My great friend, the charming ignoramus Leslie "the Fortess" Livingston, and I recently had the opportunity to bandy about a debate topic in the November issue of Swimmer magazine.
Leslie has asked me to create a poll to see which of us had the more persuasive arguments vis a vis the usefulness of weight lifting to behoove swimming performance.
I tried to talk Leslie out of such a poll, because I wasn't sure her delicate albeit manly temperament could take the likely beat down she would get, vote wise.
After all, her teenage daughter had already proclaimed, in uncertain terms, that she was best off pleading Nolo contendere here (see en.wikipedia.org/.../Nolo_contendere if your legal skills are as atrophied as Leslie's). In her daughter's own words, "He totally owned you, Mom! Like totally! It was so awesome! He's so totally funny, and you are so totally uptight, Mom! I mean, it was like so totally embarrassing how much he owned you! Please tell me I'm adopted! Please tell me Jim Thornton is my real mother!"
Unfortunately, this kind of advanced rhetorical argument on my part fell on deaf ears, just as my advanced rhetorical argument--in which actual studies were cited!--also fell on deaf ears. Evidently, the dear girl has overdone the neck thickening machine, and in the process, mastoid muscle processes seem to have overgrown her ear canals!
I know that not everyone has received their copy of Swimmer yet. Rumor has it that those of us who live in the higher class zip codes get the extra virgin pressed copies, with the rest of you having to wait to the ink starts getting stale.
You will get your copies one day, I assure you! Just as you will get your H1N1 swine flu vaccines dosages when me and my friends at Goldman have had our third inoculations!
But I am getting a bit off the track here.
If you've read our Inane Point (Leslie) - Brilliant Counterpoint (Jim) *** for tat debate, Leslie asks that you vote in this poll for the person you think was RHETORICALLY superior.
Note: this does not mean which of us was right.
Hell, I have already conceded Leslie was right, and have begun weight lifting myself thrice weekly!
I am one bulked up monstrosity of a girly man at this point, and I don't plan to stop till you can bounce quarters off my moobs.
So. Forget all aspects of actual rational correctness here, and certainly forget all aspects of who is more popular.
And vote with your pitiless inner rhetoritician calling the shots.
Leslie, I warned you: Nolo contendere was the smart plea. But no, you just wouldn't hear of it!
Its truly fascinating to see how my recreation mimics my professional life and how little actual evidence there is for so many tightly held beliefs. I don't have an opinion on this one, yet -- I assumed that weight lifting led to faster swimming because:
a. I was told that it did when I was young
b. It makes sense
c. I take a better poolside picture after a few months of weights
Answers a and b are true for about 80% of clinical medicine, a lot of which is garbage. You don't want to know what we really don't know about treating or preventing disease.
But if you are looking for actual evidence, I offer the following:
www.bmj.com/.../1459
Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomised controlled trials
Gordon C S Smith, professor1, Jill P Pell, consultant2
1 Department of Obstetrics and Gynaecology, Cambridge University, Cambridge CB2 2QQ, 2 Department of Public Health, Greater Glasgow NHS Board, Glasgow G3 8YU
Correspondence to: G C S Smith gcss2@cam.ac.uk
Abstract
Objectives To determine whether parachutes are effective in preventing major trauma related to gravitational challenge.
Design Systematic review of randomised controlled trials.
Data sources: Medline, Web of Science, Embase, and the Cochrane Library databases; appropriate internet sites and citation lists.
Study selection: Studies showing the effects of using a parachute during free fall.
Main outcome measure Death or major trauma, defined as an injury severity score > 15.
Results We were unable to identify any randomised controlled trials of parachute intervention.
Conclusions As with many interventions intended to prevent ill health, the effectiveness of parachutes has not been subjected to rigorous evaluation by using randomised controlled trials. Advocates of evidence based medicine have criticised the adoption of interventions evaluated by using only observational data. We think that everyone might benefit if the most radical protagonists of evidence based medicine organised and participated in a double blind, randomised, placebo controlled, crossover trial of the parachute.
Its truly fascinating to see how my recreation mimics my professional life and how little actual evidence there is for so many tightly held beliefs. I don't have an opinion on this one, yet -- I assumed that weight lifting led to faster swimming because:
a. I was told that it did when I was young
b. It makes sense
c. I take a better poolside picture after a few months of weights
Answers a and b are true for about 80% of clinical medicine, a lot of which is garbage. You don't want to know what we really don't know about treating or preventing disease.
But if you are looking for actual evidence, I offer the following:
www.bmj.com/.../1459
Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomised controlled trials
Gordon C S Smith, professor1, Jill P Pell, consultant2
1 Department of Obstetrics and Gynaecology, Cambridge University, Cambridge CB2 2QQ, 2 Department of Public Health, Greater Glasgow NHS Board, Glasgow G3 8YU
Correspondence to: G C S Smith gcss2@cam.ac.uk
Abstract
Objectives To determine whether parachutes are effective in preventing major trauma related to gravitational challenge.
Design Systematic review of randomised controlled trials.
Data sources: Medline, Web of Science, Embase, and the Cochrane Library databases; appropriate internet sites and citation lists.
Study selection: Studies showing the effects of using a parachute during free fall.
Main outcome measure Death or major trauma, defined as an injury severity score > 15.
Results We were unable to identify any randomised controlled trials of parachute intervention.
Conclusions As with many interventions intended to prevent ill health, the effectiveness of parachutes has not been subjected to rigorous evaluation by using randomised controlled trials. Advocates of evidence based medicine have criticised the adoption of interventions evaluated by using only observational data. We think that everyone might benefit if the most radical protagonists of evidence based medicine organised and participated in a double blind, randomised, placebo controlled, crossover trial of the parachute.
