medicine
ddobbs | July 4, 2009In case you missed them (or miss them, and want to read again ...)
The (Illusory) Rise and Fall of the "Depression Gene"
DIY circumcision with nail clippers Go figure.
Oliver Sacks meets Jon Stewart
Wheels come off psychiatric manual; APA blames road conditions
Alarming climate change chart of the day
Swine flu count in US hits 1 million; can't wait till flu season!
Will government involvement drive up health-care costs?
What if you could predict PTSD in combat troops? Oh, who cares...
oracknows | July 4, 2009Last week, I wrote about how Senator Tom Harkin is up to his old shenanigans again, trying at ever turn to do for the actual practice of quackery what he did for the research of quackery by creating the National Center for Complementary and Alternative Medicine (NCCAM) and what he still does to promote quackery by berating NCCAM for in essence being too scientific in not having validated enough of his cherished woo. In essence, Harkin has slipped a provision into the Senate version of the 600+ page health care reform bill that is currently taking shape in Congress that included funding for "…
palmd | July 4, 2009On July 4th at 5 a.m., I'm loading the family into the car and driving very far away, where cellphones, pagers, and most critically the internet, do not work. Blogging has been very hard for me lately. I love writing, but due to work and family mishegos it's been hard to keep up with the posting. I'm hoping a stint up in the woods providing medical supervision to 400 souls will be rejuvenating. While I'm gone, I'll leave you with some of my favorite posts about the human side of medicine. I hope you enjoy reading them again, or for the first time. --PalMD
I am often the bearer of bad…
oracknows | July 4, 2009While I"m on a Mitchell and Webb kick and it's still a slow blogging holiday weekend, this isn't about homeopathy but it does skewer a certain profession:
You know, I can sort of picture Dr. Michael Egnor (a younger version, of course) being the brain surgeon in this sketch...
oracknows | July 3, 2009I love Mitchell and Webb, and this is just one reason why. They totally get homeopathy, as this video e-mailed to me by a reader demonstrates:
Pay close attention to the signs in the A & E. Too bad this is too late for Homeopathy Awareness Week.
And they're funny, to boot. While I'm on the subject of homeopathy, I know I've posted it before, but it's never wrong to repost an oldie but goody, the classic Homeopathic E.R.:
Here in the States, it's one of those rare long holiday weekends spanning Friday through Sunday instead of the usual Saturday through Monday. Because I'm working on a…
oracknows | July 2, 2009I may be a little late to the party, but that's because my laptop happens to have ad blocking software installed. However, blog bud PalMD rubbed my nose into a little kerfuffle that's been going on here the last couple of days. Basically, some really, really bad advertisements have been popping up. Ads for quackery like this popped up:
Lovely. Here I am pointing out why the NIH Trial to Assess Chelation Therapy is an unethical boondoggle of a quackfest, full of violations of the most basic protections for human subjects, and what's appearing above my post?
Ads for chelation therapy! And I…
oracknows | July 2, 2009Last year, a seeming victory for the protection of human subjects from being subjected to pseudoscience. It began when Kimball C. Atwood IV, MD; Elizabeth Woeckner, AB, MA; Robert S. Baratz, MD, DDS, PhD; and Wallace I. Sampson, MD published a lengthy criticism of the NIH Trial to Assess Chelation Therapy (TACT) in Medscape, pointing out that it was a boondoggle that was not only not based on sound science but was in fact risky to patients and riddled with conflicts of interest and administered by highly dubious practitioners. If you want to know just how bad the National Center for…
oracknows | July 1, 2009Earlier this year, I wrote about Senator Tom Harkin's attempt to hijack President Obama's health care reform plans in order to inject quackery in the form of "alternative" or "integrative" medicine into the effort. Specifically, he wants to legitimize quackery by including it in any federal plan under the guise of "preventative care." He even went so far as to invite the Four Horsement of the Woopocalypse into the Senate to testify and castigate the National Center for Complementary and Alternative Medicine for being too scientific and not proving that any of his favored woo works. Of course…
palmd | July 1, 2009The medical education calendar begins and ends on the first of July each year, and in the hospital, that means a brand spanking new crop of young doctors. While this may sound a bit scary, the facts are a bit subtle (and not terrifying). Some of the questions regarding the so-called July Phenomenon are:
Are hospitals more dangerous in July?
Is care more expensive in July?
Are hospital stays longer in July?
The data show that there does not appear to be an increase in poor outcomes in July vs. other months, but in some fields hospital stays may be longer and care may be more expensive due…
terrasig | July 1, 2009
Dear PharmGirl,
We wanted to make this note public today because a great many of our blog friends know of your dedication as a physician, wife, and a mother.
Yesterday you finished an association with an academic medical institution where you have been for half your life. From young women with breast cancer to old men in the V.A. Hospital, literally thousands have been touched by your gifts of intelligence, remarkable clinical judgment, and, perhaps most importantly, compassion. The recognition from your patients was abundant and we were privy to the personal notes of just how much you…
oracknows | July 1, 2009Remember Sharyl Attkisson?
She's the CBS reporter who can really bring home the crazy when it comes to vaccines and autism, laying down some serious crankery (complete with many logical fallacies) and hit pieces on Dr. Paul Offit. Indeed, at times she gives Mike Adams a run for his money when it comes to laying down the pseudoscience and crankery. Worse, she appears to be in bed with at least one of the bloggers at the antivaccine propaganda blog Age of Autism for the purpose of bringing antivaccination lunacy to the masses by assisting them in smearing Voices for Vaccines. Indeed, aside from…
ddobbs | July 1, 2009"This is something we would advise men never to attempt," a medic. said.
I would think.
Bad news: Guy really did it. Good news: no pictures.
ejohnson | June 30, 2009
In a recent New York Times article, Grant System Leads Cancer Researchers to Play It Safe, the National Cancer Institute and parent institution NIH were taken to task for their biased funding of low-risk studies, which lead to what the article claims are few breakthroughs in effective treatment. The article critiques the funding of research that produces only "incremental progress," or that focuses on prevention through diet and health. But, as ScienceBlogger Orac points out, it fails to provide evidence that granting funds to riskier projects--with the potential for higher impact--would in…
palmd | June 30, 2009Major depressive disorder (hereafter referred to as "depression") is a prevalent and disabling illness. According to the National Institute of Mental Health:
Major Depressive Disorder is the leading cause of disability in the U.S. for ages 15-44...[and]...affects approximately 14.8 million American adults, or about 6.7 percent of the U.S. population age 18 and older in a given year.
There's been some terrific writing on depression around ScienceBlogs this year. I've written a few pieces touching on mental illness in the past, but never anything explicitly about depression. Given the…
terrasig | June 30, 2009
I love it when new readers stumble upon old posts.
Such was the case when I received the following delightful comment from Seattle-based psychologist, Dr Gary Grenell, on my April 2008 post about the passing of Dr Charlotte Tan, a pediatric cancer chemotherapy pioneer:
I was probably in one of her earliest actionmycin-D trial groups for Wilms tumor in 1957. Now at age 55, 52 years later, still going strong!
Most of you scientific youngsters today probably only know of actinomycin D as a laboratory tool for inhibiting RNA synthesis. But here in the following repost, learn about the…
oracknows | June 30, 2009I waited.
I knew it was coming. It had to. History was on my side. My quarry was nutty, but in a way exceedingly predictable. it wasn't so much that I knew exactly what he would do. He wasn't predictable in that way. It was that I knew he would do something crazy. Actually, on second thought, I did know what he was going to do. I had only to consider how ghoulishly he treated Tony Snow and Bernie Mac, and Tim Russert and how he leapt at the opportunity to abuse Christina Applegate. To him, when a dying celebrity like Patrick Swayze rejected quackery, it was more than he could stand. Whenever…
ddobbs | June 30, 2009
[note: addition/corrections at bottom added an hour after orig post. additions underlined. deletions struckthrough. See *]
Meet the meta-placebo: A new study suggests that ADHD meds do much of their work by producing placebo effects -- and more constructive behavior -- among the parents, teachers, and other caretakers of the kids actually taking the meds. Via ScienceDaily:
A recent review of research by University at Buffalo pediatric psychologists suggests that [ADHD] medication, or the assumption of medication, may produce a placebo effect -- not in the children, but in their teachers,…
palmd | June 29, 2009A long while back, at the original wordpress incarnation of this blog, I wrote a piece on the reasons that chiropractic is unscientific nonsense. Because it was popular, I moved it over here. Well, a chiropractor has come to bravely defend his field and left us a comment.
A study in the May 2007 issue of the Journal of Manipulative and Physiological Therapeutics reports health plans that use Chiropractors as Primary Care Providers (PCPs) reduce their health care utilization costs significantly.
The study covers the seven-year period from 1999 to 2005. Researchers compared costs and…
oracknows | June 29, 2009On Friday, I posted a plea for donations to the JREF effort to help poor families vaccinate their children against childhood diseases.
Over the weekend DuWayne Brayton did me one better with his plea:
I have been where a lot of those families are. While $25 may not seem like a hell of a lot to most people, when you are to the point where you have to ration your eating to five or six meals a week, to ensure your children get enough to eat, that works out to being a lot of meals you will miss that month. And I can also attest, trying to functionally work when you're only eating one meal, ever…
oracknows | June 29, 2009This is just a brief followup to my post this morning about yesterday's NYT article on cancer research. An excellent discussion of the NYT article can be found here (and is well worth reading in its entirety). In it, Jim Hu did something I should have done, namely check the CRISP database in addition to PubMed. A couple of key points follow about the examples cited in the NYT article.
Regarding Dennis Slamon:
I hate to criticize Dennis Slamon, because the HER2 to Herceptin story is a great one. But the image one gets of his research program being saved by a friend from Revlon while the NCI…