Medicine
pharyngula | October 19, 2011Want to spend an hour cringing and twitching? This is the abridged version of "Cut: Slicing Through the Myths of Circumcision", and you will suffer if you watch it. It is a wasteful, terrible thing to do to a child.
One rabbi interviewed is at least honest about circumcision: "It's painful, it's abusive, it's traumatic, and if anybody does it who isn't in a covenant ought to be put in prison…I do abusive things because I'm in covenant with god." What nonsense. What a wretched excuse for abusing children.
(Warning: lots of shots of babies getting chopped, as well as closeups of adult penises…
cmonforton | October 13, 2011An ad hoc committee of the Institute of Medicine (IOM) identified a litany of potential benefits of including information about individuals' occupations, industry, and work environment in their electronic health records (EHRs). The reason the question was posed at all stems from a provision in the American Recovery and Reinvestment Act of 2009 which provides hefty incentives for health care providers to convert patients' medical records from paper to electronic form. At the time the bill was passed, one reporter noted that only about 8 percent of the nation's hospitals and 17% of its…
lborkowski | October 12, 2011Back in August, events and exhibits marked the one-year anniversary of learning that 33 miners who were trapped underground in Chile's San Jose mine were alive. The rescue, which involved drilling a 2,000 foot shaft and lifting out the miners who'd endured 69 days underground, captivated viewers around the world.
The New York Times' Alexei Barrionuevo takes a look at how the miners have fared since their rescue, and reports that the trauma of being trapped underground continues to afflict many of them. Their situations are not what one might expect for international celebrities:
One year…
gregladen | October 6, 2011A study incorporating over 12,000 prior peer reviewed publications, addressing the question of vaccine safety, is due for release by the National Academies of Science. The study attempts to understand adverse effects of vaccines and to assign causality to supposed negative outcomes. The 667 page study covers a large number of vaccines. And yes, it addresses autism.
The study cataloged about 60 distinct adverse effects across 8 categories of vaccine treatments, two of which contain multiple vaccines, for a total of 12 distinct vaccines, as well as more general injection-related events (…
oracknows | October 6, 2011
Another day, another grant. Well, not exactly. We have a visiting professor in town, and I have to give a talk at our department research retreat today. Between going out to dinner, working on the talk, and working on the grant, another day has passed without new Insolence. Bummer. But that pales in comparison to having learned last night while at dinner that Steve Jobs has passed away. Apple fanboy I may be, but I was surprised at how much the news saddened me. It did, however, make it easy to figure out what post(s) I would rerun today. In 2008 and 2009 I did a series of posts about…
sporte | October 2, 2011For the past few days I've been avidly following Daniel MacArthur's tweets from the Personal Genome Conference at Cold Spring Harbor(@dgmacarthur #cshlpg).
The Personal Genomics tweets aren't just interesting because of the science, they're interesting because MacArthur and others have started to take on the conventional dogma in genetic ethics.
For years, there has been a strong message from the clinical genetics and genetics education community that genetic information is dangerous.
Unlike the other medical tests we're continually urged to get (mammograms, blood pressure readings, sugar…
pharyngula | October 1, 2011I'm afraid Ben Cochran is one of them. He's a nursing student who wrote a column in a newspaper because he was upset at the time it took for the emergency medical services at his local clinic to help him with his sneezy, phlegmy cold (which, I would have told him, is going to put a low priority on something they can't really treat anyway). He places the blame: the clinic offers women's reproductive services, and they were busy helping a "gaggle of preemie sluts [] get a free pass on harlotry" and treating their "cunt problems".
But he really doesn't have a problem with these women, he says.…
pharyngula | September 29, 2011Among the many joys plaguing me recently is learning that I get to teach, for the first time for me and for the first time at my university, I get to teach a course in cancer biology this spring term. I'm not totally unprepared for this — I was on a cancer training grant for about 5 years, got some basic education in clinical oncology as well as the basic science of the processes, and really, it's all about gene regulation, cell cycle control, signal transduction, and specification and commitment, all stuff that is eminently familiar to a developmental biologist. But still, you can guess what…
oracknows | September 25, 2011When you've been at this blogging thing as long as I have, it's possible to be shocked at how long you find yourself commenting on the same story. As I approach the end of the seventh year of Insolence, both Respectful and not-so-Respectful, I find these "senior blogging moments" popping up from time to time. One such story is that of a young man named Abraham Cherrix. I first learned of Cherrix back in June 2006, when, a few months after having been diagnosed with Hodgkin's lymphoma at age 15, Cherrix, supported by his mother, decided that he didn't want to take any more chemotherapy and…
oracknows | September 21, 2011Perhaps the biggest bête noire for me is the infiltration of quackademic medicine into academic medical centers; so whenever I see particularly egregious examples, it gets my fingers twitching over the keyboard, ready to lay down some not-so-Respectful Insolence. So it was last Friday when I happened across an article published nearly two years ago in The Hospitalist entitled Growth Spurt: Complementary and alternative medicine use doubles, which began with this anecdote:
Despite intravenous medication, a young boy in status epilepticus had the pediatric ICU team at the University of…
oracknows | September 21, 2011We get hate mail. Or I do. True, I don't get an inordinate amount of hate mail, but I do get some. A lot of the time, it's rather boring and predictable, which is why I don't often respond to it on the blog, although sometimes against my better judgment I respond by e-mail. That happens less and less frequently, though, given my e-mail volume between work, personal life, and the blog.
Less tiresome is hate mail from proponents of alternative medicine whom I have apparently really, really annoyed. Well, sometimes it's less boring. Often it's very boring indeed, but sometimes when I'm in the…
oracknows | September 19, 2011A couple of months ago, right before TAM 9, I took note of a rather disturbing post by one of the regular bloggers on the anti-vaccine crank blog Age of Autism. Basically, the post was worrisome because in it Kent Heckenlively portrayed those who oppose anti-vaccine pseudoscience as "wicked," even quoting Psalm 94, which is a psalm that calls upon the Lord to bring his vengeance upon the wicked and destroy them. He also invoked Stephen King's novel The Stand. Normally, this wouldn't be such a big deal, except for its timing. Most skeptics will know that The Amazing Meeting is a yearly meeting…
oracknows | September 16, 2011"CHEMOTHERAPY KILLS!!!!"
I've lost count of how many times I've come across brain-dead statements like the one above, often in all caps on websites resembling that of the Time Cube guy, quite frequently with more than one exclamation point, on the websites of "natural healers," purveyors of "alternative medicine." In fact, if you Google "chemotherapy doesn't work," "chemotherapy is poison," or "chemotherapy kills," you'll get thousands upon thousands of hits. In the case of "chemotherapy kills," Indeed, the top two autofill choices I get on Google for "chemotherapy kills" are "chemotherapy…
jhalper | September 12, 2011Last month, Penn Medicine put out a press release heralding a "cancer treatment breakthrough 20 years in the making." In a small clinical trial, three patients with advanced chronic lymphocytic leukemia (CLL) were treated with genetically engineered versions of their own T cells. Just a few weeks after treatment the tumors had disappeared, and the patients remained in remission for a year before the study was published.
The release didn't, however, explain those "20 years in the making." In 1989, Prof. Zelig Eshhar of the Weizmann Institute's Immunology Department first published a paper…
lborkowski | September 9, 2011Deriding government bureaucrats seems to be a popular pasttime among certain politicians and talk-radio hosts, so it's nice every so often to remind ourselves about the important and valuable work our civil servants do. An article by Patricia Sullivan in the Washington Post provides a glimpse into the world of one longtime federal-government employee who's made a difference for public health. Lawrence Deyton is currently director of the Food and Drug Aministration's Center for Tobacco Products, and he also spent many years working on clinical trials of HIV drugs and a range of veterans health…
oracknows | September 9, 2011ORAC NOTE: Work kept me out late last night going out to dinner with a visiting professor. Fortunately, it was actually pretty fun. Unfortunately, it kept me from cooking up a heapin' helpin' of the Insolence, either Respectful or not-so-Respectful, that my readers crave. So instead, here's a repost from elsewhere. I didn't think I could use it because the deadline for the survey I discuss was originally September 1. Fortunately, the College of Physicians and Surgeons of Ontario (CPSO) extended the deadline to September 16, making this post relevant for exactly one more week. Enjoy! And go…
oracknows | September 7, 2011I don't recall how many times I've said lately that I detest the term "integrative medicine." As I've pointed out time and time again, it's the preferred "successor," if you will, to the term "complementary and alternative medicine" (CAM) (at least among the woo-friendly). After all, as I've pointed out before, it just won't do to have the fashionable quackery du jour be considered as only being "complementary" or "alternative" to real medicine. That implies at best that it has a subsidiary role to real medicine and at worst that it is not real medicine, being "alternative" and all. The whole…
oracknows | August 30, 2011Sometimes I feel a little bit guilty when I'm writing a post deconstructing anti-vaccine nonsense, "alternative medicine" quackery, or some other form of pseudoscience. This guilt usually derives when I end up picking a target that's just too easy, a study that's just so mind-numbingly, brain-meltingly awful that it's not much of a challenge, even though at the time I perceive that it needs to be done. I suppose it's like the feeling that a professional sports team might feel if it were ever paired with a high school team--or even a junior high--team for a game. In fact, I was half-tempted…
lborkowski | August 22, 2011By Kim Krisberg
Public health director Kerran Vigroux sounds almost matter-of-fact when she talks about having to shut down her department's screening services for sexually transmitted diseases. As she talks about the prevention and education opportunities that packed up and left along with the testing services, there's that familiar, barely audible public health tone to her voice -- the one that says "this makes no sense at all."
Vigroux directs public health services in the New Hampshire city of Nashua, and she isn't alone in having to shutter her department's STD services. New Hampshire…
lborkowski | August 12, 2011The US spends far more per capita on healthcare than any other developed country -- $7,538 per person, compared to $3,129 in the UK, $4,079 in Canada, and $5,003 in Norway (the second-biggest spender), according to 2008 totals compiled by the Kaiser Family Foundation. One contributor to our high healthcare costs is high administrative costs, which is the natural consequence of having hundreds of different insurance plans with different policies, networks, and rates. A new study in the journal Health Affairs focuses on one aspect of administrative costs: the time physician practices spend…