Medicine
oracknows | June 12, 2009I was very happy with NEWSWEEK recently, specifically because of its lengthy expose of Oprah Winfrey and her promotion of pseudoscience, mysticism, and quackery on her talk show. However, I haven't always been that thrilled with NEWSWEEK's coverage of medicine and science. For example, NEWSWEEK's science columnist Sharon Begley has gotten on my nerves on more than one occasion, most recently when she castigated doctors for not enthusiastically embracing comparative effectiveness research, making the unjustified slur against physicians that they "hate science." Indeed, she even managed to…
dgmacarthur | June 11, 2009The buzz leading up to this week's Consumer Genetics Show in Boston suggested that a major announcement would be made by the CEO of genomics technology provider Illumina, Jay Flatley. Illumina provides the most popular second-generation sequencing instrument currently on the market, the Genome Analyzer II, and has been making noises about moving into the personal genomics industry since at least the beginning of the year, so the announcement itself was not exactly a shock: Illumina is launching a personal genome sequencing service.
The launch comes with a new website, the appealingly titled…
oracknows | June 10, 2009"Empowerment."
What a grand word! After all, who doesn't want to be "empowered"? Certainly not me. Perhaps that's the reason why it's become the new buzzword in a movement known as "patient-centered" care. Old fart that I am, I'm a bit puzzled by exactly what that term means. After all, I've always thought I have been practicing patient-centered care, ever since my first days in medical school, but apparently these days it means something different, at least if this article from a few days ago in the New York Times is any indication. It's an interview with Dr. Donald Berwick, who advocates…
sciencepunk | June 9, 2009
Le Canard Noir reports on a dramatic turn in the ongoing ruckus between chiropractors and supporters of Simon Singh: the McTimoney Association, an organisation of chiropractors, has ordered its members to remove their websites with immediate effect.
Date: 8 June 2009 09:12:18 BDTSubject: FURTHER URGENT ACTION REQUIRED!Dear MemberIf you are reading this, we assume you have also read the urgent email we sent you last Friday. If you did not read it, READ IT VERY CAREFULLY NOW and - this is most important - ACT ON IT. This is not scaremongering. We judge this to be a real threat to you and…
palmd | June 9, 2009One of the concepts we often discuss around here is "what is disease?" As we've seen in the discussion of Lyme disease and so-called Morgellons syndrome, this is not always an easy question to answer. Knowing what states are disease states does not always yield a black-or-white answer. The first step is usually to define what a disease is. The next problem is to decide who in fact has that disease. The first question is hard enough, especially in disease states that we don't understand too well. The second question can be equally tricky. To explore the scientific and philosophical…
oracknows | June 9, 2009Yesterday, I marveled at an article that appeared on the Associated Press new feed that basically said a lot of things about the infiltration of quackademic medicine into academic medical centers, how so-called "complementary and alternative medicine" 9CAM) is finding its way into the mainstream despite almost nonexistent evidence for the efficacy the vast majority of them, and how supplements are virtually unregulated. If the article had mentioned the extreme scientific and biological implausibility of nearly all of the non-herbal CAM therapies that are routinely promoted, it would have…
dgmacarthur | June 5, 2009A reader has pointed me to the latest issue of the American Journal of Bioethics, which is devoted to social networking and personal genomics. I'm still working my way through the many interesting articles, but for now I wanted to cover some useful points in the editorial (entitled "A Pragmatic Consideration of Ethical Issues Relating to Personal Genomics"), which was written by a series of big names from personal genomics company 23andMe, including both co-founders.
The article is designed to address some of the more popular misconceptions surrounding personal genomics; here's a quick run-…
denialism | June 4, 2009We're starting to hear about how Obama intends to implement healthcare in this country.
President Barack Obama says he's open to requiring all Americans to buy health insurance, as long as the plan provides a "hardship waiver" to exempt poor people from having to pay.
Obama opposed such an individual mandate during his campaign, but Congress increasingly is moving to embrace the idea.
In providing the first real details on how he wants to reshape the nation's health care system, the president urged Congress on Wednesday toward a sweeping overhaul that would allow Americans to buy into a…
tfk | June 3, 2009Hilzoy and Megan McArdle have had an exchange over abortion, which includes, as these discussions always do, a ton of talking-past-each-other. This tends to happen, because anti-choicers tend to ignore the pregnant woman, and put all their attention on the well-being of the embryo (and my friend John B., a member of George Tiller's church, has a great post showing how this framing of the issue has influenced our national discourse on abortion). Pro-choice advocates are focused on the pregnant woman's rights, and have diverse views on the moral status of an embryo. This results in one…
tqa | June 3, 2009
James Kirchick has an op-ed up in today's Wall Street Journal that addresses the reaction to the murder of Dr. George Tiller. Or so he might want to believe. In actuality, Kirchick is responding to the portion of the reaction that he wants to see, and not to the range of opinion that is out there.
There is no appreciable number of people in this country, religious Christians or otherwise, who support the murder of abortion doctors. The same cannot be said of Muslims who support suicide bombings in the name of their religion.
Not only has Kirchick clearly missed the moral munchkins…
oracknows | June 3, 2009Yesterday, I wrote a post about what fellow ScienceBlogger Isis would term "hot, hot science." As much as I love science like that, writing such posts is a lot of work and takes considerably longer than my run-of-the-mill bit of insolent brilliance. Often, after writing an analysis of a peer-reviewed paper like that, I need a bit of a break. No, not a break in writing, but a break in difficulty. To that end, I had seen David Kirby's latest bit of disingenuous goalpost shifting over on The Huffington Post, but damn if Steve Novella didn't beat me to it. I had thought of taking sloppy seconds,…
denialism | June 1, 2009PZ brings to my attention this article in Newsweek which sums up Oprah's views on health, and one sadly must come to the conclusion that Oprah is a crank. Based on our definition of crankery, one of the critical aspects is the incompetence of an individual in judging sources of information. How else can you describe her dismissal of legitimate medical opinion for the pseudoscience of celebrities like Suzanne Somers or Jenny McCarthy?
That was apparently good enough for Oprah. "Many people write Suzanne off as a quackadoo," she said. "But she just might be a pioneer." Oprah acknowledged that…
jstemwedel | May 31, 2009Sunday morning, Dr. George Tiller of Wichita, Kansas, was murdered on his way into the church where he worships. Dr. Tiller was targeted because he was one of the few doctors in the U.S. who performed late-term abortions.
Late-term abortions make up a tiny fraction of the abortions performed in the U.S., and are nearly always done because the fetus has been found to have defect incompatible with life, or has already died, or because the life of the mother is in danger if the pregnancy is not terminated.
For the audacity of offering this vital medical service, Dr. Tiller and his clinic had…
gregladen | May 31, 2009A true hero for women's rights and lives was murdered today. Dr. George Tiller, who endured countless threats, an assassination attempt, bombings and assaults on his clinic, and many legal challenges by anti-abortion extremists was murdered in his church by such an extremist today.
I am greatly saddened by his death and by the loss of a friend to me and countless women, but I am also outraged that this could have happened again. I and the Feminist Majority Foundation had the privilege of knowing and working with Dr. Tiller over the last two decades. He was a courageous, unassuming, and soft…
tfk | May 31, 2009The Wichita Eagle reports that George Tiller was shot and killed:
George Tiller, the Wichita doctor who became a national lightning rod in the debate over abortion, was shot to death this morning as he walked into church services.
Tiller is one of the few doctors in the country who offered third trimester abortions, and did so in a city that rekindled the anti-abortion movement in the '90s. His clinic was the subject of numerous attacks, including a shooting which wounded him in 1993.
Tiller also worked through his political action committee to ensure that women had access to lifesaving…
oracknows | May 28, 2009Today is a very good day indeed.
I say that because Daniel Hauser, the 13-year-old boy with Hodgkin's lymphoma who ran away with his mother to avoid having to undergo chemotherapy ordered by a judge, who had found that his parents were engaging in medical neglect in not getting him effective treatment, and returned on Monday, will begin his course of chemotherapy today. I'm very happy to hear that Daniel and his parents have decided to stop fighting:
After Daniel and his mother returned to Minnesota this week, both his parents told a judge they will let Daniel undergo chemotherapy because…
oracknows | May 26, 2009Hot on the heels of yesterday's paper in Pediatrics showing that vaccine refusal elevates the risk of pertussis in a child by nearly 23-fold, a commentary in PLoS Biology asks what can be done to combat anti-vaccine misinformation. Entitled A Broken Trust: Lessons from the Vaccine-Autism Wars, it's an interview with a professor of medical anthropology at UCSF named Sharon Kaufman, who took a 26 month hiatus from her usual work on aging and longevity to study the anti-vaccine movement from an anthropological perspective. Her observations in some way echo observations I've been making as a…
denialism | May 26, 2009Seth Kalichman is a better man than I. Kalichman is a clinical psychologist, editor of the journal Aids and Behavior and director of the Southeast HIV/AIDS Research and Evaluation (SHARE) product, and he has devoted his life to the treatment and prevention of HIV. Despite a clear passion for reducing the harm done by HIV/AIDS, to research this book he actually met, and interviewed, prominent HIV/AIDS denialists. I confess I simply lack the temperament to have done this. To this day, when I read about HIV/AIDS denialists, and the the 330,000 people who have died as a result of HIV/AIDS…
revere | May 24, 2009On Friday Department of Health and Human Services Secretary Kathleen Sebelius announced that the US was asking vaccine manufacturers to get ready to make an vaccine against this year's swine flu. Before a vaccine can be made there is a substantial amount of preparation that needs to be done, so this just gets the process started. And the first thing that is needed is a vaccine seed strain. We've been hearing from CDC that a seed strain was in preparation. So what's a vaccine seed strain? Two good news articles, one in Nature by Declan Butler, and one in ScienceInsider by Jon Cohen have some…
oracknows | May 24, 2009On Thursday and Friday, the Chicago Tribune ran a two part series (part 1 and part 2) about what is arguably one of the worst atrocities (I agree with Steve Novella on this one) committed against autistic children in the name of antivaccine lunacy. Specifically, these articles discussed Mark and David Geier's Lupron protocol, which I blogged about three years ago, and Dr. Mayer Eisenstein, the founder of the woo-friendly Homefirst medical practice in suburban Chicago, whom I've also blogged about in the past.
Surprisingly, the reaction from the antivaccine propaganda blog Age of Autism has…