Medicine

As a cancer surgeon, one aspect of the infiltration of quackademic medicine into academic medical centers that bothers me more than most others is how willingly academia has been to "integrate" quackery with science-based oncology to form the bastard stepchild known as "integrative oncology" that has metastasized to numerous cancer centers that should know better. Metastatic deposits of quackademia have infiltrated the University of Texas-M.D. Anderson Cancer Center, UCSF, Memorial Sloan-Kettering, and many others. It's quackademic medicine victorious out there; or at least so it seems. Yet,…
This article was co-authored with Dr. Rama Hoetzlein, Assistant Professor, Department of Architecture and Media Technology at the Aalborg University at Copenhagen. Dr. Hoetzlein prepared the graphic. With increasing concern about radiation exposure in Japan and beyond, you might wonder: How much radiation am I getting? It depends... Note that Dr. Hoetzlein and I are not experts in nuclear engineering; this graphic has been prepared using authoritative source material and is intended as a general guide. This visualization shows a map of low level ionizing radiation levels received from…
Exactly one year ago, President Obama signed into law the Patient Protection and Affordable Care Act - the most sweeping change to US healthcare since the legislation that created Medicare and Medicaid in 1965. The law's most important achievement is its creation of a system that will slash our nation's shameful uninsurance rate by an estimated two-thirds once it's fully implemented. Public opinion on the law is still mixed, and that's likely due to two things. First, many of the law's provisions won't kick in until 2014. Second, for those of us with a reliable source of affordable health…
Calling all Texas skeptics! Well, at least Texas skeptics who can find their way to Galveston on March 29. The reason? Well, the University of Texas Medical Branch at Galveston is hosting the Nicholson Round-table Integrative Lecture Series: "Complementary and integrative medicine in cancer care -- What does the evidence show?" will be presented by Dr. Moshe A. Frenkel, founder of the integrative oncology clinic at M.D. Anderson Cancer Center. He will be joined by panelists Dr. Avi B. Markowitz, chief of the division of hematology/oncology and head of the office of oncology clinical trials at…
The federal government, including NIH, isn't exactly seen as a hotbed of artsy drama types. ("Faceless gray mega-bureaucracy" might be a more typical descriptor.) So I was tickled to learn that the National Institute on Drug Abuse is framing a series of continuing medical education (CME) courses about addiction around dramatic readings of Eugene O'Neill's Long Day's Journey Into Night. And no, we're not talking about cheesy readers' theater - they got Debra Winger and several Tony nominated stage actors to participate. As a threshold matter, this is cool because it shows that NIH recognizes…
I made this post a few years ago, and I'm updating it now because my family back home in the Seattle-Tacoma area has a tradition: every year they join the Relay for Life to raise money for cancer research, in honor of my sister-in-law, Karen Myers, who died of melanoma. That's my family listed there, doing good. If anyone wants to chip in to help out, that would be nice — I'm planning to donate to my mother's page, since I like her best, but they're all nice people and it's a great cause. Or if you'd prefer to donate to the one who'll probably expend the most energy running around the track,…
A breakthrough infant formula for babies 0 to 12 months * The first infant formula with BIFIDUS Bâ¢--beneficial cultures like those found in breastmilk to help support Baby's healthy immune system1 * Gentle 100% whey COMFORT PROTEINS® designed to be easy to digest * Complete nutrition in a milk-based formula * DHA & ARA for Babys brain and eye development There's a classic saying in the advertising industry: "Sell the sizzle, not the steak." Gerber's "Good Start Protect Plus" baby formula commercial, shown in the video above, is an example. The American Academy of Pediatrics and the…
With nearly one-third of US healthcare spending going to hospital care, it's natural that people would be looking for ways to trim spending on hospital services. A new study just published in the journal Health Affairs reports that seriously ill hospital patients receiving consultations from palliative care teams can incur lower costs. For this study's population - Medicaid patients facing serious or life-threatening illnesses admitted to four New York State hospitals - the authors found that patients who received palliative care consultations incurred costs that averaged $6,900 less than…
What a fabulous combination. This week, Congress has held hearings on the direct-to-customer ('DTC') genetic testing industry. It appears, based on previous statements by FDA officials, that they have publicly contradicted themselves--or been willfully ignorant--about the larger scientific benefits from DTC testing. This week's hearings also seem to have attracted some serious hyperbolic anti-DTC testimony, even by my standards (these companies are "raping the human genome project"? The HGP was made public domain so everyone, including those who work at companies, could have access to the…
Not too long ago, I posted a rather amusing little video called Immunize! One line in the song that amused me went something like this: Don't give Chuck Norris shots! That'd be dim. Chuck need vaccines? Naw Vaccines need him? Actually, not too surprisingly, it turns out that the word "dim" should be applied to Chuck Norris, particularly when it comes to "complementary and alternative medicine" (CAM), also known as "integrative medicine" (IM), or, as I call it, "integrating" quackery with real medicine. Of course, as fellow Sb bloggers have demonstrated, Chuck's well-toned biceps aren't the…
Consider this the post wherein I channel my Inner ERV. During the last week, I've come across a couple sensationalist article about E. coli and Staphylococcus aureus being found on common surfaces. Here's one article about shopping carts and E. coli: Researchers from the University of Arizona swabbed shopping cart handles in four states looking for bacterial contamination. Of the 85 carts examined, 72 percent turned out to have a marker for fecal bacteria. The researchers took a closer look at the samples from 36 carts and discovered Escherichia coli, more commonly known as E. coli, on 50…
By Elizabeth Grossman It's now almost eleven months since the BP/Deepwater Horizon drilling rig exploded, killing 11 workers, and almost eight months since the damaged well was capped. While the emergency phase of this disaster is over, the assessment of and response to its long-term impacts are just now getting underway. On February 28th, the Gulf Ecosystem Restoration Task Force held the second of its five planned meetings - this one in New Orleans - and the National Institute of Environmental Health Sciences (NIEHS) launched its long-term study to evaluate health effects of the oil spill…
EVERY year, hundreds of thousands of people suffer from paralyzed limbs as a result of peripheral nerve injury. Recently, implantation of artificial nerve grafts has become the method of choice for repairing damaged peripheral nerves. Grafts can lead to some degree of functional recovery when a short segment of nerve is damaged. But they are of little use when it comes to regenerating nerves over distances greater than a few millimeters, and such injuries therefore often lead to permanent paralysis.  Now though, surgeons from Germany have made what could be a significant advance in nerve…
A child who is killed by an abusive parent is, in a sense, avenged by the law which seeks to identify, charge, try, convict, sentence and punish such a parent. Abuse might include something obvious like striking a child with a weapon, but it can also include starving the child to death or other forms of neglect, or failing to provide life-saving medical treatment. In other words, if your child is deathly ill and you don't take him or her to a medical facility or otherwise seek treatment, and the child dies, you are at fault. Unless, of course, you are all religious and shit. If your…
I was originally going to write about Dr. Oz's show yesterday, entitled What Causes Autism? But then I started watching and realized that I just didn't have the constitutional fortitude to sit through the whole thing. Sorry to let you down, but there are some blogging tasks that I just can't handle, at least on some days, particularly Dr. Oz's faux outrage at one point. Last night was just one of those days. I was too tired and just not in the mood. Maybe I'll do it later. In the meantime, I'm going to do something that I don't do very often, namely use a new post to answer a comment. The…
If there's one thing that gets my blood boiling almost above all else when it comes to quackery, it's when parents subject children to it. The result has been copious blogging about cases, such as that of Daniel Hauser, Katie Wernecke, and Abraham Cherrix, all of whom refused chemotherapy for treatable cancers. I've also discussed Madeline Neumann, a 12-year-old girl whose parents, based on their religion, allowed her to die of diabetic ketoacidosis rather than save her life by allowing physicians to administer insulin and fluids. They thought prayer would save her. It didn't. The following…
Yesterday, I concluded that Dr. Mehmet Oz's journey to the Dark Side was continuing apace. After all, he had pulled the classic "bait and switch" of "alternative" medicine by allowing a man who calls himself Yogi Cameron to use his television show to co-opt the perfectly science-based modalities of diet and exercise as being somehow "alternative." Like all good promoters of woo, whether you call it "alternative" medicine, "complementary and alternative medicine" (CAM), or "integrative medicine" (IM), Yogi Cameron used diet and exercise as the thin edge of the wedge, behind which followed…
I was originally going to blog this yesterday, but Dr. Oz's offenses against science and medicine on his show that aired on Tuesday kind of pushed it out of the way. It's not that I didn't think the third part of Brian Deer's expose of Andrew Wakefield's fraud worthy of my attention. Rather, the Oz thing really got me peeved, peeved enough to push aside (temporarily, at least) Brian Deer's deconstruction of how the editors of The Lancet scrambled to cover their proverbial asses, which they proceeded to do with alacrity, as the title of Deer's article implies: The Lancet's two days to bury bad…
Stick a fork in Dr. Oz. He's done. I know I've been highly critical of Dr. Mehmet Oz, Vice Chair of the Department of Surgery at Columbia University and medical director of the Integrative Medicine Program (i.e., Columbia's quackademic medicine) program at New York-Presbyterian Hospital. Those are his academic titles. More important, in terms of his promotion of pseudoscience, is his role as daytime medical show host. Dr. Oz's television show, called, appropriately enough, The Dr. Oz Show, is a direct result of his having been featured on Oprah Winfrey's show on numerous occasions as one of…
Matthew Herper rounds up some of the discussion about the decreasing cost of genomics. But one thing that hasn't been discussed much at all is the cost of all of the other things needed to make sense of genomes, like metadata. I briefly touched on this issue previously: A related issue is metadata--the clinical and other non-genomic data attached to a sequence. Just telling me that a genome came from a human isn't very useful: I want to know something about that human. Was she sick or healthy, and so on. These metadata too, will have to be standardized: I can't say one of genome came from…