 This case shows that a treatment’s effectiveness in relieving the symptoms of the disease for which it was prescribed is not the only consideration when making a treatment decision. The goal of the treatment is to improve the patient’s wellbeing, which is well recognized by the proponents of EBM. A patient’s wellbeing has many components, of course, and the symptoms of any given disease are at best one element in its determination. This is another reason why clinical judgment must be exercised in the derivation of a treatment recommendation.