‘Anything is possible under the sun’. ‘Death is the only truth in the universe’. Does this two proverb not enough to create confusion! If except for death there is nothing true, then all other seemingly true actions or decisions are just not right. In management classes, gurus teach there is no right answer but a best option. The same holds true in medicine. While making decisions for our patients, we follow the evidences rather than our gut feelings. Evidence based medicine has helped refined our decision making process. However it is must to understand that these guidelines require some criteria to be met and is not applicable without their limitations. As an example, in our population, follow-up of patients is very poor. If they feel better on medications, for them they are cured and such make it difficult for us to wait and watch as watching is an attempt of monitored treatment and not a final treatment in itself.
