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  • 1.  Visual Midline Shift Syndrome

    Posted 07-21-2025 12:33

    A patient today reminded me of something... Has anyone produced a document for patients politely stating that visual midline shift, physical therapy to correct same, and yoked prism therapy are not evidence-based medicine? It's rampant as usual, and is a recurring theme for all TBI patients.

    Mitch



  • 2.  RE: Visual Midline Shift Syndrome

    Posted 07-28-2025 18:39
    I have found that people are not stupid.

    I simply remind patients that the job of the doctor is to give the patient all of necessary information any a reasonable person, in their situation, needs to make an intelligent decision or informed consent and whatever they decide, it is the right decision., because it is their choice.

    I then remind the patient that the actions of a physician can only be taken in one of three ways:

    Patient advocacy 

    Social good

    Self interest

    People then understand that if they don't have a good reason for using yoke prism from the individual describing treatment, then the treatment may not be for their best interest, but for the prescriber's self interest.

    Don't underestimate the intelligence of your patient



    Edward M. Cohn, MD, mba, mph
    3535 W 13 Mile (506)
    Royal Oak, MI 48073
    Ph: 248-551-8282
    http://www.umich.edu/~edcohnmd

    Sent from my iPhone





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