medicine
palmd | April 1, 2009I have this friend. Wait, let me backtrack. I have this other friend, his name is Danny Dan. We pretty much grew up together, but lost touch as adults. A couple of years ago, I was at the mall with my little girl, and I saw a kid with a name tag from the same school as my kid. On the tag was his last name. I took one look, and I knew it was Dan's son. I'm sure Lori had something to do with it, but the boy looks just like Dan.
Dan, Lori, and Hayden
I know Lori was involved with making the kid because she gave birth to him. A few weeks after mini-Dan was born, she went to her follow…
oracknows | April 1, 2009...but sadly, it's not. Jenny McCarthy has struck again.
Yesterday, given the release of Jenny McCarthy's new book espousing antivaccinationism and autism quackery and the attendant media blitz the antivaccine movement has organized to promote it, I predicted that a wave of stupid is about to fall upon our great nation.
Well, the stupid has landed. And how. An interview with Jenny has just been published on the TIME Magazine website in which she "surpasses" herself. In fact, so dense is the stupid emanating from what passes for a "brain" in that empty head of hers that words fail me.…
oracknows | April 1, 2009Enough.
I don't know about you, but as a surgeon and a biomedical researcher, I'm fed up with animal rights terrorists who threaten biomedical research with their misinformation about animal research, their terroristic attacks on scientists who engage in such research, and listening to the despicable self-righteous idiot who is a disgrace to surgeons everywhere, Dr. Jerry Vlasak, spouting off about how assassinating researchers who use animals as part of their research would be justified.
And apparently I'm not alone. Scientists at UCLA, which, along with UC Santa Cruz, is at ground zero for…
purepedantry | March 31, 2009Nature Clinical Practice Neurology has a salient article on ethics and medicine. The article asks the question: is it ethical to confront an individual with whom you do not have an official doctor-patient relationship, if you think they have a medical problem? Should you or should you not tell them if you see a medical problem?
Neurology is unique among the medical specialties in that much of the clinical examination can be appreciated visually and taught by use of video recordings.3, 4 Since 2003, we have conducted a 'neurological localization course', during which participants are…
oracknows | March 31, 2009
Get ready for some serious stupid, folks, stupid that threatens to engulf all reason, as a black hole engulfs all nearby matter that falls into its gravitational field.
Although I knew that Jenny McCarthy was soon to release another book promoting autism quackery, I had thought it wasn't coming out for a month or two. The book is entitled Healing and Preventing Autism: A Complete Guide, written by Jenny and her partner in autism quackery Dr. Jerry Kartzinel. Dr. Kartzinel, some may recall, wrote the foreword to Jenny McCarthy's very first paean to autism quackery back in 2007 and was…
tqa | March 31, 2009
Your sink is leaking all over your bathroom floor. Whose advice do you take on how to fix it - your plumber's or your accountant's? I suspect that the sane among us would typically go to the plumber. If we were suspicious about the first plumber's advice, we'd probably call another plumber. Similarly, the rational among us would not look to a plumber as a source for informed commentary on the economy, foreign affairs, or journalism.
We understand that expertise matters.
We don't consider experts to be infallible, we don't bow down and worship at their feet, or uncritically accept…
oracknows | March 31, 2009I may have been deluding myself when I talked about 2009 shaping up to be a bad year for antivaccinationists. It turns out that the antivaccine movement is succeeding.
That's right, a cadre of upper middle class, scientifically illiterate parents, either full of the arrogance of ignorance or frightened by leaders of the antivaccine movement, such as J.B. Handley, Barbara Loe Fisher, Jenny McCarthy, or the rest of the crew at the antivaccine propaganda blog Age of Autism, are succeeding in endangering your children. Although the U.K. got a head start in bringing back the measles and mumps,…
oracknows | March 30, 2009Anyone who's read this blog for more than a month knows my dismal opinion of Indigo woo girl, ex-Playboy Playmate, and gross-out comedienne Jenny McCarthy, who since having a child diagnosed with an autism spectrum disorder has transformed herself from D-list celebrity to A-list, where the "A" stands for "antivaccine." Her combination of obnoxiousness, the arrogance of ignorance, and a dogged determination to stoke the embers of the discredited idea that vaccines somehow cause autism have endangered public health in this country in the year and a half since she published her first autism book…
palmd | March 30, 2009This war taking place in our nation's medical schools and academic medical centers. Orac at Respectful Insolence has been tracking this trend, as have those of us writing at Science-Based Medicine. It is a war between those who feel that medicine should continue to be based on science and those who want to integrate faith-based practices. The model for this war is not that of pedagogical disputes or funding scuffles. More than anything else, it resembles a religious war.
The basic story goes like this: medical schools are in charge of educating future doctors. Individual hospitals are…
oracknows | March 30, 2009Indiana Jones had a saying: "Snakes. Why'd it have to be snakes?" This line was most famously delivered in Raiders of the Lost Ark after he and his friend Sallah had opened the Well of Souls and were staring down into it. Sallah noticed that the ground appeared to be moving within; so Indy shined a light down the entrance, only to see thousands of snakes waiting for him at the bottom.
Sallah then drily observed, "Asps. Very dangerous. You go first."
As we knew from earlier in the movie, Indiana Jones hated snakes and was afraid of them; so it was only natural that later in the movie he would…
j7uy5 | March 30, 2009The New England Journal of Medicine has four open-access articles of
the topic of electronic medical records (EMR). One article
reports on a survey of the characteristics of EMR in use, and the
extent to which they have been adopted within US hospitals. The
second discussed the barriers to the more widespread adoption of
EMR. The third compares and contrasts the two models of EMR:
stand-alone personal systems, and integrated systems. The fourth
addresses the question of how to make the best use of the money
devoted, in Obama's economic stimulus plan, to the promotion of EMR.
Use of…
oracknows | March 29, 2009Last week, there was a bit of a scandal of sorts over an editorial published by the Journal of the American Medical Association (JAMA), which I blogged about in a rather long post. The short version is that a flawed study that tested using Lexapro that neglected to report a rather important comparison that would have changed the conclusion to finding no difference between cognitive therapy and Lexapro in relieving the symptoms of depression after a stroke resulted in a complaint by Dr. Jonathan Leo of Lincoln Memorial University in Harrogate, TN. Dr. Leo wrote a letter pointing inquiring…
clock | March 27, 2009Kim is excited:
It's official!
The Medbloggers are now a part of BlogWorld/New Media Expo 09!
Thanks to sponsorship from Johnson & Johnson and MedPage Today, the "Medlblogger Meet-Up" is now a reality.
But it is so much more than "just" a meet-up.
A full day of topics, voted on by the medical bloggers themselves, will be presented, with plenty of time to mix and mingle with our blogging colleagues.
Blog World/New Media Expo 09 will take place at the Las Vegas Convention Center the weekend of October 15-17.
New blogger, established blogger, podcaster or internet broadcaster, there is a…
palmd | March 27, 2009Pope Benedict, the former head of the same Church body that ran the Inquisition, has done it again. He just committed an act which is morally equivalent to involuntary sodomy, and did it to an entire continent.
Africa, the epicenter of the AIDS pandemic, sometimes seems to have not all that much going for it---AIDS drugs are expensive, some leaders have been idiots, but there have been some bright lights, such as Botswana's comprehensive HIV prevention program.
So when some German dude walks in and tells everyone that condoms are wrong and may make the problem worse, one might consider…
jstemwedel | March 27, 2009When, speaking to journalists about the HIV/AIDS epidemic in Africa, you make a claim that the epidemic is:
a tragedy that cannot be overcome by money alone, that cannot be overcome through the distribution of condoms, which can even increase the problem
those listening who assume you are committed to honesty (because of that commandment about not bearing false witness) and that you are well-informed about the current state of our epidemiological knowledge (because, as the Pope, you have many advisors, and owing to your importance as the head of the Roman Catholic Church, leading scientists…
oracknows | March 27, 2009Since its very inception, the Huffington Post has been a hotbed of antivaccine lunacy. Shortly after that, antivaccine woo-meisters like David Kirby, Robert F. Kennedy, Jr., Kimg Stagliano, and, apparently, one of the editors (Special Projects Editor Rachel Sklar) were joined by all-purpose woo-meisters like Deepak Chopra. True, for a brief period of time there appeared to be an occasional voice for vaccines on HuffPo, but they never lasted. After all, RFK, Jr.'s been there nearly four years now and David Kirby almost as long, while pro-vaccine commentary pops up briefly, gets shouted down by…
palmd | March 26, 2009The best way to prevent sexually transmitted infections is the proper use of condoms. That being said, it's not the only way to prevent STI's. Abstinence is one way, but it involves an amputation of sorts---the removal of a critical human behavior. Another amputation (of sorts) that prevents STIs is circumcision. Male circumcision has been found in several good studies to reduce the rate of HIV transmission, and now a study out of Uganda shows a significant decrease in rates of genital herpes infections (HSV-2), human papilloma virus (HPV) infection (the strains that cause penile,…
oracknows | March 26, 2009Because of my stands against dubious medical "therapies" and outright quackery and for science- and evidence-based medicine, I have been the frequent target of what I've come to call the "pharma shill gambit." It's a pretty stupid and common ad hominem attack in which the attacker, virtually always an advocate of "complementary and alternative medicine" (CAM) tries to smear those of us who argue against pseudoscience and for science-based medicine as being hopelessly in the pocket of big pharma to the point where we make the statements we do because we're "shills" for the drug companies.…
oracknows | March 26, 2009(NOTE ADDED 12/7/2010: Kim Tinkham has died of what was almost certainly metastatic breast cancer.)
Three days ago, I decided to take a look at the scientific literature regarding whether any "alternative" therapies do any good for breast cancer. Not surprisingly, I found no evidence that any such therapy did, with the possible exception of melatonin, which there is no reason to label "alternative," given that it was discovered through science and is being tested using science. At the same time, I've been keeping an eye on the usual suspects pushing various forms of woo for breast cancer,…
palmd | March 25, 2009Whatever you think of its political reporting, no other mainstream media outlet can bring the stupid like the Huffington Post, especially with regards to medical reporting. Its most famous contributors include antivaccinationists like David Kirby and Robert Kennedy, Jr., and kumbaya therapy wackaloon Deepak Chopra.
Now they bring us an article by some dude I've never heard of with a title that should have him laughed out of any legitimate scientific institution: "The Science of Distant Healing". This is one stupid article.
First of all, who the hell is this guy? According to his bio:
Dr.…