Medicine
terrasig | May 4, 2009My clinical counterpart, surgical oncologist Dr David Gorski, has an excellent post up today at Science-Based Medicine on the irresponsible and misleading information being provided at The Huffington Post during the current H5N1/2009 influenza ("swine flu") outbreak. "The Huffington Post's War on Medical Science: A Brief History" provides a cautionary tale for us in embracing web-based news sources as our excellent print newspapers are going by the wayside.
Within the post, Dr Gorski shows that he is even more familiar with my writing than myself by citing a post at the old Terra Sig on the…
oracknows | May 4, 2009It's times like these when I'm happy that I haven't published in too many Elsevier Journals during the course of my career. I say that because on Thursday, it was revealed that pharmaceutical company Merck, Sharp & Dohme paid Elsevier to produce a fake medical journal that, to any superficial examination, looked like a real medical journal but was in reality nothing more than advertising for Merck. As reported by The Scientist:
Merck paid an undisclosed sum to Elsevier to produce several volumes of a publication that had the look of a peer-reviewed medical journal, but contained only…
revere | May 2, 2009Laurie Garrett of the Council on Foreign Relations and a well-known authority on emerging infectious diseases was on PBS's Newshour last night and she made a very important but little appreciated point. Mexico has made a major national sacrifice for global public health by shutting down its country and interrupting transmission of disease. The cost to Mexico has already been enormous it will continue to pay in other ways. The reputation of the government has suffered because of the way it handled this -- the lack of transparency, the initial slow footedness (which of course it denies), its…
ejohnson | May 1, 2009
With the recent addition of Patricia Fitzgerald to The Huffington Post's editorial staff as "Wellness" editor, ScienceBloggers are ripping apart the medical articles pushed through to the public eye by HuffPo and Fitzgerald--whose biography states is a "licensed acupuncturist, certified clinical nutritionist, and a homeopath"--with all the force of a black hole. Writes ScienceBlogger PalMD, "In the fight for truth and honesty in journalism, I propose the following more accurate titles for the HuffPo medical writers who are commonly referred to as "Dr": Patricia Fitzgerald, Doctor of…
bcohen | April 30, 2009I hadn't seen this Onion report before -- "Millions and Millions Dead" -- from a decade ago, although I have referred to this report -- "World Death Rate Holding Steady at 100 percent" -- before (in an old post). I am thus forced to repost the graphic about world death rates, but to pair it with the article about millions dead. They do make a good combo.
"Millions and Millions Dead"
June 2, 1999 | Issue 35â¢21
As the body count continues to rise, a shaken nation is struggling to cope in the wake of the mass deaths sweeping the world population. With no concrete figures available at…
jstemwedel | April 30, 2009In an earlier post, I pointed you toward the preliminary report (PDF here) issued by the Minnesota Pandemic Ethics Project this January. This report sets out a plan for the state of Minnesota to ration vital resources in the event of a severe influenza pandemic.
Now, a rationing plan devised by an ethics project is striving for fairness. Rationed resources are those scarce enough that there isn't enough to go around to everyone who might want or need them. If someone will be left out, what's a fair way to decide who?
Let's have a look at the rationing strategies discussed in the draft…
oracknows | April 30, 2009I apologize to my readers.
I apologize for continually blogging about the pseudoscience at The Huffington Post. Of late, it seems that I can't go more than a day or two without some new atrocity against science being tossed out from Arianna's happy home for antivaccinationists and quacks. Be it antivaccine lunacy, Deepak Chopra's "quantum" woo, or the latest quack stylings of Kim Evans, no woo is too woo-ey, no quackery too quacky, no pseudoscience too far out for HuffPo. In any case, HuffPo is a lot like blogging about the antivaccine movement. As I've characterized it again and again, it's…
gregladen | April 29, 2009 photograph of some grapefruit Grapefruit juice contains enzymes that break down common types of compounds of which pharmaceuticals are made. This means that if you drink grapefruit juice along with some drugs, the effect of the drug will be enhanced.
(That was a slight oversimplification.)
So great, you say, why not just take all drugs with a glass of grapefruit juice? Well, I can think of two reasons. One, grapefruit juice tastes like ape-piss, so why would you ever drink it. Two, drug experts feel that they have more control over your dosage if you just leave the grapefruit juice…
scientificactivist | April 29, 2009Yesterday, the Institute of Medicine released a report entitled "Conflict of Interest in Medical Research, Education, and Practice". As far as I can tell, the full report is only available for a fairly substantial charge, but these are some of the main recommendations summed up in the report's press release:
All academic medical centers, journals, professional societies, and other entities engaged in health research, education, clinical care, and development of practice guidelines should establish or strengthen conflict-of-interest policies, the report says. Disclosure by physicians and…
palmd | April 28, 2009We have a lot to cover today, but first things first: the Big Question. If you'll cast your memory way back (thanks, Van) you'll remember that a good question to ask altmed followers is the one of abandonment: what would it take for them to abandon a modality? Well, the answers are in, and the one's who answered just didn't get it. For example:
[T]he question was: "Can you please give specific examples of alternative medicine theories and modalities that have been abandoned because they have been found to be ineffective?"
The short and honest answer to this is no-- I cant. But my reason…
dgmacarthur | April 27, 2009This seems like pretty interesting news:
23andMe, Inc., an industry leader in personal genetics, and Palomar Pomerado Health
(PPH), the largest public health district in California, today
announced that PPH will be offering the 23andMe Personal Genome Service
for sale to San Diegans at its outpatient health centers. As an
innovator in preventive health care, PPH encourages its communities to
understand their genetic information in order to make more informed
decisions about their health. This partnership marks the first time
that a healthcare organization has provided the Personal Genome…
palmd | April 27, 2009I tuned into a CDC conference call this afternoon. It was interesting. As is often the case with emerging diseases, what we don't know vastly outweighs what we do. For the best public health information in the blogosphere, and the best flu updates, go to Effect Measure.
The CDC emphasized that it's quite early and things are changing by the hour. So far 40 cases have been identified in the U.S., all of them mild, with one requiring hospitalization because of underlying medical problems. It is assumed that many more cases will be identified, and it would be unusual if at least some were not…
mikethemadbiologist | April 27, 2009ScienceBlogling PalMD does a good job of eviscerating the false claims of expertise by woo practioner 'Dr.' Patricia Fitzgerald and the rest of the witch doctors over at The Huffington Post, so I thankfully don't have to (so many fucking morons, so little Mad Biologist...). But PalMD neglected to mention one thing about 'Dr.' Patricia Fitzgerald:
She is the "Wellness" editor of The Huffington Post.
That's right: a full-blown woomeister is the equivalent of The Huffington Post's medicine and health section. Is she an M.D.? Nope. Is she a Pharm.D.? Uh-uh. Maybe a Ph.D.? Guess what? No…
revere | April 26, 2009If there was ever a graphic illustration of how global interconnectedness affects public health, it's the swine flu affair. Wherever it started, the current crop of cases seems related to Mexico, either as the epicenter or via travelers. Four US states have cases. Those not on the Mexican border are related to travel to Mexico. Kansas, New York City, the suspect cases in secondary school teachers and students in Auckland, New Zealand just returned from Mexico. And France has two suspect cases also just returned from Mexico, as does Spain. We've discussed the problem of infectious disease on…
revere | April 25, 2009CDC has just concluded a press briefing and the big news is there is no big news. In fact there was hardly any small news. The major questions have been identified -- how transmissible, what is the epidemic curve, are there more cases in the US, are there subtle genetic differences in the US and Mexican versions to account for the apparent difference in clinical and epidemiological features, etc. -- but answering them will take longer.
Meanwhile, no new cases have been identified in the US, but CDC in collaboration with state and local health departments and the academic and medical sectors…
sb admin | April 24, 2009by revere, cross-posted from Effect Measure
As an academic epidemiologist I routinely do NIH funded research involving human subjects. That means my university must adhere to very strict regulations and guidelines for the protection of research subjects. Approval and monitoring of the ethical conduct of research funded by the Department of Health and Human Services (DHHS), of which NIH is a part, was made a legal requirement in the 1970s following widespread abuses, of which the Tuskeegee Syphilis Study and the experiments by Nazi doctors were the most notorious. But less flagrant ethical…
palmd | April 24, 2009The other day, I wrote about the fake health experts at the Huffington Post. Prominent among them is "Dr" Patricia Fitzgerald. Now, we already talked about how writing a health piece in a major media outlet and using the title of "Dr" can be deceptive; the reader is likely to assume you are a medical doctor. In Fitzgerald's case, she isn't anything resembling a medical doctor, or even a health expert.
Like many of HuffPo's so-called health experts, she's selling something. While I'm all for capitalism, she presents herself as something she is not---a legitimate doctor. Let's examine what…
revere | April 24, 2009As an academic epidemiologist I routinely do NIH funded research involving human subjects. That means my university must adhere to very strict regulations and guidelines for the protection of research subjects. Approval and monitoring of the ethical conduct of research funded by the Department of Health and Human Services (DHHS), of which NIH is a part, was made a legal requirement in the 1970s following widespread abuses, of which the Tuskeegee Syphilis Study and the experiments by Nazi doctors were the most notorious. But less flagrant ethical breeches were widespread in medical research. I…
palmd | April 23, 2009It's no secret that I think the Huffington Post is an teeming den execrable pseudoscientific snakes. Still, when it comes to fanning the vaccination manufatroversy, they are really off the deep end. Take the latest piece of dreck on Jenny McCarthy, GoD (Google Doctorate). It's written by the infamous "Dr." Patricia Fitzgerald, and this is where I get cranky. Worse than all the drivel spouted by Jenny is HuffPo giving their imprimatur of authority to Fitzgerald. Let me 'splain.
Look, there's a lot of ways to legitimately gain the title of "doctor". The most common are to go to a…
revere | April 22, 2009Late yesterday afternoon a Morbidity and Mortality Weekly Report (MMWR) Dispatch appeared on CDC's website that is unique in my experience. MMWR is usually heavily vetted and edited and nothing gets out of there fast. Indeed, in recent years, nothing at all got out of CDC very fast. And yet here is this Dispatch, with text referring to the same day of issue (April 21), reporting on two young patients with febrile respiratory illnesses, one of whose cases CDC only learned about on April 13, 8 days earlier. April 17 CDC determined that the two children, both from the San Diego, California area…