a great fat pig and go get some activity
I think that I can help you now
I finally have some studies that I like to quote
Some studies
(That I like to quote)
Some studies
(Now I have some studies that I like to quote)
Some studies
(That I like to quote)
Some studies
(Now I have some studies that I like to quote)
(That I like to quote)
(That I like to quote)
(That I like to quote)
(Some studies)
For a spanish translation of the lyrics go to http://rafabravo.wordpress.com/2013/0...
Thanks to Rafael Bravo for doing this. - See more at:
http://medicina-general-familiar.blogspot.com.ar/search/label/James%20McCormack#sthash.7TkFPnv9.dpuf
